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psnet.ahrq.gov/Topics
February 26, 2021 - Training Error Reporting and Analysis Error Analysis Failure Mode Effects Analysis Morbidity and Mortality
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psnet.ahrq.gov/topics
March 17, 2021 - Training Error Reporting and Analysis Error Analysis Failure Mode Effects Analysis Morbidity and Mortality
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psnet.ahrq.gov/periodic-issue/periodic-issue-388
April 26, 2023 - implementation of a command center at two hospitals in the United Kingdom, which led to improvements in mortality
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Error Analysis
(22)
Failure Mode Effects Analysis
(3)
Morbidity and Mortality
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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - As early as 2003, mortality from PCA use was thought to be a low likelihood event,
ranging between 1
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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277:301-306.
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psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - societal costs, as infections with drug-resistant bacteria are associated with increased morbidity, mortality
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psnet.ahrq.gov/web-mm/hyperbilirubinemia-refractory-phototherapy
March 01, 2006 - Failure to Reevaluate
December 1, 2010
Near-miss and maternal sepsis mortality
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - As part of the clinical review process, the case was discussed in a morbidity and mortality conference
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - cardiac dysrhythmia, extravasation, acute kidney injury, increased duration of hospital stay, and higher mortality
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - Surgical Safety Checklist was published in 2009 with the goal of reducing perioperative complications and mortality
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - Increased risk of mortality and readmission among patients discharged against medical advice.
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality … rates.
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psnet.ahrq.gov/periodic-issue/periodic-issue-305
August 25, 2021 - The delay in diagnosis was also associated with an increase in breast cancer mortality.
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psnet.ahrq.gov/periodic-issue/periodic-issue-315
October 27, 2021 - Effects on mortality and healthcare-associated infection rates were mixed.
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psnet.ahrq.gov/periodic-issue/periodic-issue-337
April 27, 2022 - This rapid review found that missed or omitted nursing care in adults contributes to increased mortality
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psnet.ahrq.gov/periodic-issue/periodic-issue-375
December 14, 2022 - Sentinel Event Alerts
Eliminating racial and ethnic disparities causing mortality
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psnet.ahrq.gov/periodic-issue/periodic-issue-374
December 14, 2022 - Results indicate that length of tapering period increased, and mortality risk decreased following OSI
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psnet.ahrq.gov/periodic-issue/periodic-issue-397
June 28, 2023 - Reducing maternal morbidity and mortality is a global patient safety goal.
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psnet.ahrq.gov/periodic-issue/periodic-issue-398
July 31, 2023 - Omissions, mortality, and length of intensive care unit (ICU) stay were reported in a 2019 study.