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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - January 12, 2022
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … September 9, 2020
Problems in care and avoidability of death after discharge from intensive … December 16, 2020
The Life and Death of Elizabeth Dixon: A Catalyst for Change. … July 20, 2022
Government Response to the Investigation into the Death of Elizabeth Dixon
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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
January 31, 2024 - 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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-quality-meaures_research.pdf
April 01, 2010 - Cause of death was
available for NJ patients from a cause of death file, extracted from NJ death certificates … ) > 40% P(Death) > 60% P(Death) > 80% PA cohort
N(%)
Physician characteristics
N patients … ) >
40%
3: P(Death) >
60%
P(Death) >
80% Full Cohort
NJ cancer
deaths PA Cohort
N (%) or … P(death), probability of death; ICU, intensive care unit; Rx, prescription. … P(death), probability of death; ICU, intensive care unit; Rx, prescription.
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effectivehealthcare.ahrq.gov/products/stent-clopidogrel-practice/research
March 31, 2009 - , 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
DES-C (% … MI
Death/ MI
Death
MI
Death/ MI
DES+C (%)
0.0
0.0
0.0
0.0
0.0
0.0
DES-C (%
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effectivehealthcare.ahrq.gov/products/cancer-end-of-life-quality-meaures/research
May 17, 2010 - Cause of death was available for NJ patients from a cause of death file, extracted from NJ death certificates … P(death), probability of death; ICU, intensive care unit; Rx, prescription
Table 3. … ) > 40%
P(Death) > 60%
P(Death) > 80%
PA cohort
N(%)
Physician characteristics
N patients … P(death), probability of death; ICU, intensive care unit; Rx, prescription.
Table 6. … P(death), probability of death; ICU, intensive care unit; Rx, prescription.
Table 7a.
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psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
March 21, 2018 - Book/Report
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … analysis examines a delayed diagnosis, referral , and treatment of skin cancer that contributed to the death … June 9, 2021
Medical error—the third leading cause of death in the US.
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psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
August 26, 2020 - Two fatal cases of accidental intrathecal vincristine administration: learning from death … Two Fatal Cases of Accidental Intrathecal Vincristine Administration: Learning from Death Events. … Two Fatal Cases of Accidental Intrathecal Vincristine Administration: Learning from Death Events. … event reports in categories other than death. … February 10, 2021
Medical error—the third leading cause of death in the US.
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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 … training purposes was inadvertently distributed and used for actual care and led to patient harm and death … January 20, 2021
Investigators find hospital error caused mother’s death in Brooklyn. … November 14, 2012
Death of a boy prompts new medical efforts nationwide. … January 13, 2016
Do No Harm: Stories of Life, Death, and Brain Surgery.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
September 01, 2015 - Groups With Disparities:
In all years from 2000 to 2012, women had higher rates of death per 1,000 … In 2012, Black and Hispanic women had lower rates of death than White women. … for Disease Control and Prevention ( Xu, et al., 2014 ), the rate for the top 10 leading causes of death … has decreased or held steady, except the 10th leading cause of death in the United States, suicide. … The economic cost of suicide death in the United States was estimated in 2010 to be more than $44 billion
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psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
September 01, 2021 - Study
Frequency and type of situational awareness errors contributing to death and … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims … 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 … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims
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psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
August 04, 2021 - Book/Report
An Investigation into the Death of Baby J at University Hospitals Bristol … This report examines a premature infant death associated with failings of antibiotic administration … April 17, 2024
An Avoidable Death of a Three-year-old Child from Sepsis. … September 6, 2023
Government Response to the Investigation into the Death of Elizabeth
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psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
October 03, 2018 - Study
Serious incidents after death: content analysis of incidents reported to a … Serious incidents after death: content analysis of incidents reported to a national database. … Serious incidents after death: content analysis of incidents reported to a national database.
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psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
March 30, 2016 - Book/Report
Do No Harm: Stories of Life, Death, and Brain Surgery. … April 29, 2015
FDA begins inquiry after death and illness from saline bags meant for
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psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
July 10, 2019 - September 9, 2015
For Colorado mom, story of daughter's hospital death is key to others … October 26, 2011
Death of a boy prompts new medical efforts nationwide. … March 6, 2005
Cause of death: sloppy doctors. … August 13, 2014
Lessons learned from a death outside a hospital's doorstep. … April 17, 2019
Death by 1,000 clicks: where electronic health records went wrong.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stent-clopidogrel-practice_research.pdf
March 01, 2009 - Death, nonfatal myocardial infarction, and the composite of
death or myocardial infarction at twenty … 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
DES-C (%) 5.8 3.3 8.4 5.3 2.6 … MI Death/ MI Death MI Death/ MI
DES+C (%) 0.0 0.0 0.0 0.0 0.0 0.0
DES-C (%) 3.8 1.6 5.4 3.5 1.0
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psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
September 20, 2017 - Newspaper/Magazine Article
Death due to pharmacy compounding error reinforces need … July 30, 2014
The absence of a drug–disease interaction alert leads to a child's death … April 17, 2013
Death and neurological devastation from intrathecal vinca alkaloids: prepared
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psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
September 08, 2010 - Study
Injury and death associated with incidents reported to the Patient Safety Net … Injury and death associated with incidents reported to the patient safety net. … Injury and death associated with incidents reported to the patient safety net.
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psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - Study
A quality improvement study: medication error leading to thyrotoxicosis and death … A quality improvement study: medication error leading to thyrotoxicosis and death. … A quality improvement study: medication error leading to thyrotoxicosis and death.
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psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
July 20, 2016 - Review
Ranking hospitals based on preventable hospital death rates: a systematic … Ranking Hospitals Based on Preventable Hospital Death Rates: A Systematic Review With Implications for … 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 … Ranking Hospitals Based on Preventable Hospital Death Rates: A Systematic Review With Implications for
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qualityindicators.ahrq.gov/Downloads/ICD10/Inpatient%20Quality%20Indicators%20Appendices.xlsx
November 01, 2013 - Appendix A
Inpatient Quality Indicator Appendices
APPENDIX A:
Abnormal Presentation, Preterm, Fetal Death … and Multiple Gestation Diagnosis Codes
Abnormal presentation, preterm, fetal death and multiple gestation … , not applicable or unspecified
O36.4XX1 Maternal care for intrauterine death, fetus 1
O36.4XX2 … Maternal care for intrauterine death, fetus 2
O36.4XX3 Maternal care for intrauterine death, fetus … death, fetus 5
O36.4XX9 Maternal care for intrauterine death, other fetus
O60.10X0 Preterm labor