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psnet.ahrq.gov/issue/independent-neurology-inquiry
November 16, 2022 - November 16, 2022
The Life and Death of Elizabeth Dixon: A Catalyst for Change. … July 1, 2020
Government Response to the Investigation into the Death of Elizabeth Dixon … June 4, 2024
Government Response to the Investigation into the Death of Elizabeth Dixon
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psnet.ahrq.gov/issue/good-you-good-us-good-everybody
October 20, 2021 - s)
Digital Clinical Safety Strategy
October 20, 2021
The Life and Death … July 1, 2020
Government Response to the Investigation into the Death of Elizabeth Dixon … August 25, 2021
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
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psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
April 05, 2017 - Administration (VA), this observational study examined the association between opioid treatment cessation and death … Researchers found an increased risk of death from overdose or suicide regardless of the length of treatment … ; the risk of death increased with longer treatment duration.
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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/47946/psn-pdf
May 22, 2019 - A recent Annual Perspective on maternal safety touched on the persistently
higher death rates among
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psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - This analysis describes the
prevalence of pregnancy-related death and areas of concern during pregnancy
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psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson
January 25, 2012 - Commentary
Threats to safety during sedation outside of the operating room and the death … Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … Threats to safety during sedation outside of the operating room and the death of Michael Jackson.
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psnet.ahrq.gov/node/73978/psn-pdf
October 20, 2021 - A substantial proportion of people with a
pregnancy-related mental health cause of death had a history
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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/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/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/836714/psn-pdf
March 09, 2022 - intraoperative-deaths-who-why-and-can-we-prevent-them
https://psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
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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/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
August 02, 2017 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death … Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death … Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death
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psnet.ahrq.gov/node/866867/psn-pdf
October 02, 2024 - exploring how delayed procedural
care and medication access workarounds result in preventable maternal death
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - 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 … Additionally, if the patient had been working prior to their death, their likely life expectancy is also
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psnet.ahrq.gov/node/74754/psn-pdf
February 09, 2022 - and meta-analysis of all types of
adverse events, critical or life-threatening adverse events, and death … adverse events can occur in intra-hospital transport, and that frequency of
critical adverse events and death
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psnet.ahrq.gov/node/47706/psn-pdf
June 14, 2019 - //psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe … //psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
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psnet.ahrq.gov/node/836723/psn-pdf
March 09, 2022 - morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-
immediate
California law requires adverse events that led to serious injury or death … Of the 385 immediate jeopardy cases, 36.6% led to patient death, and the most common
category was surgical
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psnet.ahrq.gov/node/851349/psn-pdf
July 12, 2023 - that the majority (87.6%) were due to active failures and 2.2% resulted in moderate/severe harm or death