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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - August 24, 2016
'Alarm fatigue’ a factor in 2nd death. … October 5, 2011
MGH death spurs review of patient monitors. … January 18, 2012
'Alarm fatigue’ a factor in 2nd death.
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psnet.ahrq.gov/node/46151/psn-pdf
May 24, 2017 - This news article reports on this critical safety problem
in the context of the preventable death of … psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
https://psnet.ahrq.gov/issue/preventing-maternal-death
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psnet.ahrq.gov/issue/night-hospital-both-ends-stethoscope
October 21, 2015 - March 30, 2016
Inquiry into reporter's death finds multiple failures in care. … November 12, 2014
Trail of medical missteps in a Peace Corps death. … June 5, 2013
What a new doctor learned about medical mistakes from her Mom's death.
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psnet.ahrq.gov/issue/malpractice-makes-perfect
April 04, 2018 - 2013
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … March 14, 2018
View More
Related Resources
Lessons learned from a death … June 26, 2019
Death by 1,000 clicks: where electronic health records went wrong.
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psnet.ahrq.gov/node/47964/psn-pdf
May 15, 2019 - They found a higher odds of death among opioid users with at least a single incidence
of inappropriate
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psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - https://psnet.ahrq.gov/issue/losing-laura
This magazine article reports on the preventable death of … Written
by the patient's husband, the article outlines the failures that led to her death despite the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
March 01, 2005 - http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/index.htm
Leading Causes of Death … Actual causes of death in the United States, 2000. JAMA. 2004;291:1238-45. … Chart1
Tobacco
Poor Diet and Physical Inactivity
Alcohol
Motor Vehicle Collision
Cause of Death … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/index.htm
Leading Causes of Death … Actual causes of death in the United States, 2000. JAMA. 2004;291:1238-45. … Chart1
Tobacco
Poor Diet and Physical Inactivity
Alcohol
Motor Vehicle Collision
Cause of Death … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese
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psnet.ahrq.gov/node/34702/psn-pdf
December 23, 2008 - letter, the authors report their analysis of fatal medication errors as reported on United
States death … They find a 2.57-fold increase in the incidence of
medication errors as the reported cause of 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/issue/rapid-response-team-activation-patients-can-mitigate-errors
July 18, 2018 - May 2, 2018
Death due to pharmacy compounding error reinforces need for safety focus. … July 24, 2019
Lessons learned from a death outside a hospital's doorstep. … April 17, 2019
Death by 1,000 clicks: where electronic health records went wrong.
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psnet.ahrq.gov/node/35439/psn-pdf
October 26, 2005 - organization’s response to a 2001 incident in which an incomplete bibliographic
review played a role in the death … medical-research-and-institutional-review-board-librarians-role-human-subject-testing
https://psnet.ahrq.gov/issue/research-volunteer-death
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psnet.ahrq.gov/node/42780/psn-pdf
June 17, 2014 - intrathecal-chemotherapy-potential-medication-error
https://psnet.ahrq.gov/issue/not-again
https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes … -120-prepared
https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes
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psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
September 20, 2006 - Book/Report
Hospital Reporting of Deaths Related to Restraint and Seclusion.
Citation Text:
Hospital Reporting of Deaths Related to Restraint and Seclusion. Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350
Copy Citation
…
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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/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/49813/psn-pdf
January 01, 2018 - It
is now the fifth leading cause of death for Americans age 65 and older, and 1 in 3 seniors die with … A national study of the location of death for older persons with
dementia. … Timing of POLST form completion by cause
of death. J Pain Symptom Manage. 2015;50:650-658. … Committee on Approaching Death: Addressing Key End of Life Issues; Institute of Medicine. … After death, palliative care services help family
members with bereavement.
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psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
August 09, 2017 - August 9, 2017
'Alarm fatigue’ a factor in 2nd death. … 2018
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … February 22, 2017
For Colorado mom, story of daughter's hospital death is key to others
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
June 01, 2017 - After looking at these 4 million admissions, we found that the odds of death was about 10% higher in … When we looked at the odds of 30-day postoperative death, we found that as your operation approached … a 40% higher odds of death compared to patients who had had their operation on a Monday. … The risk of death in elective surgery is thankfully pretty low, a fraction of a percent. … You have a higher risk of 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