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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/47128/psn-pdf
October 13, 2018 - Discussing an error that
resulted in the death of a young man, this commentary reviews how cognitive … bias and misdiagnosis
contributed to the incident and the impact of the patient's death on his family
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psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
September 09, 2015 - November 16, 2022
Government Response to the Investigation into the Death of Elizabeth … July 25, 2018
The Life and Death of Elizabeth Dixon: A Catalyst for Change. … More
Related Resources
Government Response to the Investigation into the Death
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psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - issue/how-guide-prevent-obstetrical-adverse-events
https://psnet.ahrq.gov/issue/many-women-come-close-death-childbirth … https://psnet.ahrq.gov/issue/preventing-maternal-death
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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
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
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/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - It is now the fifth leading cause of death for Americans age 65 and older, and 1 in 3 seniors die with … Despite the ultimate transition to comfort care, many would agree that this patient's death was less … 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.
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psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - The second, a statistical approach, systematically captures annual death and
complication rates for … While presenting tables of
common surgical death and complication rates, the authors suggest that greater
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psnet.ahrq.gov/node/74112/psn-pdf
April 14, 2017 - health-equity-and-maternal-health
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
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psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
December 04, 2016 - Related Resources From the Same Author(s)
For Colorado mom, story of daughter's hospital death … December 23, 2020
View More
Related Resources
Lessons learned from a death … December 12, 2014
Inquiry into reporter's death finds multiple failures in care.
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psnet.ahrq.gov/node/60178/psn-pdf
April 01, 2020 - rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
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psnet.ahrq.gov/node/844553/psn-pdf
February 15, 2023 - This article discusses
how poor maternal mental health can contribute to patient death.
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psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
February 04, 2015 - Commentary
Classic
Accidental deaths, saved lives, and improved quality.
Citation Text:
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
C…
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psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
April 24, 2018 - Study
A conceptual framework to reduce inpatient preventable deaths.
Citation Text:
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
Copy Citation
…
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psnet.ahrq.gov/node/74694/psn-pdf
January 26, 2022 - The risk of death due to adverse event was higher for younger patients and Black patients.
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psnet.ahrq.gov/issue/fading-art-physical-exam
July 10, 2024 - 2012
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … March 20, 2019
For Colorado mom, story of daughter's hospital death is key to others'
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psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
March 02, 2022 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage. … October 21, 2020
The slow, troubling death of the autopsy.
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psnet.ahrq.gov/node/46656/psn-pdf
February 07, 2018 - Researchers evaluated 117 autopsies
for patients in Shanghai whose cause of death was disputed or required … from a previous systematic review, likely because all patients in this sample had a
disputed cause of death
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - Cardiomyopathy and cardiovascular conditions were leading causes of death in non-Hispanic Black
women … Hemorrhage was a cause of death in about 13% of all women. … Mental health causes of maternal death
appear related to drug overdose and suicide.4
The causes of … maternal death have changed over time. … Increasing maternal age is
strongly correlated with increased risk of maternal death; 27% of maternal
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Clinical experts then prepared discharge summaries, including an opinion on whether a death
was preventable