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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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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/carotid-artery-stenosis-screening
February 02, 2021 - The SPACE-2 trial 5 (n = 316) reported no significant difference in composite outcome of stroke or death … = 55) reported a statistically significantly lower composite risk of nonfatal ipsilateral stroke or death … These data estimated that postoperative 30-day rates of stroke or death varied from 1.4% to 3.5% for … trials (n = 3436) to 3.32% in cohorts (n = 16,967)
CAS: Estimates of 30-d postoperative stroke or death … after CEA ranged from 1.4% to 3.5% (n = 1,903,761)
CAS: Estimates of 30-d postoperative stroke or death
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psnet.ahrq.gov/node/38963/psn-pdf
November 13, 2009 - Injury and death associated with incidents reported to the
Patient Safety Net. … Injury and death associated with incidents reported to the patient safety net. … https://psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
This … https://psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
https:
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psnet.ahrq.gov/node/42593/psn-pdf
June 10, 2018 - Death and neurological devastation from intrathecal vinca
alkaloids: prepared in syringes = 120; prepared … https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared- … https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes … -120-prepared
https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes
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psnet.ahrq.gov/node/43435/psn-pdf
August 06, 2014 - Trail of medical missteps in a Peace Corps death.
August 6, 2014
Stolberg SG. … https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death
Raising concerns about health … investigation into failures, such as cognitive biases and poor judgment, that may have contributed to the
death … https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death
https://psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
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psnet.ahrq.gov/node/38277/psn-pdf
December 10, 2008 - Time for a change in injury and trauma care delivery: a
trauma death review analysis. … Time for a change in injury and trauma care delivery: a trauma
death review analysis. … https://psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis … https://psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - , defined as death occurring within 30 days of the admission date. … considered minimally disabled upon admission to the ICU became severely disabled or experienced an early death … of mild to moderately disabled patients became severely disabled, and 25 percent experienced early death … Twenty-five percent experienced early death. … when a functional decline was already occurring prior to admission, the patient had a higher risk of death
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psnet.ahrq.gov/node/45719/psn-pdf
June 29, 2017 - Systematic review of the prevalence of medication errors
resulting in hospitalization and death of nursing … Systematic Review of the Prevalence of Medication Errors Resulting in
Hospitalization and Death of Nursing … psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-
death-nursing … //psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing … //psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotic-medicine-cardiovascular-elderly_research.pdf
February 01, 2009 - Risk of death in elderly users of
conventional vs. atypical antipsychotic
medications. … Antipsychotics and the risk of sudden
cardiac death. … Thioridazine and sudden
unexplained death in psychiatric inpatients. … Antipsychotics and
the risk of sudden cardiac death. … Antipsychotic
drugs: prolonged QTc Interval, Torsade de
Pointes, and sudden death.
-
psnet.ahrq.gov/node/46081/psn-pdf
April 19, 2017 - Why are medical errors still a leading cause of death?
April 19, 2017
Headley M. … https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
This magazine article … https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
https://psnet.ahrq.gov/ … measuring-and-responding-deaths-medical-errors
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or33.pdf
October 25, 2012 - Health Board
Indian Leadership for Indian Health
Background
• After declining in 1900s, AI/AN death … Area
Indian Health Board
Indian Leadership for Indian Health
Methods
• Washington death … Data Sources and Linkage
Northwest Portland Area Indian Health Board 10/25/2012 7
• Cause of Death … defined using ICD-9/10
only underlying cause of death
• AI/AN in analysis = AI/AN on death
certificate … Northwest Portland Area Indian Health Board 10/25/2012 12
AI/AN White Difference
Mean age
at death
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psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
November 21, 2021 - Study
Time for a change in injury and trauma care delivery: a trauma death review … Time for a change in injury and trauma care delivery: a trauma death review analysis. … Time for a change in injury and trauma care delivery: a trauma death review analysis.
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psnet.ahrq.gov/node/45943/psn-pdf
March 15, 2017 - identifying-and-reducing-complications-after-emergency-room-discharge
https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data … https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data … psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
https://psnet.ahrq.gov/issue/unexpected-death-within … hours-emergency-department-visit-were-those-deaths-preventable
https://psnet.ahrq.gov/issue/unexpected-death-within
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psnet.ahrq.gov/node/35106/psn-pdf
April 06, 2011 - A case of the birth and death of a high reliability
healthcare organisation. … A case of the birth and death of a high reliability healthcare
organisation. … https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
This commentary … https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/43361/psn-pdf
July 16, 2014 - An Avoidable Death of a Three-year-old Child from
Sepsis. … https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
This investigation outlines … how inadequate care contributed to the death of a child who developed sepsis
while receiving treatment … https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
https://psnet.ahrq.gov/issue
-
psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
July 09, 2014 - Reporting on a case involving an overlooked test result that contributed to the death of a patient in … July 9, 2014
FDA begins inquiry after death and illness from saline bags meant for training … September 12, 2012
The short life and lonely death of Sabrina Seelig.
-
psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
September 04, 2019 - Of the 100 most frequent causes of death, 23 were associated with higher mortality when those patients … that hospitals function less effectively during weekend hours, a notion supported by the Sunday night death … Related Resources From the Same Author(s)
Community pharmacy medication review, death
-
psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - Effect of a postdischarge virtual ward on readmission or
death for high-risk patients: a randomized … Effect of a postdischarge virtual ward on readmission or death for high-
risk patients: a randomized … https://psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients … https://psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical … https://psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
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www.uspreventiveservicestaskforce.org/uspstf/integrating-evidence-based-clinical-and-community-strategies-to-improve-health---table-1
November 01, 2013 - WhatsApp
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The Leading and Actual Causes of Death … , United States, 2000
Leading cause of death
Rate/100,000
Actual cause of death
No. (%) … Actual causes of death in the United States, 2000. JAMA 2004;291:1238-1245.