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psnet.ahrq.gov/node/72663/psn-pdf
January 20, 2021 - Nursing home residents with dementia: association
between place of death and patient safety culture. … Nursing Home Residents With Dementia: Association Between Place of
Death and Patient Safety Culture. … https://psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-
patient-safety-culture … speaking-up behavior and
communication openness were associated with a decreased risk of in-residence death … https://psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
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psnet.ahrq.gov/node/72731/psn-pdf
February 10, 2021 - Problems in care and avoidability of death after discharge
from intensive care: a multi-centre retrospective … Problems in care and avoidability of death after discharge from
intensive care: a multi-centre retrospective … https://psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi … https://psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre … https://psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
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psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
February 24, 2025 - Newspaper/Magazine Article
‘Medical errors are the third leading cause of death’ … Citation Text:
‘Medical errors are the third leading cause of death’ and other statistics you should … Cite
Citation
Citation Text:
‘Medical errors are the third leading cause of death … February 8, 2023
Laura Levis' death outside ER has changed hospital signage, lighting
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psnet.ahrq.gov/node/850357/psn-pdf
June 14, 2023 - Government Response to the Investigation into the Death
of Elizabeth Dixon. … England: Crown Copyright; 2023
https://psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon … Following an investigation into the death of 11-month-old Elizabeth Dixon in the UK’s National Health … https://psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
https://psnet.ahrq.gov … /issue/life-and-death-elizabeth-dixon-catalyst-change
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psnet.ahrq.gov/node/73140/psn-pdf
April 14, 2021 - Association between primary care physician diagnostic
knowledge and death, hospitalisation and emergency … Association between primary care physician diagnostic
knowledge and death, hospitalisation and emergency … https://psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death … https://psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and … https://psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
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psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
May 04, 2022 - Study
Death by suicide within 1 week of hospital discharge: a retrospective study … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … National cross-sectional cohort study of the relationship between quality of mental healthcare and death … April 8, 2020
The causes of their death appear (unto our shame perpetual): why root cause
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psnet.ahrq.gov/node/848825/psn-pdf
May 10, 2023 - Laura Levis' death outside ER has changed hospital
signage, lighting in Mass. … https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass … This story outlines how the state of Massachusetts responded to the accidental death of a patient unable … https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass … psnet.ahrq.gov/issue/architecture-safety-hospital-design
https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Association between unmet nonmedication needs after hospital discharge and readmission or death … February 24, 2021
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
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psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
November 01, 2023 - Newspaper/Magazine Article
Patient death tied to lack of proper escalation process … Citation Text:
Patient death tied to lack of proper escalation process for barcode scanning failures … Copy URL
Cite
Citation
Citation Text:
Patient death … July 10, 2024
Patient death after inadvertent infusion of PRN medication hanging on bedside
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psnet.ahrq.gov/node/34885/psn-pdf
February 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits
drug overdose caused death of Globe columnist … psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-
caused-death-globe … This column chronicles the tragic death of Betsy Lehman, a Boston Globe health columnist, who fell … //psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe … //psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
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psnet.ahrq.gov/node/74042/psn-pdf
November 03, 2021 - An Investigation into the Death of Baby J at University
Hospitals Bristol and Weston NHS Foundation … https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- … foundation-trust
This report examines a premature infant death associated with failings of antibiotic … https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust … https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
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psnet.ahrq.gov/node/72735/psn-pdf
February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination
and Processes Prior to a Patient's Death by … psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-
patients-death … investigation examined care coordination, screening and other factors that contributed to a patient
death … psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death … psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
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psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
April 24, 2018 - Systematic review of the prevalence of medication errors resulting in hospitalization and death
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psnet.ahrq.gov/node/50426/psn-pdf
January 01, 2020 - Community pharmacy medication review, death and re-
admission after hospital discharge: a propensity … Community pharmacy medication review, death and re-
admission after hospital discharge: a propensity … https://psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-
hospital-discharge … Researchers found that patients receiving the service had a reduction in readmissions
and death. … https://psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
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psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
January 31, 2024 - early signs of clinical deterioration can result in transfer to the intensive care unit (ICU) or death … This study investigated whether critical illness events (transfer to ICU or death) impacted another … critical illness events increase the odds of additional patient transfers into the ICU , but not of death … February 22, 2011
Community pharmacy medication review, death and re-admission after
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psnet.ahrq.gov/node/60795/psn-pdf
August 12, 2020 - Hastened death due to disease burden and distress that
has not received timely, quality palliative care … Hastened death due to disease burden and distress that has not
received timely, quality palliative care … https://psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely- … https://psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative … https://psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
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psnet.ahrq.gov/node/73637/psn-pdf
August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's
Death at the VA Salt Lake City Healthcare System … https://psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city … unsubstantiated, the report
highlights lack of clinical review and inaccurate analysis of patient death … https://psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system … https://psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
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psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health … https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons … analysis examines a delayed diagnosis, referral, and treatment of skin cancer that contributed to the
death … https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health … https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
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psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Published in 1954, this article examines the death rate attributable to anesthesia in the surgical services … retrospectively reviewed 7977 deaths in 599,548 patients from 1948 to 1952 and determined the primary cause of death … There was one anesthesia death for every 1,560 patients, a death rate of 0.06%.
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital … Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched … Researchers found that patients receiving the service had a reduction in readmissions and death. … Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched