Results

Total Results: 1,247 records

Showing results for "deaths".

721. Incidence, patterns, and prevention of wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
     September 30, 2010 - September 29, 2017 Accidental deaths, saved lives, and improved quality.

722. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). | PSNet
     psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside
     December 21, 2017 - February 6, 2014 Saving lives by studying deaths: using standardized mortality reviews

723. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - United States, PE affects an estimated 500,000 to 600,000 people per year, with 200,000 to 300,000 deaths … PE-related hospitalizations occur annually in the United States, with 60,000 to 100,000 associated deaths

724. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - Another study reported that 8% of deaths at a Level 1 trauma center were definitely or potentially preventable … , with inaccurate diagnosis one of the most common contributing factors to the deaths. … Medications January 1, 2016 WebM&M Cases Deaths … Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?

725. Never Events | PSNet
     psnet.ahrq.gov/primer/never-events
     June 15, 2024 - Never Events Citation Text: Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

726. Despite Clues, Failed to Rescue | PSNet
     psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
     August 02, 2015 - Given that many surgical deaths may be avoidable ( 4-9 ), hospitals are implementing care protocols to … Perioperative deaths are often the culmination of a cascade of discrete clinical events. … Ultimately, avoiding inpatient deaths such as the one presented in this case will require a multipronged

727. The Unfinished Patient Safety Agenda | PSNet
     psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
     August 01, 2005 - purchasers, has aggressively promoted three initiatives that are estimated to potentially avert some 60,000 deaths … Staffing hospitals uniformly at four versus eight patients per nurse would be expected to prevent 5 deaths … February 19, 2010 Effects of nurse staffing and nurse education on patient deaths in

728. Unexplained Apnea Under Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
     December 01, 2005 - Kingdom found that only 1 patient in 185,000 died solely as result of anesthesia, although 1 in 1351 deaths … errors were the number one cause of adverse and preventable patient events, leading to more than 7000 deaths … Lessons from the confidential enquiry into perioperative deaths in three NHS regions.

729. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. | PSNet
     psnet.ahrq.gov/issue/making-health-care-safer-critical-analysis-patient-safety-practices
     July 27, 2018 - Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths

730. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
     December 21, 2017 - February 8, 2023 Hemodialysis bleeding events and deaths: an 18-year retrospective analysis

731. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
     psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
     November 21, 2017 - October 5, 2022 Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS.

732. Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. | PSNet
     psnet.ahrq.gov/issue/medication-opioid-use-disorder-after-nonfatal-opioid-overdose-and-association-mortality
     October 03, 2018 - March 24, 2019 Prevention of prescription opioid misuse and projected overdose deaths

733. Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. | PSNet
     psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
     January 07, 2015 - View More Related Resources Surveying care teams after in-hospital deaths

734. A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program. | PSNet
     psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
     September 01, 2018 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths

735. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
     April 05, 2016 - November 30, 2023 Is anybody 'Learning' from deaths?

736. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. | PSNet
     psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
     September 07, 2011 - error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths

737. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet
     psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
     November 25, 2009 - error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths

738. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet
     psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
     June 23, 2015 - May 18, 2022 Accidental deaths, saved lives, and improved quality.

739. Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. | PSNet
     psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
     August 09, 2017 - Comparison of military and civilian methods for determining potentially preventable deaths

740. Dying in the Hospital With Advanced Dementia | PSNet
     psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
     November 01, 2016 - Describe one simple strategy to ensure primary care providers are aware of in-hospital deaths.