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Total Results: 5,205 records

Showing results for "deaths".

  1. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet

    psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
    December 16, 2020 - Study Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. Citation Text: Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous infusion safety inciden…

  2. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. | PSNet

    psnet.ahrq.gov/issue/graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection
    March 02, 2011 - Commentary Classic Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Citation Text: Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…

  3. Economic analysis of the prevalence and clinical and economic burden of medication error in England. | PSNet

    psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england
    April 17, 2024 - Study Economic analysis of the prevalence and clinical and economic burden of medication error in England. Citation Text: Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2…

  4. Impact of Medicare's nonpayment program on hospital-acquired conditions. | PSNet

    psnet.ahrq.gov/issue/impact-medicares-nonpayment-program-hospital-acquired-conditions
    December 21, 2014 - Review Impact of Medicare's nonpayment program on hospital-acquired conditions. Citation Text: Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680. C…

  5. Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. | PSNet

    psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
    August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…

  6. Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. | PSNet

    psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural
    October 02, 2024 - Study Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. Citation Text: Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…

  7. The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study. | PSNet

    psnet.ahrq.gov/issue/accuracy-preliminary-diagnoses-made-paramedics-cross-sectional-comparative-study
    September 16, 2020 - Study The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study. Citation Text: Koivulahti O, Tommila M, Haavisto E. The accuracy of preliminary diagnoses made by paramedics – a cross-sectional comparative study. Scand J Trauma Resusc Emerg Med. 2020;…

  8. Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

    psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
    May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

  9. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. | PSNet

    psnet.ahrq.gov/issue/validation-and-use-second-victim-experience-and-support-tool-questionnaire-scoping-review
    July 09, 2008 - Review Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Citation Text: Dato Md Yusof YJ, Ng QX, Teoh SE, et al. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. Public Health. 2023;223…

  10. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

    psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
    November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

  11. 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

  12. 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

  13. 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

  14. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet

    psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
    April 26, 2023 - patient safety issue in the inpatient setting; research estimates between 10% and 13% of patient hospital deaths … had implemented a system that had a specific purpose, and it was extremely successful at preventing deaths

  15. In Conversation with... Charles Ornstein | PSNet

    psnet.ahrq.gov/perspective/conversation-charles-ornstein
    October 01, 2009 - Perhaps the two biggest were those leading to the deaths of Libby Zion in New York Hospital in 1984 and … It required the IOM report—particularly its made-for-TV analogy that the deaths from medical mistakes

  16. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet

    psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
    October 01, 2009 - Perhaps the two biggest were those leading to the deaths of Libby Zion in New York Hospital in 1984 and … It required the IOM report—particularly its made-for-TV analogy that the deaths from medical mistakes

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73902/psn-pdf
    September 29, 2021 - An estimated 40,000 to 80,000 preventable hospital deaths attributed to medical errors occur annually

  18. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet

    psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
    February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient. Citation Text: Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citat…

  19. In Conversation With… Neel Shah, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
    October 30, 2019 - For every one of these maternal deaths, there are tens of thousands of cases of avoidable suffering from

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846935/psn-pdf
    March 29, 2023 - ://psnet.ahrq.gov/perspective/maternal-safety https://psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
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