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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
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psnet.ahrq.gov/node/72647/psn-pdf
January 20, 2021 - issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-
process-care
Unexpected death … including over 5 million births between 2011 and 2017 in the United States found unexpected
newborn 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/node/854985/psn-pdf
November 01, 2023 - In the UK, coroners may
issue Prevention of Future Death reports (PFD) when they determine taking actions … diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric
https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
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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/node/33596/psn-pdf
June 01, 2025 - 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/node/47369/psn-pdf
April 08, 2019 - errors,
ineffective treatments, and care coordination weaknesses contribute to preventable maternal death … https://psnet.ahrq.gov/perspective/maternal-safety
https://psnet.ahrq.gov/issue/preventing-maternal-death
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psnet.ahrq.gov/node/45595/psn-pdf
April 19, 2017 - estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
A recent article asserted that medical error is the third leading cause of death … could not clearly determine whether the adverse
events detected actually contributed to the patient's death … estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Trends and statistics: overdose death rates. January 29, 2021. … Trends and statistics: overdose death rates. January 29, 2021. … https://www.drugabuse.gov/drug-topics/trends-statistics/overdose-death-rates
https://www.drugabuse.gov … Trends and statistics: overdose death rates. January 29, 2021. … https://www.drugabuse.gov/drug-topics/trends-statistics/overdose-death-rates
https://psnet.ahrq.gov/
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psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
June 25, 2018 - Study
Classic
Early death after discharge from emergency … Early death after discharge from emergency departments: analysis of national US insurance claims data … Early death after discharge from emergency departments: analysis of national US insurance claims data
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psnet.ahrq.gov/print/pdf/node/867659
July 10, 2024 - Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
David Barnes, MD … hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism
David Barnes, MD … surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
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psnet.ahrq.gov/node/854835/psn-pdf
October 25, 2023 - editorials and opinion pieces discuss “Martha’s Rule,” a new policy in the United
Kingdom motivated by the 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/837310/psn-pdf
June 01, 2022 - National cross-sectional cohort study of the relationship
between quality of mental healthcare and death … National cross-sectional cohort study of the relationship between
quality of mental healthcare and death
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psnet.ahrq.gov/node/74208/psn-pdf
December 22, 2021 - to detect patient
deterioration and prevent cardiac arrest, transfer to the intensive care unit, or death … psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
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psnet.ahrq.gov/node/862988/psn-pdf
February 21, 2024 - acute care setting can lead to longer lengths of stay, transfer to higher levels
of care, and patient death … UPSIDE) Study identified and classified DE that resulted in transfer to ICU or potentially preventable
death
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psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
March 10, 2021 - May 26, 2021
Reporting of death in US Food and Drug Administration medical device adverse … event reports in categories other than death. … August 19, 2020
Avoiding care during the pandemic could mean life or death.
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psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
October 13, 2018 - Review
Critical care transition programs and the risk of readmission or death after … Critical care transition programs and the risk of readmission or death after discharge from an ICU: a … Critical care transition programs and the risk of readmission or death after discharge from an ICU: a
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psnet.ahrq.gov/issue/nurse-error-spotlights-drugs-danger
November 21, 2016 - This article reports on the death of a pregnant 18-year-old after an overdose of magnesium sulfate. … July 5, 2006
Inquiry into reporter's death finds multiple failures in care.
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - the risk management team, the surgeon ultimately contacted the patient’s wife some months after his death … Schweitzer The family of a patient who dies is vulnerable no matter the cause of their loved one’s death … The circumstances of the death may be difficult for a family to initially consider, but over time may … In the weeks closely following the patient’s death, she may have wondered about the facts of his care … Take-Home Points When patients are harmed and particularly when a patient death is involved, healthcare