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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - January 15, 2020
Proactive prevention of maternal death from maternal hemorrhage. … August 9, 2023
Death due to pharmacy compounding error reinforces need for safety focus
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psnet.ahrq.gov/node/46704/psn-pdf
December 04, 2018 - surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-
opportunities
Mortality reviews, in which all cases of in-hospital death
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psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-care-advocates-say
August 09, 2023 - Related Resources From the Same Author(s)
‘Medical errors are the third leading cause of death … May 17, 2023
Laura Levis' death outside ER has changed hospital signage, lighting in
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psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - 2013-2017
This Centers for Disease Control and Prevention report provides drug and opioid overdose death
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psnet.ahrq.gov/node/46185/psn-pdf
August 20, 2018 - inpatient mortality due to sepsis declined somewhat, there was
no change in the combined outcome of death … increase in the incidence of sepsis over time as well as a marked decrease in
sepsis mortality and death
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psnet.ahrq.gov/issue/drug-related-deaths-among-inpatients-meta-analysis
May 25, 2022 - Study
Drug-related deaths among inpatients: a meta-analysis.
Citation Text:
Patel TK, Patel PB, Bhalla HL, et al. Drug-related deaths among inpatients: a meta-analysis. Eur J Clin Pharmacol. 2022;78(2):267-278. doi:10.1007/s00228-021-03214-w.
Copy Citation
Format:
DOI Googl…
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psnet.ahrq.gov/node/49700/psn-pdf
February 01, 2014 - 1980s suggested that NSVT after ACS is benign and is not
associated with increased risk of sudden death … within 7 days of their ACS event and that these
patients had a twofold increase in the risk of sudden cardiac … death in the next year (incidence
2.9%–4.3%).(1) This finding creates a clinical conundrum: notwithstanding … between nonsustained ventricular tachycardia
after non-ST-elevation acute coronary syndrome and sudden cardiac … death: observations from the
metabolic efficiency with ranolazine for less ischemia in non-ST-elevation
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - He has also worked on adjusted hospital death rates in England, Scotland, the United States, Canada, … available on the Web site, we would send letters to the CEOs of hospitals that had double the national death … This is just an adjusted death rate that you might want to look at. … that most quality problems, while associated with injury and prolonged hospital stays, do not cause death … First do no harm by avoiding faulty statistics and interrogate every death
Hospital-wide R-AHMRs based
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - that most quality problems, while associated with injury and prolonged hospital stays, do not cause death … premise that, as a result of today's short hospital stays, unsafe inpatient care may not manifest as death … First do no harm by avoiding faulty statistics and interrogate every death
Hospital-wide R-AHMRs based … He has also worked on adjusted hospital death rates in England, Scotland, the United States, Canada, … This is just an adjusted death rate that you might want to look at.
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - April 6, 2016
Organ donor's surgery death sparks questions. … June 16, 2019
View More
Related Resources
Lessons learned from a death
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psnet.ahrq.gov/node/46296/psn-pdf
September 24, 2017 - among operating
room personnel from survey data is associated with all-
cause 30-day postoperative death … Among Operating Room
Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death
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psnet.ahrq.gov/node/33782/psn-pdf
March 01, 2015 - indicators of unsafe hospitals, R-AHMRs possess some basic flaws.(3) First, they deal with an
outcome—death—that … screening tool for
safety, R-AHMRs are limited by low sensitivity (most unsafe practices do not cause death … premise that, as a result of today's short hospital stays, unsafe inpatient
care may not manifest as death … turn our attention
away from R-AHMRs to ensuring mandated and timely peer review of every in-hospital death … First do no harm by avoiding faulty statistics and interrogate every death
Hospital-wide R-AHMRs based
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psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis-national-statutory
March 01, 2023 - Study
Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020.
Citation Text:
Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thema…
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psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
February 22, 2023 - Study
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme.
Citation Text:
Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative documen…
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psnet.ahrq.gov/node/39130/psn-pdf
November 25, 2009 - London, UK: National Confidential Enquiry into Patient Outcome
and Death; November 2009.
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psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
August 24, 2016 - August 9, 2017
MGH death spurs review of patient monitors. … June 8, 2011
'Alarm fatigue’ a factor in 2nd death.
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psnet.ahrq.gov/issue/scant-oversight-drug-maker-fatal-meningitis-outbreak
March 17, 2015 - Citation
Related Resources From the Same Author(s)
FDA begins inquiry after death … February 19, 2010
Death of a boy prompts new medical efforts nationwide.
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psnet.ahrq.gov/node/36593/psn-pdf
November 17, 2011 - investigation found three instances in which these medications were
considered the underlying cause of death
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psnet.ahrq.gov/node/40292/psn-pdf
March 16, 2011 - quite arbitrary,
and new methods and technologies are needed to identify actual patterns of evolving death
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psnet.ahrq.gov/issue/malpractice-mess
November 14, 2018 - August 21, 2007
View More
Related Resources
Lessons learned from a death … June 26, 2019
Death by 1,000 clicks: where electronic health records went wrong.