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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43602/psn-pdf
    October 15, 2014 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Com…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35023/psn-pdf
    March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45301/psn-pdf
    April 22, 2017 - Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. April 22, 2017 Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851071/psn-pdf
    June 28, 2023 - Inside the preventable deaths that happened within a prominent transplant center. June 28, 2023 Blau M. ProPublica. June 14, 2023. https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center Medical errors during organ transplants can have catastrophic consequences. This repo…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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.…
  12. Psn-Pdf (pdf file)

    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.…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33956/psn-pdf
    March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. March 7, 2005 Inquest, Manitoba Pediatric Cardiac Surgery. Winnepeg, Manitoba: Provincial Court of Manitoba; 1999. ISBN 0771115164. https://psnet.ahrq.gov/issue/report-manito…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40727/psn-pdf
    October 21, 2011 - Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. October 21, 2011 Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408. https://psnet.ahrq.gov/issue/savin…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45039/psn-pdf
    September 27, 2016 - Deaths following prehospital safety incidents: an analysis of a national database. September 27, 2016 Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724. https://psnet.ahrq.gov/issue/deaths-fo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35468/psn-pdf
    April 12, 2011 - Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. April 12, 2011 Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: detect…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45652/psn-pdf
    June 29, 2017 - Increases in drug and opioid overdose deaths—United States, 2000–2015. June 29, 2017 Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-1452. doi:10.15585/mmwr.mm655051e1. https://psnet.ahrq.gov/issue/inc…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853247/psn-pdf
    September 06, 2023 - Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. September 6, 2023 West S. KFF Health News. August 24, 2023. https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable- health-crisis The challenge of unsafe maternal care is gai…

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