Results

Total Results: 9,279 records

Showing results for "death".

281. Medical device alarm safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
     December 23, 2016 - event alert  describes how ignoring alarms can have fatal outcomes and recounts an intensive care unit death … The sentinel event database includes 98 alarm-related events (80 of which resulted in death) between … Patient Safety in Acute Hospital Care Units April 26, 2023 Preventing maternal death

282. Matching patients across institutions without definitive patient identifiers (pdf file)
     hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn22.pdf
     November 20, 2012 - MFMER | slide-16 Center for the SCIENCE of HEALTH CARE DELIVERY Proposed Algorithms: 30-Day Death … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB, … 85.6% 118 99.96% 15 Algorithm 2 DOB, gender, 9- digit zipcode Cannot be applied because MN Death … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB, … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB,

283. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - while black patients are more likely to suffer surgery-related and nursing-related adverse events or death … , and failure to rescue (death following a surgical complication). … The rate of failure to rescue, the in-hospital death rate for those patients that suffer potentially … The probability of an in-hospital death is 24.1 percent higher among patients treated at financially … We also found that not- for-profit hospitals have a lower risk of death and failure to rescue than do

284. Serious Reportable Adverse Events in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Patient death or serious disability associated with patient elopement (disappearance) for more than … Patient death or serious disability associated with a medication error (e.g., errors involving the … Patient death associated with a fall while being cared for in a health care facility E. … Patient death or serious disability associated with the use of restraints or bedrails while being … Death or significant injury of a patient or staff member resulting from a physical assault (i.e.,

285. Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. | PSNet
     psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared
     June 10, 2018 - Newspaper/Magazine Article Death and neurological devastation from intrathecal vinca … Citation Text: Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes … Linkedin Copy URL Cite Citation Citation Text: Death

286. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … findings include those that require immediate action and direct communication with providers to avoid death … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism.

287. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet
     psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
     September 08, 2010 - Study Injury and death associated with incidents reported to the Patient Safety Net … Injury and death associated with incidents reported to the patient safety net. … Injury and death associated with incidents reported to the patient safety net.

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43955/psn-pdf
     December 04, 2016 - For Colorado mom, story of daughter's hospital death is key to others' safety. … https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety Patient and … https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety https://psnet.ahrq.gov

289. Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. | PSNet
     psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
     October 31, 2011 - Classic Effect of a postdischarge virtual ward on readmission or death … Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical … Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical … controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death

290. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. | PSNet
     psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
     March 03, 2011 - Approximately 1 in 11 admissions had an adverse event, and 15% of these led to significant disability or death … Association between unmet nonmedication needs after hospital discharge and readmission or death … December 29, 2014 Weekend hospitalization and additional risk of death: an analysis of

291. Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. | PSNet
     psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
     August 31, 2016 - August 31, 2016 An Avoidable Death of a Three-year-old Child from Sepsis. … April 17, 2024 An Investigation into the Death of Baby J at University Hospitals Bristol … Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death … March 18, 2015 An Avoidable Death of a Three-year-old Child from Sepsis.

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44183/psn-pdf
     November 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. … https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling … https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death https://psnet.ahrq.gov

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46079/psn-pdf
     June 28, 2017 - Death due to pharmacy compounding error reinforces need for safety focus. … https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus Compounding … https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus https:

294. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
     February 01, 2017 - patients with critical illness had significant functional decline post ICU. 45% experienced early death … . 40% of mild to moderately disabled patients became severely disabled; 25% experienced early death … 9: Mortality Associated With Worsening Pre-ICU Functional Trajectory 3 Within 1 year, risk of death … Early death occurred in 25% of patients. … Functional decline prior to ICU showed higher post-ICU risks for— Death.

295. Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet
     psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
     April 05, 2017 - Administration (VA), this observational study examined the association between opioid treatment cessation and death … Researchers found an increased risk of death from overdose or suicide regardless of the length of treatment … ; the risk of death increased with longer treatment duration.

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46187/psn-pdf
     December 06, 2017 - controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death … controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death … that the implementation of an electronic discharge communication tool did not significantly reduce death

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34667/psn-pdf
     January 17, 2018 - blaming-individuals In October 1996, a medication error at a Denver-area hospital resulted in the death … three nurses involved in the error were indicted for criminally negligent homicide, and blame for the death … Safe Medication Practices) discovered more than 50 latent system failures that contributed to the death

298. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
     January 01, 2004 - (NCC MERP) criteria for categories G (resulting in permanent patient harm), H (resulting in a near-death … event) and I (resulting in patient death). … Medication errors resulting in death, near death experience, or permanent patient harm—New York Patient … -I- An error occurred that may have contributed to or resulted in the patient’s death. … Medication errors resulting in death, near death experience, or permanent Table 2.

299. Advancing Patient Safety Through State Reporting Systems | PSNet
     psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
     June 01, 2007 - object in a patient after surgery or other procedure Intraoperative or immediately postoperative death … in an ASA Class I patient Product or Device Events Patient death or serious disability … the use of contaminated drugs, devices, or biologics provided by the health care facility Patient death … a device in patient care in which the device is used or functions other than as intended Patient death … labor or delivery in a low-risk pregnancy while being cared for in a health care facility Patient death

300. Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. | PSNet
     psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients
     May 05, 2021 - April 15, 2020 A tragic death shows how ERs fail patients who struggle with addiction … September 19, 2018 Death by 1,000 clicks: where electronic health records went wrong. … August 17, 2022 A tragic death shows how ERs fail patients who struggle with addiction