-
psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Study
Weekend hospitalization and additional risk of death: an analysis of inpatient … Weekend hospitalization and additional risk of death: An analysis of inpatient data. … Weekend admissions have also been associated with 10% higher odds of death. … Weekend hospitalization and additional risk of death: An analysis of inpatient data.
-
psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
October 12, 2022 - Government Resource
Unexpected Death of a Patient During Treatment With Multiple … Citation Text:
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical … This investigation determined that mixed drug toxicity was the cause of a patient's death at a Veterans … Copy URL
Cite
Citation
Citation Text:
Unexpected Death
-
psnet.ahrq.gov/node/73588/psn-pdf
August 11, 2021 - Reporting of death in US Food and Drug Administration
medical device adverse event reports in categories … other
than death. … Reporting of death in US Food and Drug Administration medical
device adverse event reports in categories … other than death. … https://psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/maternal-deaths.pdf
January 01, 2020 - bit.ly/3z1Ctco
In-Hospital Maternal Deaths
by Race/Ethnicity
7.5
In 2020, in-hospital
maternal death
-
psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
September 09, 2020 - Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … A WebM&M commentary discussed a death due to an opioid overdose. … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death
-
psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
October 17, 2012 - Newspaper/Magazine Article
FDA begins inquiry after death and illness from saline … Citation Text:
FDA begins inquiry after death and illness from saline bags meant for training. … training purposes was inadvertently distributed and used for actual care and led to patient harm and death … Cite
Citation
Citation Text:
FDA begins inquiry after death
-
psnet.ahrq.gov/primer/never-events
June 15, 2024 - after surgery or other invasive procedure Intraoperative or immediately postoperative/post-procedure death … in an American Society of Anesthesiologists Class I patient Product or device events Patient death or … a device in patient care, in which the device is used for functions other than as intended Patient death … or serious injury associated with unsafe administration of blood products Maternal death or serious … or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy Patient death
-
psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
January 31, 2018 - Study
Causes of death of residents in ACGME-accredited programs 2000 through 2014 … Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. … This retrospective cohort study found that the leading cause of death among resident physicians is cancer … , and the second leading cause of death is suicide . … Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014.
-
psnet.ahrq.gov/node/47905/psn-pdf
April 03, 2019 - Ranking hospitals based on preventable hospital death
rates: a systematic review with implications for … Ranking Hospitals Based on Preventable Hospital Death
Rates: A Systematic Review With Implications for … https://psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review … This systematic review examined whether
preventable death rates could be used as a measure of hospital … The authors conclude that
preventable death rates would not be a valid or reliable measure of patient
-
psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results
August 10, 2022 - Mortality review as a tool to assess the contribution of healthcare-associated infections to death … Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results … mortality review measures were developed to measure the potential contribution of HAIs to patient death … Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results
-
psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
March 10, 2021 - saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death … saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death … Rates of unanticipated death due to medical error were low, however clinicians should consider related … saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death
-
psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
April 25, 2018 - Newspaper/Magazine Article
Loud wake-up call: unlabeled containers lead to patient’s death … Citation Text:
Loud wake-up call: unlabeled containers lead to patient’s death. … Citation
Citation Text:
Loud wake-up call: unlabeled containers lead to patient’s death
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/kidney.html
June 01, 2018 - Outcome:
Hemodialysis death rate. … The standardized mortality ratio (SMR) is designed to summarize the observed death rate at a facility … relative to the death rate that was expected based on national death rates during that year for patients … South Dakota’s SMR of 0.64 indicates facility death rates that are typically 36% below the national death … Puerto Rico’s SMR of 1.45 indicates facility death rates that are 45% above the national death rate.
-
psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
March 06, 2005 - Audiovisual Presentation
A Hospital Accident: Lessons Learned – A Death, A Conviction … Citation Text:
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … Cite
Citation
Citation Text:
A Hospital Accident: Lessons Learned – A Death
-
psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
June 18, 2013 - Commentary
A case of the birth and death of a high reliability healthcare organisation … A case of the birth and death of a high reliability healthcare organisation. … A case of the birth and death of a high reliability healthcare organisation.
-
effectivehealthcare-admin.ahrq.gov/products/stent-clopidogrel-practice/research
January 01, 2020 - , and death or MI (Table 2). … and death or MI. … BMS-C had significantly lower rates of death, non-fatal MI, and death or MI. … MI
Death/ MI
Death
MI
Death/ MI
DES+C (%)
1.6
0.8
2.1
2.0
1.3
3.1 … MI
Death/ MI
Death
MI
Death/ MI
DES+C (%)
0.0
0.0
0.0
0.0
0.0
0.0
-
psnet.ahrq.gov/node/73561/psn-pdf
August 04, 2021 - Mortality review as a tool to assess the contribution of
healthcare-associated infections to death: … Mortality review as a tool to assess the contribution of
healthcare-associated infections to death: … //psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-
death-results … mortality review measures were developed to measure the potential contribution of HAIs to patient death … https://psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results
-
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
-
www.ahrq.gov/news/newsletters/e-newsletter/718.html
June 01, 2020 - Complications, Death More Likely Among Surgery Patients Transferred Between Hospitals
Issue Number … Today's Headlines:
Complications, Death More Likely Among Surgery Patients Transferred Between Hospitals … Complications, Death More Likely Among Surgery Patients Transferred Between Hospitals
Patients transferred … between hospitals to receive emergency general surgery are more likely to experience complications or death … Researchers called for further study into the risk factors influencing higher death and complication
-
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