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Total Results: 5,205 records

Showing results for "deaths".

4101. Slippery Slide Into Life | PSNet
      psnet.ahrq.gov/web-mm/slippery-slide-life
      January 21, 2017 - Slippery Slide Into Life Citation Text: Halamek LP. Slippery Slide Into Life. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

4102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - Suicidal Ideation in the Family Medicine Clinic December 1, 2016 Moutier C. Suicidal Ideation in the Family Medicine Clinic. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic Case Objectives Recognize suicide as a major public health problem and the critical role of pri…

4103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49810/psn-pdf
      November 01, 2017 - Palliative Care: Comfort vs. Harm November 1, 2017 Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm Case Objectives Recognize errors may be difficult to identify in palliative care. State that medication errors and errors in communica…

4104. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet
      psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
      February 05, 2020 - developed to prevent hypoxic gas mixtures, but all of them can fail under certain circumstances. 6 Deaths

4105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49561/psn-pdf
      May 01, 2008 - More than 500,000 cumulative deaths in the United States have occurred in persons with the acquired

4106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - Safety Targets Recognition of Pediatric Sepsis Infections have been implicated in 25% of childhood deaths … psnet.ahrq.gov//#25 https://psnet.ahrq.gov//#25 https://psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly

4107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - The best estimate from autopsy studies is that there are 40,000 to 80,000 deaths a year from diagnostic … For example the 40,000 to 80,000 deaths a year was just a back-of-the-envelope calculation based on

4108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60362/psn-pdf
      April 13, 2018 - While the national average is approximately 20 maternal deaths per 100,000 live births, Arkansas’ rate … psnet.ahrq.gov//mailto:LoweryCurtisL@uams.edu https://psnet.ahrq.gov//mailto:IDHI@uams.edu exceeds that at 35 deaths

4109. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
      July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD | May 1, 2005  View more articles from the same authors. Citation Text: Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…

4110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33779/psn-pdf
      March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…

4111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49814/psn-pdf
      December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…

4112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - Right Electrocardiogram, Wrong Patient March 25, 2020 Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…

4113. The Hidden Harms of Hand Sanitizer | PSNet
      psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
      March 04, 2020 - The Hidden Harms of Hand Sanitizer Citation Text: Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

4114. A framework to assess patient-reported adverse outcomes arising during hospitalization. | PSNet
      psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization
      December 06, 2017 - Study A framework to assess patient-reported adverse outcomes arising during hospitalization. Citation Text: Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:…

4115. Double checking: a second look. | PSNet
      psnet.ahrq.gov/issue/double-checking-second-look
      August 28, 2017 - Study Double checking: a second look. Citation Text: Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

4116. Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. | PSNet
      psnet.ahrq.gov/issue/sustainability-and-long-term-effectiveness-who-surgical-safety-checklist-combined-pulse
      May 27, 2010 - Study Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. Citation Text: Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical …

4117. Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet
      psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
      September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

4118. Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance | PSNet
      psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
      November 07, 2018 - Commentary Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the Updated Joint Commission NPSG.03.05.01 Elements of Performance Citation Text: Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood o…

4119. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. | PSNet
      psnet.ahrq.gov/issue/patterns-technical-error-among-surgical-malpractice-claims-analysis-strategies-prevent-injury
      August 26, 2011 - Study Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Citation Text: Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice claims: an analysis of strategie…

4120. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. | PSNet
      psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety
      September 23, 2020 - Study The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Citation Text: Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Pediatrics. 2007;119(6):1139-1144. Copy Citati…