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patientregistry.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Death: The patient died as a result of injuries sustained from the fall (not from physiologic events … /joint strain
Major: Needs surgery, cast, traction; results in neurological or internal injury
Death
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Death: The patient died as a result of injuries sustained from the fall (not from physiologic events … /joint strain
Major: Needs surgery, cast, traction; results in neurological or internal injury
Death
-
teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Death: The patient died as a result of injuries sustained from the fall (not from physiologic events … /joint strain
Major: Needs surgery, cast, traction; results in neurological or internal injury
Death
-
preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Death: The patient died as a result of injuries sustained from the fall (not from physiologic events … /joint strain
Major: Needs surgery, cast, traction; results in neurological or internal injury
Death
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ce.effectivehealthcare.ahrq.gov/challenges/cds-connect/index.html
April 01, 2024 - Federal Government and its related entities, except in the case of willful misconduct, for any injury, death … , indirect, or consequential, arising from participation in this prize contest, whether the injury, death
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-treatment_consumer.pdf
November 01, 2016 - Overdose can lead to death.
��Tramadol helps to reduce pain in the
short term (up to 4 months). … Overdose can lead to death.
��Opioids can cause life-threatening breathing problems.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-463
October 30, 2024 - Sessions consisted of a pre-recorded scenario of a safety event resulting in a patient's death followed … Sessions consisted of a pre-recorded scenario of a safety event resulting in a patient's death followed
-
psnet.ahrq.gov/periodic-issue/periodic-issue-425
February 28, 2024 - examines a case of communication failure during cardiac telemetry processes that resulted in patient death … WebM&M Cases
When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy Timothy
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/back-pain-treatment_consumer.pdf
November 01, 2016 - Overdose can lead to death.
��Tramadol helps to reduce pain in the
short term (up to 4 months). … Overdose can lead to death.
��Opioids can cause life-threatening breathing problems.
-
psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - most important causes of sentinel events in a
hospital setting, i.e., events that result in harm or death … all such events in 2013-2014,1 and 81% of the subset of
events where delays in treatment resulted in death
-
psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Missed diagnosis and delayed treatment of SEA may lead to devastating neurological deficits, and even death … Delayed diagnosis and treatments frequently lead to permanent neurological deficits or even death.
-
psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Autopsy showed severe coronary artery disease, without other ostensible causes of death. … myocardial infarction, percutaneous coronary intervention, coronary artery bypass graft surgery or death
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psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - metabolic syndrome, type 2 diabetes mellitus, non-alcoholic fatty liver disease, cancer and premature death … WebM&M Cases
When Vomit Gets in the Way: Aspiration Resulting in Death
-
psnet.ahrq.gov/node/846769/psn-pdf
March 29, 2023 - missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
This is a tragic case of a 13-year-old girl whose death … Adrenal insufficiency: still a cause of morbidity and death
in childhood.
-
psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - With each
transfer her condition worsened until her death in the hospital. … resident's risk for harm and thus prevented the
devastating adverse outcome of sepsis and subsequent death
-
psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - may explain the patient’s
complaint; and (ii) empiric treatment of one may increase the chance of death … anticoagulant therapy for ACS that occurs while assessing all patients for AD
would lead to a 1% increase in death
-
psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - decompensation, as was demonstrated more than 30 years ago in a
report aptly titled "Obesity Supine Death … Obesity supine death syndrome: reports of two
morbidly obese patients.
-
www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
January 01, 2025 - of Evidence (Not reviewed) (Not reviewed) Inpatient Intensive Glucose Control Strategies To Reduce Death … Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not reviewed) Preventing Patient Death
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/qVACAf9sMmuX48MnnVDcBR
July 01, 2004 - cardiovascular, and neurological complications that
can lead to significant disability and premature
death … Congenital syphilis infection results in fetal
or perinatal death in 40% of affected pregnancies,1
as
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-screening-2004
July 15, 2004 - cardiovascular, and neurological complications that can lead to significant disability and premature death … Congenital syphilis infection results in fetal or perinatal death in 40 percent of affected pregnancies