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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43506/psn-pdf
    September 10, 2014 - Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014 Washington, DC: VA Office of the Inspector General; August 26, 2014. Report No.14-02603-267. https://psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-sche…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41079/psn-pdf
    October 16, 2012 - Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. October 16, 2012 Aiken LH, Cimiotti JP, Sloane DM, et al. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Med Care. 2011;49(12):1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36383/psn-pdf
    March 03, 2011 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. March 3, 2011 Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. doi:10.1097/01.sla.0000234655.83517.5…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44586/psn-pdf
    June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. June 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2015. AHRQ Publication No.16- 0006-EF. https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-est…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37441/psn-pdf
    November 01, 2012 - Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. November 1, 2012 Lewis G, ed. London, England: Confidential Enquiry into Maternal and Child Health; 2007. ISBN: 9780953353682. https://psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer- 200…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42734/psn-pdf
    November 13, 2013 - Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. November 13, 2013 Washington, DC: Department of Veterans Affairs, Office of Inspector General; October 23, 2013. Report No. 13-00505-348. https://psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deat…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35186/psn-pdf
    July 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44701/psn-pdf
    June 07, 2016 - The problem with preventable deaths. June 7, 2016 Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs- 2015-004983. https://psnet.ahrq.gov/issue/problem-preventable-deaths A key goal of patient safety improvement is preventing error, but challenges remain in distinguishi…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38783/psn-pdf
    September 02, 2009 - Medical negligence in drug associated deaths. September 2, 2009 Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014. https://psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths This study reports that acc…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47526/psn-pdf
    January 16, 2019 - US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. January 16, 2019 Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jamanetworkopen.2018.6558. https:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46249/psn-pdf
    July 12, 2017 - Zero preventable deaths after traumatic injury: an achievable goal. July 12, 2017 Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal Criti…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47204/psn-pdf
    July 18, 2018 - The burden of opioid-related mortality in the United States. July 18, 2018 Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217. https://psnet.ahrq.gov/issue/burden-opioid-related-mortality-unite…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837909/psn-pdf
    August 24, 2022 - Algorithm that detects sepsis cut deaths by nearly 20 percent. August 24, 2022 Bushwick S. Scientific American. August 1, 2022. https://psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent Sepsis identification is challenging, and delays can be deadly. This article discusses how an artificial…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60284/psn-pdf
    April 29, 2020 - Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. April 29, 2020 Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20- 248. https://psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them Maternal harm is a sentinel e…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845655/psn-pdf
    March 08, 2023 - Crisis in the Lakeshore Hospital ER. March 8, 2023 Derfel A. Montreal Gazette. February 24- March 1, 2023 https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths associated with emergency care that, w…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838645/psn-pdf
    January 19, 2022 - LeDeR - Learning from Lives and Deaths. January 19, 2022 Norah Frye Centre for Disability Studies; Bristol, England. https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths People with a Learning Disability and autistic people (LeDeR) is a National Health Service-sponsored initiative that seeks to improve the…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35102/psn-pdf
    November 04, 2015 - Plan aims to cut hospital deaths. November 4, 2015 Appleby J. https://psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths This article reports on the 100,000 Lives Campaign and its mission, highlighting improvements in two hospitals that have joined the campaign. https://psnet.ahrq.gov/issue/plan-aims-cut-hospital…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45473/psn-pdf
    April 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44349/psn-pdf
    July 22, 2015 - Popular blood thinner causing deaths, injuries in nursing homes. July 22, 2015 https://psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes Anticoagulants are considered high-alert medications that if used ineffectively can result in patient harm. Reporting on an anticoagulant commonly …

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