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Total Results: 1,247 records

Showing results for "deaths".

1101. Never Events | PSNet
      psnet.ahrq.gov/primer/never-events
      June 15, 2024 - Never Events Citation Text: Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

1102. Despite Clues, Failed to Rescue | PSNet
      psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
      August 02, 2015 - Given that many surgical deaths may be avoidable ( 4-9 ), hospitals are implementing care protocols to … Perioperative deaths are often the culmination of a cascade of discrete clinical events. … Ultimately, avoiding inpatient deaths such as the one presented in this case will require a multipronged

1103. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - efforts are part of a larger challenge, many with “zero” as their goals, such as “Vision Zero” to reduce deaths

1104. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
      November 01, 2017 - With literally hundreds of thousands of preventable deaths and millions of avoidable adverse events happening

1105. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
      psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
      April 01, 2010 - Accidental deaths, saved lives, and improved quality. N Engl J Med. 2005;353:1405-1409.

1106. The Unfinished Patient Safety Agenda | PSNet
      psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
      August 01, 2005 - purchasers, has aggressively promoted three initiatives that are estimated to potentially avert some 60,000 deaths … Staffing hospitals uniformly at four versus eight patients per nurse would be expected to prevent 5 deaths … February 19, 2010 Effects of nurse staffing and nurse education on patient deaths in

1107. Unexplained Apnea Under Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
      December 01, 2005 - Kingdom found that only 1 patient in 185,000 died solely as result of anesthesia, although 1 in 1351 deaths … errors were the number one cause of adverse and preventable patient events, leading to more than 7000 deaths … Lessons from the confidential enquiry into perioperative deaths in three NHS regions.

1108. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - EMS Perils from Hospital Overcrowding Citation Text: Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX E…

1109. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. | PSNet
      psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
      July 27, 2018 - Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths

1110. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
      psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
      December 21, 2017 - February 8, 2023 Hemodialysis bleeding events and deaths: an 18-year retrospective analysis

1111. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
      psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
      November 21, 2017 - October 5, 2022 Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS.

1112. Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. | PSNet
      psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality
      October 03, 2018 - March 24, 2019 Prevention of prescription opioid misuse and projected overdose deaths

1113. Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. | PSNet
      psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
      January 07, 2015 - View More Related Resources Surveying care teams after in-hospital deaths

1114. A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. | PSNet
      psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
      September 01, 2018 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths

1115. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
      April 05, 2016 - November 30, 2023 Is anybody 'Learning' from deaths?

1116. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. | PSNet
      psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
      September 07, 2011 - error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths

1117. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet
      psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
      November 25, 2009 - error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths

1118. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
      psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
      June 23, 2015 - May 18, 2022 Accidental deaths, saved lives, and improved quality.

1119. Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. | PSNet
      psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
      August 09, 2017 - Comparison of military and civilian methods for determining potentially preventable deaths

1120. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - Describe one simple strategy to ensure primary care providers are aware of in-hospital deaths.