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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - sentinel events reported to the Joint Commission between 2004 and June
2013 resulted in a patient death … o Was the case an expected death?
Yes:
What was the condition on admission? … on admission but expected at the time of death? … associated with drug reaction
∗ Death associated with adverse drug reaction
∗ Death associated with … associated with drug reaction
∗ Death associated with adverse drug event
∗ Death related to medical
-
www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-1.html
September 01, 2021 - preventable after thorough case review. 1,2 The World Health Organization defines maternal mortality as a death … termination of pregnancy. 3 The Centers for Disease Control and Prevention defines maternal mortality as a death … to a week postpartum, and one-third after a week to a year postpartum. 4 The top causes of maternal death … outcome of birth that results in significant short-term or long-term consequences. 8 For every maternal death
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
May 01, 2018 - Thirty years ago, the Heckler Report found that:
Cardiovascular disease (CVD) is a major cause of death … Groups With Disparities:
Hispanics and Whites had similar death rates when hospitalized for: … Hispanics had lower death rates than Whites when hospitalized for congestive heart failure and there
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-spmh.html
June 01, 2018 - Blacks had a lower suicide death rate than Whites but this disparity is narrowing as Black suicide deaths … has decreased or held steady, except the 10th leading cause of death in the United States, suicide. … Overall Rate: In 2013, the overall suicide death rate was 15.2 per 100,000 population age 12 and over … Trends: From 2008 to 2013, suicide death rates worsened for the total population, Whites, Asians and … In 2013, males had higher suicide death rates compared with females.
-
www.ahrq.gov/patient-safety/resources/liability/baker.html
August 01, 2017 - ; and intra-partum fetal death of full-term infant. … The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … For example, three clinicians were surveyed regarding Intra-Partum Fetal Death due to Group B Strep, … Intra-Partum Fetal Death
Pre-Hospital
Clinician does not educate mother/family about risks
3.60 … Intra-Partum Fetal Death
Pre-Hospital
Clinician does not educate mother/family about risks
4.00
-
www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - ; and intra-partum fetal death of full-term infant. … The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … 1.40
4.90
4.60
Intrapartum Fetal Death due to Group B Strep
1.50
4.20 … For example, participants in the group discussing Intra‑Partum Fetal Death due to Group B Strep ranked … For example, three clinicians were surveyed regarding Intra-Partum Fetal Death due to Group B Strep,
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-ref.html
June 01, 2018 - Approaching death: improving care at the end of life. … http://www.nap.edu/catalog/5801/approaching-death-improving-care-at-the-end-of-life .
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cvd.html
June 01, 2018 - Thirty years ago, the Heckler Report found that:
Cardiovascular disease (CVD) was a major cause of death … Groups With Disparities:
The death rates for Blacks were better compared with Whites when hospitalized … The death rates for Blacks and Whites were similar for hospital admissions with coronary artery bypass
-
www.ahrq.gov/workingforquality/about/agency-specific-quality-strategic-plans/nqs2.html
November 01, 2016 - Heart disease and stroke are two of the leading causes of death in the United States. … Heart disease and stroke are two of the leading causes of death in the United States. … Heart disease and stroke are two of the leading causes of death in the United States. … Heart disease and stroke are two of the leading causes of death in the United States. … Heart disease and stroke are two of the leading causes of death in the United States.
-
www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
December 01, 2007 - However, there was also a 4.7% incidence of perioperative stroke or
death in the CEA group. … /stroke or
10
death/stroke/myocardial infarction within 30 days of surgery. … A small increase in
perioperative strokes or death could counteract the benefits. … Rate of
CEA : Stroke/Death, MI
Results:
any CVA &
Perioper. … Stroke/death
(95% CI)
Rate of Perioperative
CVA/Death & Subseq.
Ipsilat.
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
September 01, 2015 - Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death … Importance: Infant mortality, or the death of a child within the first year, is an important indicator … Postneonatal mortality is mostly attributable to sudden unexpected infant death (SUID), congenital anomalies … Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death
-
www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - , defined as death occurring within 30 days of the admission date. … considered minimally disabled upon admission to the ICU became severely disabled or experienced an early death … of mild to moderately disabled patients became severely disabled, and 25 percent experienced early death … Twenty-five percent experienced early death. … when a functional decline was already occurring prior to admission, the patient had a higher risk of death
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - , defined as death occurring within 30 days of the admission date. … considered minimally disabled upon admission to the ICU became severely disabled or experienced an early death … of mild to moderately disabled patients became severely disabled, and 25 percent experienced early death … Twenty-five percent experienced early death. … when a functional decline was already occurring prior to admission, the patient had a higher risk of death
-
www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - The proportion of ICU
admissions was inversely associated with the odds of in-hospital death (OR for … Similar results were observed for the secondary outcome of ICU
death. … Similar effects were noted for
ICU death. … Estimated supply of controlled donors after circulatory
determination of death: a population-based cohort … Perceptions of organ donation after circulatory determination of death
among critical care physicians
-
www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - Essentially, death from one cause precludes death from another cause. … HAC, and do not exclude patients with other HACs from each study, will inevitably double-count some death … the actual overall in-hospital death rate. … They also may benefit if studies assign weights to numerous potential causes of death. … Well-constructed studies using approaches that account for numerous potential causes of death are not
-
www.ahrq.gov/es/hai/pfp/haccost2017-discuss.html
November 01, 2017 - Essentially, death from one cause precludes death from another cause. … HAC, and do not exclude patients with other HACs from each study, will inevitably double-count some death … the actual overall in-hospital death rate. … They also may benefit if studies assign weights to numerous potential causes of death. … Well-constructed studies using approaches that account for numerous potential causes of death are not
-
www.ahrq.gov/news/hospital-deaths.html
July 01, 2023 - ethnic health disparities for heart disease persisted, with non-Hispanic Black people having the highest death
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - individuals die each year as a result
of medical mistakes.
17
Medical Error: A Leading Cause of Death … • Causes of death in US – all ages year 2000
1. … Safety Culture in Nursing Homes
The Importance of Safety Culture
Medical Error: A Leading Cause of Death
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_cribsafety.pdf
December 13, 2013 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1
year old.
What should I know about SIDS?
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/mhsa.html
June 01, 2018 - Suicidal ideation is the strongest known clinical predictor for death by suicide. … In all years, males had higher suicide death rates than females. … The gap between male and females suicide death rates is growing larger over time. … Increased risk of death from car crashes and other injuries. … Health care contacts in the year before suicide death. J Gen Intern Med 2014 Jun;29(6):870–7.