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6181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60268/psn-pdf
      April 29, 2020 - Up to 21% of adult patients who undergo ECMO suffer intracranial hemorrhage with a mortality of >80%

6182. Spotlight
      psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
      January 01, 2025 - The presence of new ascites or free fluid has significant implications for mortality and morbidity.

6183. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - A low nurse to patient ratio has been shown to be associated with medication errors and increased mortality

6184. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - the availability of specialty vascular access teams, PICC lines carry the potential for increased mortality

6185. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
      psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
      August 14, 2024 - indicated that bedrails have been associated with loss of dignity and autonomy and greater injury and mortality

6186. In Conversation With… Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lucian-leape-md
      June 12, 2019 - June 12, 2019 Reducing surgical mortality in Scotland by use of the WHO Surgical Safety

6187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - If you intervene earlier, you can reduce mortality.

6188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838221/psn-pdf
      September 28, 2022 - designing an intervention that is evidence-based to address those barriers and key causes of morbidity and mortality

6189. In Conversation With… Gordon Schiff, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
      February 26, 2025 - We have been holding special diagnostic error morbidity and mortality conferences where we're trying

6190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - We have been holding special diagnostic error morbidity and mortality conferences where we're trying

6191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836879/psn-pdf
      April 27, 2022 - that are known to reduce errors out of fear that adopting them would highlight weaknesses or that mortality

6192. Getting to the Root of the Matter | PSNet
      psnet.ahrq.gov/web-mm/getting-root-matter
      September 01, 2005 - Such discussions could take place during an occasional morning report or a morbidity and mortality conference

6193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841566/psn-pdf
      December 14, 2022 - Certain disadvantaged populations have had higher mortality rates and suffered even more in the pandemic

6194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846171/psn-pdf
      July 26, 2022 - has had minimal effect on duration of delirium, length of ICU stay, length of hospitalization, and mortality

6195. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure | PSNet
      psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
      March 01, 2005 - SPOTLIGHT CASE CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure Citation Text: Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human S…

6196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49717/psn-pdf
      September 01, 2014 - A Lot of Pain (Medications) September 1, 2014 Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/lot-pain-medications Case Objectives Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids. Describe the importance of understanding th…

6197. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - associated with measuring and reporting specific harms, such as an infection, falls with injury, or mortality … to care for and a shortage of personal protective equipment, long hours of care, and abnormally high death … rates, safety protocols may have shifted as patient safety risks may have increased .

6198. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - to care for and a shortage of personal protective equipment, long hours of care, and abnormally high death … rates, safety protocols may have shifted as patient safety risks may have increased . … associated with measuring and reporting specific harms, such as an infection, falls with injury, or mortality

6199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867035/psn-pdf
      October 30, 2024 - fall, they have a higher risk for increased hospital length of stay, decreased mobility, increased mortality

6200. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - has had minimal effect on duration of delirium, length of ICU stay, length of hospitalization, and mortality