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psnet.ahrq.gov/node/46156/psn-pdf
July 11, 2017 - Causes of death of residents in ACGME-accredited
programs 2000 through 2014: implications for the learning … Causes of Death of Residents in ACGME-Accredited Programs
2000 Through 2014. … https://psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-
implications-learning … 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.
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psnet.ahrq.gov/node/46423/psn-pdf
December 16, 2017 - Ethical considerations on disclosure when medical error
is discovered during medicolegal death investigation … Ethical Considerations on Disclosure When Medical Error Is Discovered
During Medicolegal Death Investigation … psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-
medicolegal-death … Autopsy is considered the gold standard for finding answers in death investigations. … ethical considerations when forensic pathologists discover a medical error unrelated to the
cause of death
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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
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psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
December 09, 2020 - Newspaper/Magazine Article
When we're all responsible for a patient's death, no one … Citation Text:
When we're all responsible for a patient's death, no one is. … Cite
Citation
Citation Text:
When we're all responsible for a patient's death
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psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
May 11, 2022 - bias , patient management discontinuity and inappropriate physical restraint that contributed to the death … August 26, 2020
Avoiding care during the pandemic could mean life or death. … May 31, 2023
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/risk-cardiovascular-disease-appendix-a.pdf
August 31, 2023 - atherosclerosis or "cardiac allograft
vasculopath*" or "cardiac arrest" or "cardiac backward failure" or "cardiac … death" or
"cardiac decompensation" or "Cardiac Failure" or "cardiac incompetence" or "cardiac
infarct … *" or "cardiac stand still" or "cardiac sudden death" or "cardial decompensation" or
"cardial infarct … artery thrombos*" or "decompensatio cordis" or "heart
attack" or "heart backward failure" or "heart death
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psnet.ahrq.gov/node/838088/psn-pdf
September 14, 2022 - 'We had such trust, we feel such fools’: how shocking
hospital mistakes led to our daughter’s death. … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-
daughters-death … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death
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psnet.ahrq.gov/node/844783/psn-pdf
September 04, 2019 - A lethal hidden curriculum—death of a medical student
from opioid use disorder. … A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use
Disorder. … https://psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
This … https://psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
https
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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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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.
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psnet.ahrq.gov/node/74134/psn-pdf
December 01, 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 … analysis-risk-factors-patient-safety-events-occurring-emergency-department
https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - Summarizing an NHS investigation into the death of a 3-year-old boy, this report highlights the need … October 7, 2020
An Avoidable Death of a Three-year-old Child from Sepsis. … April 17, 2024
An Investigation into the Death of Baby J at University Hospitals Bristol … January 14, 2015
An Avoidable Death of a Three-year-old Child from Sepsis.
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - This magazine article reports on the preventable death of a patient during an acute asthma attack. … Written by the patient's husband, the article outlines the failures that led to her death despite the … Improving Diagnostic Safety and Quality
April 26, 2023
Lessons learned from a death … June 26, 2019
Inquiry into reporter's death finds multiple failures in care.
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable? … Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those- … critical and unresolved issue in patient safety is how to determine whether unexpected harm, including
death … This retrospective study used medical record review to uncover if
medical error occurred in cases of death
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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,
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psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - Two fatal cases of accidental intrathecal vincristine administration: learning from death … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … Mortality review as a tool to assess the contribution of healthcare-associated infections to death
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psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
March 09, 2022 - Study
Clinical and pathological disagreement upon the cause of death in a teaching … Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 … Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 … July 28, 2021
The slow, troubling death of the autopsy.
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psnet.ahrq.gov/node/74201/psn-pdf
December 22, 2021 - Next of kin involvement in regulatory investigations of
adverse events that caused patient death: a … psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-
death-process … //psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process … //psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
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psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
March 03, 2021 - Magazine Article
What a new doctor learned about medical mistakes from her Mom's death … Citation Text:
What a new doctor learned about medical mistakes from her Mom's death. Allen M. … Citation
Citation Text:
What a new doctor learned about medical mistakes from her Mom's death
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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