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Showing results for "deaths".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47370/psn-pdf
    October 10, 2018 - Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. October 10, 2018 Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for Patients of Overuse of Medical Tests and Treatments. JAMA Intern Med. 2018;178(1…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34863/psn-pdf
    June 12, 2007 - Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. June 12, 2007 Wachter R, Shojania K. New York: Rugged Land; 2005. ISBN: 9781590710739. https://psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes- updated-edition …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34063/psn-pdf
    September 18, 2011 - Risk factors for retained instruments and sponges after surgery. September 18, 2011 Gawande AA, Studdert DM, Orav J, et al. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003;348(3):229-35. https://psnet.ahrq.gov/issue/risk-factors-retained-instruments-and-sponges-after-surgery Th…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837903/psn-pdf
    August 24, 2022 - The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study. August 24, 2022 Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database stud…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847535/psn-pdf
    April 12, 2023 - Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross- sectional study. April 12, 2023 Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. J P…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837693/psn-pdf
    January 01, 2023 - Medication-related medical emergency team activations: a case review study of frequency and preventability. July 20, 2022 Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual Saf. 2023;32(4):214-224. doi:10.1136…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847736/psn-pdf
    April 19, 2023 - Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. April 19, 2023 Washington, DC: VA Office of the Inspector General; March 29, 2023. Report no. 21-03680-80. https://psnet.ahrq.gov/issue/deficiencies-emergent-a…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74701/psn-pdf
    January 26, 2022 - Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. January 26, 2022 Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association with subsequent clinical and ad…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42932/psn-pdf
    December 30, 2014 - SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. December 30, 2014 Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreases incident reports due to com…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72721/psn-pdf
    February 10, 2021 - Supporting recovery after adverse events: an essential component of surgeon well-being. February 10, 2021 Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.jpedsurg.2020.12.031. https://p…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39387/psn-pdf
    July 23, 2014 - Medication errors involving oral chemotherapy. July 23, 2014 Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy Widely publicized errors associated w…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46455/psn-pdf
    April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46257/psn-pdf
    October 11, 2017 - Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. October 11, 2017 Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Quality Improvement Program. Ann Su…
  15. hcup-us.ahrq.gov/db/state/siddist/NewYork2005-2006SIDandSASD.pdf
    January 01, 2005 - The 2005–2006 New York State Inpatient Databases (SID) and State Ambulatory Surgery Databases (SASD) purchased prior to the year 2010 contain some duplicate records. The duplicate records, while rare, occur in multiple hospitals across the State of New York. The issue of the duplicate records, however, is limited, …
  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. …