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psnet.ahrq.gov/node/46423/psn-pdf
December 16, 2017 - Ethical considerations on disclosure when medical error
is discovered during medicolegal death investigation … Ethical Considerations on Disclosure When Medical Error Is Discovered
During Medicolegal Death Investigation … psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-
medicolegal-death … Autopsy is considered the gold standard for finding answers in death investigations. … ethical considerations when forensic pathologists discover a medical error unrelated to the
cause of death
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psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
April 24, 2018 - Systematic review of the prevalence of medication errors resulting in hospitalization and death
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question. … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
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psnet.ahrq.gov/node/60998/psn-pdf
October 07, 2020 - The slow, troubling death of the autopsy.
October 7, 2020
Ashworth S. Elemental. … https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy
The rate of autopsies – the “gold standard … ” of death investigation – are decreasing worldwide. … https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy
https://psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
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psnet.ahrq.gov/node/47758/psn-pdf
April 17, 2019 - Contribution of adverse events to death of hospitalised
patients. … Contribution of adverse events to death of hospitalised
patients. … https://psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
This study used … https://psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/48054/psn-pdf
June 26, 2019 - Lessons learned from a death outside a hospital's
doorstep.
June 26, 2019
Palmer J. … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
Organizations must learn … Reporting on lessons to be
learned from the cascade of failures connected with the preventable death … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/72559/psn-pdf
December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for
Change.
December 9, 2020
Kirkup B. … https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
Missed diagnosis of a dangerous … inadequate clinician expertise were among the contributing factors identified in this analysis of the
death … https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
https://psnet.ahrq.gov/web-mm
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psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - Newspaper/Magazine Article
Death by 1,000 clicks: where electronic health records … Citation Text:
Death by 1,000 clicks: where electronic health records went wrong. … Linkedin
Copy URL
Cite
Citation
Citation Text:
Death … September 25, 2019
Lessons learned from a death outside a hospital's doorstep.
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psnet.ahrq.gov/node/60802/psn-pdf
August 12, 2020 - Race, postoperative complications, and death in
apparently healthy children. … Race, postoperative complications, and death in apparently healthy
children. … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
https
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psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death
April 09, 2014 - Newspaper/Magazine Article
Avoiding care during the pandemic could mean life or death … Citation Text:
Avoiding care during the pandemic could mean life or death. Glionna JM. … Citation
Citation Text:
Avoiding care during the pandemic could mean life or death
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable? … Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those- … critical and unresolved issue in patient safety is how to determine whether unexpected harm, including
death … This retrospective study used medical record review to uncover if
medical error occurred in cases of death
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - SPOTLIGHT CASE
Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … findings include those that require immediate action and direct communication with providers to avoid death … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism.
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psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
November 13, 2024 - exploring how delayed procedural care and medication access workarounds result in preventable maternal death … August 17, 2022
A tragic death shows how ERs fail patients who struggle with addiction
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psnet.ahrq.gov/node/838088/psn-pdf
September 14, 2022 - 'We had such trust, we feel such fools’: how shocking
hospital mistakes led to our daughter’s death. … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-
daughters-death … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
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psnet.ahrq.gov/node/844783/psn-pdf
September 04, 2019 - A lethal hidden curriculum—death of a medical student
from opioid use disorder. … A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use
Disorder. … https://psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
This … https://psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
https
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - monitoring, unequitable maternal care for black women and clinician COVID fatigue to contribute to patient death … Related Resources From the Same Author(s)
Investigators find hospital error caused mother’s death … September 6, 2016
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Published in 1954, this article examines the death rate attributable to anesthesia in the surgical services … retrospectively reviewed 7977 deaths in 599,548 patients from 1948 to 1952 and determined the primary cause of death … There was one anesthesia death for every 1,560 patients, a death rate of 0.06%.
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psnet.ahrq.gov/node/45113/psn-pdf
May 11, 2016 - Medical error—the third leading cause of death in the US.
May 11, 2016
Makary MA, Daniel M. … Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
How many patients die each year … more than
250,000 deaths per year, which would rank medical errors as the third most common cause of death … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
https://psnet.ahrq.gov/issue/
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psnet.ahrq.gov/node/74134/psn-pdf
December 01, 2021 - saw last week: characteristics
and frequency of patients experiencing anticipated and
unanticipated death … saw last week: characteristics and
frequency of patients experiencing anticipated and unanticipated death … Rates of unanticipated death due to medical error were low,
however clinicians should consider related … analysis-risk-factors-patient-safety-events-occurring-emergency-department
https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
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psnet.ahrq.gov/node/37967/psn-pdf
August 27, 2009 - Life after death: the aftermath of perioperative
catastrophes. … Life after death: the aftermath of perioperative catastrophes. … https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
This review addresses … how patient death in the operating room affects anesthesiologists and examines
strategies for how clinicians … https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes