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hcup-us.ahrq.gov/reports/statbriefs/sb81.pdf
April 01, 2010 - the second lowest death rate (0.29 percent). … discharge for hospital stays ending in death. … costs for stays ending in
death. … death rate of 11 percent. … cases, with a death rate of 7.0 percent.
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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
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psnet.ahrq.gov/node/861295/psn-pdf
January 24, 2024 - Investigators find hospital error caused mother’s death in
Brooklyn. … https://psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
Maternal … Factors contributing to her
death include delayed recognition of deterioration, and communication failures … https://psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
https://
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psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
March 23, 2011 - Commentary
A tragic death: a time to blame or a time to learn? … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.
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psnet.ahrq.gov/node/865722/psn-pdf
May 01, 2024 - Patient death after inadvertent infusion of PRN
medication hanging on bedside intravenous (IV) pole. … https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- … https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole … https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - monitoring, unequitable maternal care for black women and clinician COVID fatigue to contribute to patient death … Related Resources From the Same Author(s)
Investigators find hospital error caused mother’s death … September 6, 2016
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
June 16, 2019 - Meeting/Conference Proceedings
Proceedings of a summit on preventing patient harm and death … Citation Text:
Proceedings of a summit on preventing patient harm and death from i.v. medication errors … Citation
Citation Text:
Proceedings of a summit on preventing patient harm and death
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psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - Study
Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.
Citation Text:
LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…
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psnet.ahrq.gov/node/60998/psn-pdf
October 07, 2020 - The slow, troubling death of the autopsy.
October 7, 2020
Ashworth S. Elemental. … https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy
The rate of autopsies – the “gold standard … ” of death investigation – are decreasing worldwide. … https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy
https://psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
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psnet.ahrq.gov/node/47758/psn-pdf
April 17, 2019 - Contribution of adverse events to death of hospitalised
patients. … Contribution of adverse events to death of hospitalised
patients. … https://psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
This study used … https://psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/48054/psn-pdf
June 26, 2019 - Lessons learned from a death outside a hospital's
doorstep.
June 26, 2019
Palmer J. … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
Organizations must learn … Reporting on lessons to be
learned from the cascade of failures connected with the preventable death … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
https://psnet.ahrq.gov/
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psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
August 20, 2021 - children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death
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psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
August 05, 2020 - fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
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psnet.ahrq.gov/node/72559/psn-pdf
December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for
Change.
December 9, 2020
Kirkup B. … https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
Missed diagnosis of a dangerous … inadequate clinician expertise were among the contributing factors identified in this analysis of the
death … https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
https://psnet.ahrq.gov/web-mm
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psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
March 23, 2022 - Study
Problems in care and avoidability of death after discharge from intensive care … 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 … Association between unmet nonmedication needs after hospital discharge and readmission or death
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question. … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
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psnet.ahrq.gov/node/34894/psn-pdf
July 10, 2008 - Hospitalization and death associated with potentially
inappropriate medication prescriptions among elderly … Hospitalization and death associated with potentially inappropriate
medication prescriptions among elderly … https://psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication … medication prescribing, this study examined the impact
of such prescriptions on hospitalization and death … being hospitalized in the month following an inappropriate
prescription, an associated greater risk of death
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psnet.ahrq.gov/node/46137/psn-pdf
August 03, 2017 - Frequency and type of situational awareness errors
contributing to death and brain damage: a closed … Frequency and Type of Situational Awareness Errors Contributing
to Death and Brain Damage: A Closed … https://psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain … In this closed claims analysis
of anesthesia malpractice claims for death or brain damage, researchers … found that situational awareness
errors on the part of the anesthesiologist contributed to death or
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psnet.ahrq.gov/node/60802/psn-pdf
August 12, 2020 - Race, postoperative complications, and death in
apparently healthy children. … Race, postoperative complications, and death in apparently healthy
children. … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
https
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psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
May 13, 2020 - newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death … September 1, 2021
Lessons learned from a death outside a hospital's doorstep. … June 26, 2019
Death by 1,000 clicks: where electronic health records went wrong.