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Showing results for "deaths".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73471/psn-pdf
    July 07, 2021 - Rapid response teams as a patient safety practice for failure to rescue. July 7, 2021 Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. https://psnet.ahrq.gov/issue/rapid-response-teams-patient-safet…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45622/psn-pdf
    December 07, 2016 - National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. December 7, 2016 D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-717. doi:10.1016/j.jogn.2016.07.001.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73280/psn-pdf
    May 19, 2021 - Rates of serious surgical errors in California and plans to prevent recurrence. May 19, 2021 Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. https://psnet.ahrq.gov/issue/rates-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72654/psn-pdf
    January 20, 2020 - What is an ethically informed approach to managing patient safety risk during discharge planning? January 20, 2020 West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethics.2020.919. https://psnet.ahrq.gov/…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73714/psn-pdf
    September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73912/psn-pdf
    October 06, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. October 6, 2021 Bajaj K, de Roche A, Goffman D. Rockville, MD: Agency for Healthcare Research and Quality; September 2021. AHRQ Publication No. 20(21)-0040-6-EF. https://ps…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50589/psn-pdf
    October 30, 2019 - Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. October 30, 2019 Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecific Diagnoses of Headache or Back …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853073/psn-pdf
    August 30, 2023 - Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. August 30, 2023 Kanaris C. Mind the power gap: how hierarchical leadership in healthcare is a risk to patient safety. J Child Health Care. 2023;27(3):319-322. doi:10.1177/13674935231196197. https://psnet.ahrq.gov/issue/mind-…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40220/psn-pdf
    March 21, 2012 - Incidence and preventability of adverse events requiring intensive care admission: a systematic review. March 21, 2012 Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pract. 2012;18(2):485-97. doi:10.1111/j…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849605/psn-pdf
    May 31, 2023 - Identification of patient safety threats in a post-intensive care clinic. May 31, 2023 Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118. https://psnet.ahrq.gov/issue/identification-p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44681/psn-pdf
    April 13, 2016 - Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. April 13, 2016 Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444-451. doi:10.1016/j.ajog.2015.10.0…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61077/psn-pdf
    October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866245/psn-pdf
    July 10, 2024 - Assessing nourishment problems at a hospital: what can we learn from them? July 10, 2024 Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745. https://psnet.ahrq.gov/issue/assessin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72643/psn-pdf
    January 13, 2021 - Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. January 13, 2021 London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.   https://psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-a…
  16. www.uspreventiveservicestaskforce.org/uspstf/recommendation/suicide-risk-in-adolescents-adults-and-older-adults-screening
    May 20, 2014 - Rates of suicide attempts and deaths vary by sex, age, and race or ethnicity 1 . … per 100,000]) and those aged 55 to 59 years (47.8% [from 20.3 to 30.0 deaths per 100,000]). … rate in men increased by 39.6% (from 24.5 to 34.2 deaths per 100,000) 9 . … at a rate of 11.8 deaths per 100,000 persons 1 . … Deaths: Final Data for 2010. Natl Vital Stat Rep . 2013;61:1-117. 2.
  17. hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit5_3.jsp
    January 01, 2007 - Four percent of stays resulted in in-hospital deaths and less than 1 percent were discharges against … Less than 1 percent of Medicaid, private insurance, and uninsured stays resulted in in-hospital deaths … For stays with Medicare as the primary payer, in-hospital deaths occurred in 4 percent of stays.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44709/psn-pdf
    November 18, 2016 - Prior studies have found that nearly 8% of deaths in patients with major trauma may be preventable, … lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study https://psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38837/psn-pdf
    June 28, 2011 - validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
  20. psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
    January 27, 2021 - Book/Report Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Citation Text: Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. …