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Total Results: 5,203 records

Showing results for "deaths".

3901. Do medication samples jeopardize patient safety? | PSNet
      psnet.ahrq.gov/issue/do-medication-samples-jeopardize-patient-safety
      November 16, 2022 - Study Do medication samples jeopardize patient safety? Citation Text: Franks AS, Ray S' M, Wallace LS, et al. Do medication samples jeopardize patient safety? Ann Pharmacother. 2009;43(1):51-6. doi:10.1345/aph.1L362. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

3902. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
      psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
      October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents. Citation Text: Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. Copy Citatio…

3903. Lap Burn | PSNet
      psnet.ahrq.gov/web-mm/lap-burn
      March 01, 2018 - , roughly 100 surgical suite fires will occur, causing approximately 20 serious injuries and 1 to 2 deaths

3904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49441/psn-pdf
      March 01, 2004 - Zinn C. 14,000 preventable deaths in Australian hospitals.

3905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33846/psn-pdf
      November 01, 2017 - With literally hundreds of thousands of preventable deaths and millions of avoidable adverse events

3906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49390/psn-pdf
      February 01, 2003 - However, awareness of this hazard has not completely prevented patient deaths.(1) Although clinicians

3907. National Patient Safety Goals | PSNet
      psnet.ahrq.gov/primer/national-patient-safety-goals
      January 16, 2025 - include monitoring, disclosing, and addressing patient safety incidents, patient harms, and avoidable deaths

3908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49862/psn-pdf
      May 01, 2019 - The Magnetic Deflection May 1, 2019 Kanal E. The Magnetic Deflection. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/magnetic-deflection The Case A 68-year-old woman with a prior history of cerebrovascular accident and hypertension presented to the hospital with new left-sided weakness and hypertensive urg…

3909. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
      December 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case December 2007 Elopement Source and Credits This presentation is based on the December 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Debra Gerardi, RN, MPH, JD Creighton University School of Law Ed…

3910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50393/psn-pdf
      September 01, 2019 - Patient Safety and the Evolution of WebM&M and PSNet September 1, 2019 Ranji SR, Wachter R. Patient Safety and the Evolution of WebM&M and PSNet. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet Perspective Progress in any field requires scholarship and dissem…

3911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 -   Every year since 2006, the CMQCC has gathered a multidisciplinary committee to examine maternal deaths … and identify the causes of these deaths.

3912. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…

3913. Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. | PSNet
      psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
      August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…

3914. Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet
      psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
      November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

3915. Patients' and family members' experiences of open disclosure following adverse events. | PSNet
      psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
      September 29, 2017 - Study Patients' and family members' experiences of open disclosure following adverse events. Citation Text: Iedema R, Sorensen R, Manias E, et al. Patients' and family members' experiences of open disclosure following adverse events. Int J Qual Health Care. 2008;20(6):421-32. doi:10.1093…

3916. Results of survey on pediatric medication safety—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2
      November 16, 2015 - Newspaper/Magazine Article Results of survey on pediatric medication safety—part 1 and part 2. Citation Text: Results of survey on pediatric medication safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. Copy Citation …

3917. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. | PSNet
      psnet.ahrq.gov/issue/professional-behavior-and-value-erosion-qualitative-study-physicians-and-electronic-health
      June 01, 2022 - Study Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. Citation Text: Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Hea…

3918. Potentially unintended discontinuation of long-term medication use after elective surgical procedures. | PSNet
      psnet.ahrq.gov/issue/potentially-unintended-discontinuation-long-term-medication-use-after-elective-surgical
      October 16, 2012 - Study Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Citation Text: Bell CM, Bajcar J, Bierman AS, et al. Potentially unintended discontinuation of long-term medication use after elective surgical procedures. Arch Intern Med. 2006…

3919. Surgical fire in the United States: 2000-2020. | PSNet
      psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
      March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

3920. Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet
      psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
      August 15, 2016 - Study Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. Citation Text: Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of selec…