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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/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-anesthesias-ten
August 04, 2021 - Published in 1954, this article examines the death rate attributable to anesthesia in the surgical services … retrospectively reviewed 7977 deaths in 599,548 patients from 1948 to 1952 and determined the primary cause of death … There was one anesthesia death for every 1,560 patients, a death rate of 0.06%.
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www.ahrq.gov/patient-safety/reports/issue-briefs/maternal-mortality-1.html
September 01, 2021 - preventable after thorough case review. 1,2 The World Health Organization defines maternal mortality as a death … termination of pregnancy. 3 The Centers for Disease Control and Prevention defines maternal mortality as a death … to a week postpartum, and one-third after a week to a year postpartum. 4 The top causes of maternal death … outcome of birth that results in significant short-term or long-term consequences. 8 For every maternal death
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psnet.ahrq.gov/node/45113/psn-pdf
May 11, 2016 - Medical error—the third leading cause of death in the US.
May 11, 2016
Makary MA, Daniel M. … Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
How many patients die each year … more than
250,000 deaths per year, which would rank medical errors as the third most common cause of death … https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
https://psnet.ahrq.gov/issue/
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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/node/37967/psn-pdf
August 27, 2009 - Life after death: the aftermath of perioperative
catastrophes. … Life after death: the aftermath of perioperative catastrophes. … https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
This review addresses … how patient death in the operating room affects anesthesiologists and examines
strategies for how clinicians … https://psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
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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/leder-learning-lives-and-deaths
October 19, 2022 - Association between unmet nonmedication needs after hospital discharge and readmission or death … February 24, 2021
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
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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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effectivehealthcare-admin.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/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/node/37100/psn-pdf
October 04, 2011 - A sudden death with lung embolism after inadvertent
infusion of zinc oxide shake lotion. … A sudden death with lung embolism after inadvertent infusion of zinc
oxide shake lotion. … https://psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion … how misread labels, look-alike syringes, and medication
preparation error resulted in a patient’s death … https://psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
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psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
August 07, 2024 - Newspaper/Magazine Article
A tragic death shows how ERs fail patients who struggle … Citation Text:
A tragic death shows how ERs fail patients who struggle with addiction. Pattani A. … Copy URL
Cite
Citation
Citation Text:
A tragic death
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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/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text: … When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. … When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. … event, which most likely led to asphyxiation and severe hypoxia resulting in cardiopulmonary arrest and death … When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet].
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Commentary
Unexpected intraoperative patient death: the imperatives of family- and … Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. … Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.
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psnet.ahrq.gov/node/39198/psn-pdf
June 27, 2011 - Potential medical adverse events associated with death: a
forensic pathology perspective. … Potential medical adverse events associated with death: a forensic
pathology perspective. … https://psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-
perspective … https://psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective … https://psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
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psnet.ahrq.gov/node/37902/psn-pdf
July 09, 2008 - Relationship between preventability of death after
coronary artery bypass graft surgery and all-cause … Relationship between preventability of death after coronary artery bypass
graft surgery and all-cause … https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft … https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all … https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
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effectivehealthcare-admin.ahrq.gov/products/diabetes-treatment/abstract
December 01, 2019 - only have DM (but not CVD or CKD) will likely experience delays in the development of CVD, CKD, and death … and CKD outcomes in persons with and without these two co-morbidities:
To compare time to CVD or death … the impact of intensive insulin regimens compared to less intensive insulin regimens on CVD, CKD or death … in persons with and without these two co-morbidities:
To compare time to CVD or death in patients … intensive insulin regimens compared to less intensive insulin regimens
To compare time to CKD or 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