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Total Results: 5,205 records

Showing results for "deaths".

  1. Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984--1995. | PSNet

    psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
    October 20, 2021 - understanding what happened in Bristol, assessing the quality of care and system failures that contributed to deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37598/psn-pdf
    March 12, 2008 - /patient-safety-trauma-maximal-impact-management-errors-level-i-trauma- center In this study, all deaths … occurring on a trauma service were reviewed in order to determine the number of preventable deaths

  3. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic
    March 24, 2021 - Related Resources From the Same Author(s) Changes in error patterns in unanticipated trauma deaths … during 20 years: in pursuit of zero preventable deaths. … February 18, 2011 Zero preventable deaths after traumatic injury: an achievable goal.

  4. Maternal Safety | PSNet

    psnet.ahrq.gov/perspective/maternal-safety
    January 01, 2015 - Control and Prevention report that the US pregnancy-related mortality ratio has increased from 7.2 deaths … per 100,000 live births in 1987 to 18.0 deaths per 100,000 live births in 2014. … In a study of pregnancy-related deaths from 2011–2013 in the US, approximately 30% of these deaths … maternal and pregnancy-related mortality, careful analysis consistently demonstrates that at least 50% of deaths … per 100,000 births vs. 12.4 deaths per 100,000).

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47694/psn-pdf
    February 06, 2019 - association-pharmaceutical-industry-marketing-opioid-products-mortality- opioid-related Reducing opioid-related overdoses and deaths … association-pharmaceutical-industry-marketing-opioid-products-mortality-opioid-related https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34815/psn-pdf
    January 31, 2011 - Cases are categorized by the type of anesthesia given, the number of deaths recorded, and the characteristics … When deaths were related to the use of muscle relaxants, errors of omission or commission were always

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37902/psn-pdf
    July 09, 2008 - relationship-between-preventability-death-after-coronary-artery-bypass-graft- surgery-and-all Although nearly one-third of deaths … after bypass surgery were judged to be preventable based on retrospective review, preventable deaths

  8. Robotic-assisted surgery: focus on training and credentialing. | PSNet

    psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing
    January 07, 2015 - surgery reported since 2005—approximately 75% of these incidents did not result in harm but 10 patient deaths … April 16, 2018 View More Related Resources Inside the preventable deaths

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Investigators evaluated more than 40,000 deaths and discovered several notable findings. … These included reduced mortality after elective procedures, fewer adverse events attributed to deaths

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46409/psn-pdf
    November 08, 2017 - https://psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door Patient safety in … https://psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door https://psnet.ahrq.gov

  11. Safety of anesthetic and perioperative medication practices. | PSNet

    psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
    January 14, 2019 - September 7, 2022 Changes in error patterns in unanticipated trauma deaths during 20 … years: in pursuit of zero preventable deaths. … March 4, 2020 Zero preventable deaths after traumatic injury: an achievable goal.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46096/psn-pdf
    May 31, 2017 - opioid-overdose-patient-safety-problem https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states … -2000-2015 https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39330/psn-pdf
    March 03, 2010 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths … Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45943/psn-pdf
    March 15, 2017 - https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43981/psn-pdf
    April 22, 2015 - 85% of patient deaths. April 22, 2015 Hickey EJ, Nosikova Y, Pham-Hung E, et al. … 85% of patient deaths.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37000/psn-pdf
    September 15, 2011 - Approximately 30 unexpected deaths occurred per 100,000 ED discharges, and a potential error or misdiagnosis … system factors contributed to missed diagnoses in the ED, in this study, unexpected post-discharge deaths

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36045/psn-pdf
    November 10, 2011 - engaged hospitals to commit to interventions proven to improve patient care and prevent avoidable deaths … participating hospitals have collectively exceeded the campaign's goal by preventing an estimated 122,300 deaths

  18. Overdiagnosis of coronary artery disease detected by coronary computed tomography angiography: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/overdiagnosis-coronary-artery-disease-detected-coronary-computed-tomography-angiography
    March 03, 2011 - Author(s) Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths … October 11, 2023 Changes in error patterns in unanticipated trauma deaths during 20 years … : in pursuit of zero preventable deaths.

  19. Failure-to-rescue: comparing definitions to measure quality of care. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
    April 17, 2013 - The authors conclude that the original definition, which uses all deaths rather than specific complications … or deaths, provides the best reliability and validity.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46335/psn-pdf
    December 19, 2017 - prescription-opioid-analgesics-commonly-unused-after-surgery-systematic- review A large number of deaths … prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states
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