-
psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - the availability of specialty
vascular access teams, PICC lines carry the potential for increased mortality
-
psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
March 15, 2023 - Mortality associated with tracheostomy complications in the United States: 2007–2016.
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - These changes may lead to increased cardiac morbidity and mortality in one of four scenarios: (i) when
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - quickly adopted because it offered a continuous measure of FHR activity and was expected to reduce infant mortality
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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
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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
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Such discussions could take place during an occasional morning
report or a morbidity and mortality conference
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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%
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - Additionally, baclofen use in patients on dialysis has been shown to
increase the risk of hospitalization, mortality
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - indicated that bedrails have been associated with loss of dignity
and autonomy and greater injury and mortality
-
psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - A Cochrane review of Hospital at Home showed
reductions in clinical complications and mortality, better
-
psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
January 01, 2022 - In pediatric trauma patients,
hypotension is a predictor of mortality, either from impending
hemorrhagic
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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.
-
psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - stroke patients are misdiagnosed—either under- or over-
diagnosed—resulting in serious morbidity and mortality
-
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
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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
-
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
-
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
-
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
-
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