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Total Results: 5,206 records

Showing results for "deaths".

3321. Alert Fatigue | PSNet
      psnet.ahrq.gov/primer/alert-fatigue
      March 15, 2025 - A 2011 Boston Globe investigation identified more than 200 deaths over a 5-year period attributable

3322. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - wrong procedure on the "correct" patient.( 3 ) Some of these occurrences have eventually led to patient deaths

3323. Duty to Disclose Someone Else's Error? | PSNet
      psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
      June 01, 2004 - SPOTLIGHT CASE Duty to Disclose Someone Else's Error? Citation Text: Gallagher TH. Duty to Disclose Someone Else's Error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Sch…

3324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60328/psn-pdf
      May 27, 2020 - While the first 24-hours after surgery have the highest risk of opioid-induced respiratory depression, deaths

3325. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
      March 01, 2018 - early warning system for hospitals to detect problems before patients die, rather than using patient deaths

3326. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - proximity to the airway, there were numerous reports of foreign body aspirations.( 6 ) There have even been deaths

3327. In Conversation With… Linda Aiken, PhD, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
      March 01, 2018 - early warning system for hospitals to detect problems before patients die, rather than using patient deaths

3328. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
      January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…

3329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841467/psn-pdf
      December 14, 2022 - A framework for assessing reasoning about controversial end-of-life clinical decisions. December 14, 2022 Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of- life clinical decisions. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…

3330. The Diagnosis of Ectopic Pregnancy. | PSNet
      psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
      April 26, 2023 - Book/Report The Diagnosis of Ectopic Pregnancy. Citation Text: The Diagnosis of Ectopic Pregnancy. Farnborough, UK:  Healthcare Safety Investigation Branch; March 2020. Copy Citation Save Save to your library Print Download PDF Share …

3331. Drug shortages forcing hard decisions on rationing treatments. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
      March 16, 2016 - Newspaper/Magazine Article Drug shortages forcing hard decisions on rationing treatments. Citation Text: Drug shortages forcing hard decisions on rationing treatments. Fink S. New York Times. January 29, 2016. Copy Citation Save Save to your library Print …

3332. Operating-room fire at hospital burns patient, prompts changes. | PSNet
      psnet.ahrq.gov/issue/operating-room-fire-hospital-burns-patient-prompts-changes
      September 21, 2022 - Newspaper/Magazine Article Operating-room fire at hospital burns patient, prompts changes. Citation Text: Operating-room fire at hospital burns patient, prompts changes. Natt TM Jr. The Pilot. August 9, 2013. Copy Citation Save Save to your library Pri…

3333. FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention! | PSNet
      psnet.ahrq.gov/issue/fentanyl-patch-fatalities-linked-bystander-apathy-we-all-have-role-prevention
      May 07, 2014 - Newspaper/Magazine Article FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention! Citation Text: FentaNYL patch fatalities linked to "bystander apathy." We ALL have a role in prevention! ISMP Medication Safety Alert! Acute care edition! August 8, 2013…

3334. Understanding and managing IV container overfill. | PSNet
      psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
      June 10, 2018 - Newspaper/Magazine Article Understanding and managing IV container overfill. Citation Text: Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. Copy Citation Save Save to your library …

3335. IV vincristine survey shows safety improvements needed. | PSNet
      psnet.ahrq.gov/issue/iv-vincristine-survey-shows-safety-improvements-needed
      March 14, 2023 - Newspaper/Magazine Article IV vincristine survey shows safety improvements needed. Citation Text: IV vincristine survey shows safety improvements needed. ISMP Medication Safety Alert! Acute care edition. February 23, 2006. Copy Citation Save Save to your library…

3336. Errors in Laboratory Medicine and Patient Safety. | PSNet
      psnet.ahrq.gov/issue/errors-laboratory-medicine-and-patient-safety
      November 10, 2010 - Meeting/Conference Proceedings Errors in Laboratory Medicine and Patient Safety. Citation Text: Errors in Laboratory Medicine and Patient Safety. Plebani M, ed. Clinica Chimica Acta. 2009;404(1):1-86. Copy Citation Save Save to your library Print D…

3337. Recognizing Unsafe Care: What It Is and How to Report It. | PSNet
      psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
      April 22, 2020 - Webinar Recognizing Unsafe Care: What It Is and How to Report It. Citation Text: Recognizing Unsafe Care: What It Is and How to Report It. Patient Safety Foundation. August 26, 2021. Copy Citation Save Save to your library Print Download PDF Shar…

3338. The Good, The Bad, and The Ugly: Patient Experiences with CRPs. | PSNet
      psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
      February 28, 2024 - Webinar The Good, The Bad, and The Ugly: Patient Experiences with CRPs. Citation Text: The Good, The Bad, and The Ugly: Patient Experiences with CRPs. Collaborative for Accountability and Improvement. October 21, 2021.  Copy Citation Save Save to your library…

3339. Safety leadership: managing the paradox. | PSNet
      psnet.ahrq.gov/issue/safety-leadership-managing-paradox
      November 02, 2011 - Commentary Safety leadership: managing the paradox. Citation Text: Safety leadership: managing the paradox. Carrillo RA. Professional Safety. July 2005;31-34. Copy Citation Save Save to your library Print Download PDF Share Facebook …

3340. Why doesn't medical care get better when doctors rest more? | PSNet
      psnet.ahrq.gov/issue/why-doesnt-medical-care-get-better-when-doctors-rest-more
      January 13, 2021 - Newspaper/Magazine Article Why doesn't medical care get better when doctors rest more? Citation Text: Why doesn't medical care get better when doctors rest more? Rosenbaum L. The New Yorker: Elements. August 20, 2013. Copy Citation Save Save to your library …