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psnet.ahrq.gov/issue/fda-recommends-health-care-professionals-discuss-naloxone-all-patients-when-prescribing
December 16, 2020 - Accidental misuse of prescription opiates for pain can result in addiction, overdose and death. … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
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psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
April 06, 2022 - After analyzing national death certificate data from 1999 through 2019, researchers in this study found … that medical adverse events were listed as the underlying cause of death in 0.24% of deaths.
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psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
July 09, 2014 - Reporting on a case involving an overlooked test result that contributed to the death of a patient in … July 9, 2014
FDA begins inquiry after death and illness from saline bags meant for training … September 12, 2012
The short life and lonely death of Sabrina Seelig.
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psnet.ahrq.gov/node/40523/psn-pdf
August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A
Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - The authors discuss the value of assessing cause of death for patients thought to have died from COVID … August 19, 2020
Avoiding care during the pandemic could mean life or death.
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psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - Study
Time for a change in injury and trauma care delivery: a trauma death review … Time for a change in injury and trauma care delivery: a trauma death review analysis. … Time for a change in injury and trauma care delivery: a trauma death review analysis.
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
May 01, 2004 - In-hospital death
Death in ICU (>5 days) Death in ICU (>5 days)
Conventional Treatment (%)
Intensive … 14 days ICU 15.7% 11.4%
> 14 days ventilator 11.9% 7.5%
Septicemia in ICU 7.8% 4.2%
In-hospital death … 10.9% 7.2%
Death in ICU (>5 days) 20.2% 10.6%
Sheet2
Sheet3
Chart2 (2)
> 14 days ICU > 14 … (all patients) In-hospital death (all patients)
Death in ICU (>5 days) Death in ICU (>5 days)
Conventional … Death in ICU
(>5 days)
Conventional Treatment (%)
Intensive Treatment (%)
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psnet.ahrq.gov/issue/prescription-danger-medication-errors-inside-nursing-homes-lead-hospitalization-death
August 27, 2014 - Prescription for danger: medication errors inside nursing homes lead to hospitalization, death
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psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
October 03, 2018 - Study
Serious incidents after death: content analysis of incidents reported to a … Serious incidents after death: content analysis of incidents reported to a national database. … Serious incidents after death: content analysis of incidents reported to a national database.
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psnet.ahrq.gov/issue/when-my-father-died
July 01, 2011 - The physician author recounts the story of her father's death—a death that she feels was preventable … July 16, 2015
Effect of a postdischarge virtual ward on readmission or death for high-risk
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psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role
August 10, 2010 - Study
"It's the difference between life and death": the views of professional medical … "It's the difference between life and death": The views of professional medical interpreters on their … "It's the difference between life and death": The views of professional medical interpreters on their … controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death
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psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
July 23, 2008 - Systematic review of the prevalence of medication errors resulting in hospitalization and death … Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing … Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing
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psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
May 27, 2020 - Study
Association between primary care physician diagnostic knowledge and death, … Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency … Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency
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psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
March 02, 2022 - Next of kin involvement in regulatory investigations of adverse events that caused patient death … Text:
Next of kin involvement in regulatory investigations of adverse events that caused patient death … Text:
Next of kin involvement in regulatory investigations of adverse events that caused patient death
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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - Study
Complications and death at the start of the new academic year: is there a July … Complications and death at the start of the new academic year: is there a July phenomenon? … Complications and death at the start of the new academic year: is there a July phenomenon?
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - As a safety and quality measure, FTR has been defined as the inability to prevent death after development … of surgery have yielded more granular information about the types of cases with the highest risk of death … This new measure, retitled as “Thirty-day Risk-Standardized Death Rate among Surgical Inpatients with … Racial and ethnic disparities in death associated with severe maternal morbidity in the United States … Hospital and patient characteristics associated with death after surgery- a study of adverse occurrence
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psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
September 06, 2023 - A recent Annual Perspective on maternal safety touched on the persistently higher death rates among
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psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
September 04, 2019 - Of the 100 most frequent causes of death, 23 were associated with higher mortality when those patients … that hospitals function less effectively during weekend hours, a notion supported by the Sunday night death … Related Resources From the Same Author(s)
Community pharmacy medication review, death
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psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
October 19, 2022 - In the UK, coroners may issue Prevention of Future Death reports (PFD) when they determine taking actions