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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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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Events Related to Infections
LTCH-acquired respiratory infections
• Pneumonia contributing to patient death … • Pneumonia contributing to patient death
• Respiratory syncytial virus (RSV) pneumonia associated with … aspiration resulting in transfer
to an acute-care hospital and contributing to death
• Pneumonia … • Cascade with stage-4 infected pressure ulcer leading to septic shock and contributing to
patient death … 9
Vascular-catheter-associated infections
• Central line-related sepsis/fungemia contributing to death
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srdr.ahrq.gov/projects/1542/studies/186833
January 01, 2014 - , spontaneous abortion, stillbirth, infant death
Population: All Participants … , spontaneous abortion, stillbirth, infant death
Population: Unknown trimester … , spontaneous abortion, stillbirth, infant death
Population: All Participants … , spontaneous abortion, stillbirth, infant death
Population: Unknown trimester … , spontaneous abortion, stillbirth, infant death
Population: Unknown trimester
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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
-
psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - Newspaper/Magazine Article
Death by 1,000 clicks: where electronic health records … Citation Text:
Death by 1,000 clicks: where electronic health records went wrong. … Linkedin
Copy URL
Cite
Citation
Citation Text:
Death … September 25, 2019
Lessons learned from a death outside a hospital's doorstep.
-
effectivehealthcare-admin.ahrq.gov/products/fatty-acids-cardiovascular-disease/research
January 01, 2020 - : There is low strength of evidence (SoE) of no association between total n-3 FA intake and stroke death … cholesterol (LDL-c); also that higher marine oil intake does not affect major adverse CV events, all-cause death … , sudden cardiac death, coronary revascularization, atrial fibrillation, or BP. … There is low SoE of associations between higher marine oil intake and decreased risk of CVD death, coronary … There is low SoE of no association with CHD death, total stroke, hemorrhagic stroke, or angina pectoris
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - sentinel events reported to the Joint Commission between 2004 and June
2013 resulted in a patient death … o Was the case an expected death?
Yes:
What was the condition on admission? … on admission but expected at the time of death? … associated with drug reaction
∗ Death associated with adverse drug reaction
∗ Death associated with … associated with drug reaction
∗ Death associated with adverse drug event
∗ Death related to medical
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psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death
April 09, 2014 - Newspaper/Magazine Article
Avoiding care during the pandemic could mean life or death … Citation Text:
Avoiding care during the pandemic could mean life or death. Glionna JM. … Citation
Citation Text:
Avoiding care during the pandemic could mean life or death
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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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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - SPOTLIGHT CASE
Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … findings include those that require immediate action and direct communication with providers to avoid death … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism.
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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.
-
effectivehealthcare-admin.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.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
January 01, 2023 - Product Under 18 Unknown Unknown Harm 2 16 12.5%
Blood or Blood Product Adult (18-64 years) Female Death … (18-64 years) Male Unknown Harm 111 3,530 3.1%
Blood or Blood Product Adult (18-64 years) Unknown Death … years) Unknown Unknown Harm 27 168 16.1%
Blood or Blood Product Mature adult (65-74 years) Female Death … 74 years) Female Unknown Harm 64 1,465 4.4%
Blood or Blood Product Mature adult (65-74 years) Male Death … 1 1 100.0%
Multiple Mature adult (65-74 years) Female Death 1 206 0.5%
Multiple Mature adult (65-74
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
January 01, 2023 - Product Under 18 Unknown Unknown Harm 2 16 12.5%
Blood or Blood Product Adult (18-64 years) Female Death … (18-64 years) Male Unknown Harm 111 3,530 3.1%
Blood or Blood Product Adult (18-64 years) Unknown Death … years) Unknown Unknown Harm 27 168 16.1%
Blood or Blood Product Mature adult (65-74 years) Female Death … 74 years) Female Unknown Harm 64 1,465 4.4%
Blood or Blood Product Mature adult (65-74 years) Male Death … 1 1 100.0%
Multiple Mature adult (65-74 years) Female Death 1 206 0.5%
Multiple Mature adult (65-74
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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 (%
-
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.
-
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
-
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