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psnet.ahrq.gov/node/60932/psn-pdf
January 01, 2021 - Retrospective analysis of reported suicide deaths and
attempts on Veterans Health Administration campuses
and inpatient units.
September 23, 2020
Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on
Veterans Health Administration campuses and inpatient units. BMJ Qual S…
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psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - Understanding ultrarare adverse events - lessons learned
from a twelve-year review of intraoperative deaths at an
academic medical center.
June 21, 2023
Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a
twelve-year review of intraoperative deaths at an academic med…
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hcup-us.ahrq.gov/reports/statbriefs/sb38.pdf
October 01, 2007 - Quality (AHRQ)’s Inpatient Quality Indicators (IQIs) are used to
develop in-hospital risk-adjusted death … Overall,
the in-hospital death rates for these diagnoses steadily declined between 1994 and 2004.
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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported.
July 22, 2020
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. ProPublica and NBC News. 2020;July 8.
https://psnet.ahrq.gov/issue/spike-pe…
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psnet.ahrq.gov/node/837207/psn-pdf
May 25, 2022 - Hospitalizations and deaths related to adverse drug
events worldwide: systematic review of studies with
national coverage.
May 25, 2022
Silva LT, Modesto ACF, Amaral RG, et al. Hospitalizations and deaths related to adverse drug events
worldwide: systematic review of studies with national coverage. Eur J Clin Phar…
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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - Understanding the factors influencing implementation of
a new national patient safety policy in England: lessons
from 'Learning from Deaths'.
May 18, 2022
Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national
patient safety policy in England: lessons from ‘Learni…
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hcup-us.ahrq.gov/reports/statbriefs/sb98.pdf
October 01, 2010 - Quality (AHRQ)’s Inpatient
Quality Indicators (IQIs) are used to develop risk-adjusted in-hospital death … Between 2000 and 2007, in-hospital death rates for these
diagnoses declined for all age categories, … patients aged 65 years and older than for younger adults (aged 18–44 years), who exhibited overall lower
death … 51 percent (from 55
to 27 deaths per 1,000 admissions) from 2000 to 2007, demonstrating the lowest death
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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/43226/psn-pdf
June 17, 2014 - Relationship between preventable hospital deaths and
other measures of safety: an exploratory study.
June 17, 2014
Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures
of safety: an exploratory study. Int J Qual Health Care. 2014;26(3):298-307. doi:10.1093/intqhc/mz…
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psnet.ahrq.gov/node/37030/psn-pdf
June 23, 2017 - A series of anesthesia-related maternal deaths in
Michigan, 1985-2003.
June 23, 2017
Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-
2003. Anesthesiology. 2007;106(6):1096-1104.
https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan…
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psnet.ahrq.gov/node/36917/psn-pdf
September 01, 2011 - Analysis of deaths related to anesthesia in the period
1996-2004 from closed claims registered by the Danish
Patient Insurance Association.
September 1, 2011
Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-
2004 from closed claims registered by the Danish…
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psnet.ahrq.gov/node/40404/psn-pdf
February 10, 2015 - The quality 'journey' at Ascension Health: how we've
prevented at least 1,500 avoidable deaths a year—and aim
to do even better.
February 10, 2015
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at
least 1,500 avoidable deaths a year--and aim to do even better.…
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psnet.ahrq.gov/node/43602/psn-pdf
October 15, 2014 - Classifying errors in preventable and potentially
preventable trauma deaths: a 9-year review using the
Joint Commission's standardized methodology.
October 15, 2014
Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma
deaths: a 9-year review using the Joint Com…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/45301/psn-pdf
April 22, 2017 - Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability.
April 22, 2017
Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis.
November 12, 2014
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…
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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: a
retrospective patient record review study.
September 16, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: a re…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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psnet.ahrq.gov/node/47054/psn-pdf
July 19, 2018 - A target to achieve zero preventable trauma deaths
through quality improvement.
July 19, 2018
Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through
Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159.
https://psnet.ahrq.gov/issue/target-achi…
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psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - Preventable deaths in patients admitted from emergency
department.
June 25, 2009
Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department.
Emerg Med J. 2006;23(6):452-5.
https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
The authors re…