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psnet.ahrq.gov/issue/whats-trouble-how-doctors-think
August 24, 2016 - January 13, 2021
Cause of death: sloppy doctors. … March 13, 2013
Death of a boy prompts new medical efforts nationwide.
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psnet.ahrq.gov/issue/will-false-diagnosis-cost-minnesota-girl-her-life
October 24, 2012 - October 16, 2012
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/33781/psn-pdf
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 … of deaths that
you get in the hospital and the number that you would get if they had the national death … This is just an adjusted death rate
that you might want to look at. … The Mid Staffs Inquiry came out, and the Prime Minister said that the 14 hospitals with high adjusted death
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psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis.
November 12, 2014
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…
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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: a
retrospective patient record review study.
September 16, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: a re…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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psnet.ahrq.gov/node/74099/psn-pdf
January 01, 2022 - Hemodialysis bleeding events and deaths: an 18-year
retrospective analysis of patient safety and root cause
analysis reports in the Veterans Health Administration.
November 24, 2021
Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospective
analysis of patient safety a…
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psnet.ahrq.gov/node/48017/psn-pdf
January 01, 2020 - The 2018 Gosport Independent Panel report into deaths at
the National Health Service's Gosport War Memorial
Hospital. Does the culture of the medical profession
influence health outcomes?
June 12, 2019
Bennett S. The 2018 Gosport Independent Panel report into deaths at the National Health Service’s
Gosport War Me…
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.
Citation Text:
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-7…
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psnet.ahrq.gov/node/39282/psn-pdf
September 20, 2011 - Investigators discovered that patients
admitted during the weekend experienced a 10% higher odds of death
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psnet.ahrq.gov/node/47054/psn-pdf
July 19, 2018 - A target to achieve zero preventable trauma deaths
through quality improvement.
July 19, 2018
Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through
Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159.
https://psnet.ahrq.gov/issue/target-achi…
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psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016
January 23, 2017 - February 15, 2023
An Investigation into the Death of Baby J at University Hospitals Bristol
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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - Association of adverse effects of medical treatment with
mortality in the United States: a secondary analysis of the
Global Burden of Diseases, Injuries, and Risk Factors
study.
January 30, 2019
Sunshine JE, Meo N, Kassebaum NJ, et al. Association of Adverse Effects of Medical Treatment With
Mortality in the Unit…
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psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - Preventable deaths in patients admitted from emergency
department.
June 25, 2009
Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department.
Emerg Med J. 2006;23(6):452-5.
https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
The authors re…
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psnet.ahrq.gov/node/35984/psn-pdf
January 02, 2017 - The clinical transformation of Ascension Health:
eliminating all preventable injuries and deaths.
January 2, 2017
Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all
preventable injuries and deaths. Jt Comm J Qual Patient Saf. 2006;32(6):299-308.
https://psnet.…
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psnet.ahrq.gov/node/38547/psn-pdf
April 08, 2009 - Mortality related to anaesthesia in France: analysis of
deaths related to airway complications.
April 8, 2009
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths
related to airway complications. Anaesthesia. 2009;64(4):366-70. doi:10.1111/j.1365-2044.2008.05792.x.…
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psnet.ahrq.gov/node/34815/psn-pdf
January 31, 2011 - that the physical condition of patients relates most closely
to the contribution of anesthesia to death
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psnet.ahrq.gov/node/41537/psn-pdf
December 30, 2014 - Deaths due to medical error: jumbo jets or just small
propeller planes?
December 30, 2014
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf.
2012;21(9). doi:10.1136/bmjqs-2012-001368.
https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-prop…
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psnet.ahrq.gov/node/50606/psn-pdf
October 30, 2019 - One doctor. 25 deaths. How could it have happened?
October 30, 2019
Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.
https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…
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psnet.ahrq.gov/node/43230/psn-pdf
July 15, 2014 - Hospital deaths in patients with sepsis from 2
independent cohorts.
July 15, 2014
Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts.
JAMA. 2014;312(1):90-2.
https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
This study used nati…