-
psnet.ahrq.gov/node/841770/psn-pdf
December 21, 2022 - After
analyzing national death certificate data from 1999 through 2019, researchers in this study found … that
medical adverse events were listed as the underlying cause of death in 0.24% of deaths.
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psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/6Ngc3byQ9jeBy_pwyvD6or
September 01, 2014 - Stroke is a leading cause of death and disability (1). … ipsilateral stroke, perioperative stroke or death or any sub-
sequent stroke, any stroke or death, … of Any
Stroke or Death
Perioperative
(30-Day) Stroke
or Death, %
Aspirin, 325 mg daily; also had risk … Rates of perioperative death or stroke after CEA, by study design. … Most studies we reviewed did not report on
harms other than perioperative stroke or death.
-
psnet.ahrq.gov/node/44225/psn-pdf
June 17, 2015 - Do No Harm: Stories of Life, Death, and Brain Surgery.
June 17, 2015
Marsh H. … https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
This intensely personal … https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
https://psnet.ahrq.gov/issue
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/carotid-artery-stenosis-screening-july-2014
July 08, 2014 - The 30-day rates of stroke or death after CEA in trials and cohort studies were 2.4% (CI, 1.7% to 3.1% … ipsilateral stroke, perioperative stroke or death or any subsequent stroke, any stroke or death, nonperioperative … Most studies we reviewed did not report on harms other than perioperative stroke or death. … Factors associated with stroke or death after carotid endarterectomy in Northern New England. … Stroke
Rate of Any
Stroke or Death
Peri-
operative
(30-Day) Stroke
or Death,
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/YSj5xRQc9DroH8gpUYsoFA
December 01, 2007 - MPH; and Russell Harris, MD, MPH
Background: Cerebrovascular disease is the third leading cause of
death … Cerebrovascular disease is the third leading cause of
death in the United States (1). … This benefit includes an
approximate 3% rate of perioperative stroke or death. … The primary perioperative complica-
tion measure in the studies was either death/stroke or
death/stroke … One Veterans Affairs
study showed a perioperative stroke or death rate of 1.6%
(35).
-
psnet.ahrq.gov/node/60997/psn-pdf
October 07, 2020 - bias, patient management discontinuity and inappropriate physical restraint that contributed to the
death … psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
https://psnet.ahrq.gov/issue/death-suicide-within
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-slides.pptx
January 01, 2017 - Pre and Post ICU3
25% of minimally disabled patients became severely disabled or experienced early death … 40% of mild to moderately disabled patients became severely disabled; 25% experienced early death … Patients
Mortality Associated With Worsening Pre-ICU Functional Trajectory3
Within 1 year, risk of death … Patients
Mortality Associated With Worsening Pre-ICU Functional Trajectory3
Within 1 year, risk of death … occurred in 25% of patients
Functional decline prior to ICU showed higher post-ICU risks for—
Death
-
psnet.ahrq.gov/issue/good-you-good-us-good-everybody
October 20, 2021 - s)
Digital Clinical Safety Strategy
October 20, 2021
The Life and Death … July 1, 2020
Government Response to the Investigation into the Death of Elizabeth Dixon … August 25, 2021
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
-
psnet.ahrq.gov/issue/independent-neurology-inquiry
November 16, 2022 - November 16, 2022
The Life and Death of Elizabeth Dixon: A Catalyst for Change. … July 1, 2020
Government Response to the Investigation into the Death of Elizabeth Dixon … June 4, 2024
Government Response to the Investigation into the Death of Elizabeth Dixon
-
psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
February 24, 2011 - of deaths related to medical errors are overestimates, which do not account for the expected risk of death
-
psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - the risk
management team, the surgeon ultimately contacted the patient’s wife some months after his death … Schweitzer
The family of a patient who dies is vulnerable no matter the cause of their loved one’s death … The
circumstances of the death may be difficult for a family to initially consider, but over time may … In the weeks closely following the patient’s death, she
may have wondered about the facts of his care … Additionally, if the patient had been working prior to their death, their likely life expectancy is also
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.pdf
October 08, 2012 - average
• After declining in 1900s, AI/AN death
rates rose in mid-1980s
• Large racial disparities … morbidity and mortality
measures are underestimated for AI/AN
AI/AN race often misclassified on
death … Portland Area Indian Health Board 10/7/2012 5
• Cancer registries
• Hospital discharge
systems
• Death … Portland Area
Indian Health Board
Indian Leadership for Indian Health
Methods
• Death … defined using ICD-9/10 only underlying
COD
• AI/AN in analysis = AI/AN (any mention) on death
-
psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson
January 25, 2012 - Commentary
Threats to safety during sedation outside of the operating room and the death … Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … Threats to safety during sedation outside of the operating room and the death of Michael Jackson.
-
psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - Implementation of prescription drug monitoring programs
associated with reductions in opioid-related death … Implementation of prescription drug monitoring programs associated
with reductions in opioid-related death … A WebM&M commentary discussed a death due to an opioid overdose.
-
www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-2
February 01, 2009 - for Preventive Services
Domain
Description
Potential preventable burden
Amount of death … incidence of the condition, the consequences of the condition for disfigurement, disability, suffering, death … e.g., procedures that would be done to follow up on a positive test that carry a measurable risk for death
-
psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - event alert describes how ignoring alarms can have fatal
outcomes and recounts an intensive care unit death … The sentinel event database includes 98 alarm-related events (80 of which
resulted in death) between … https://psnet.ahrq.gov/issue/sentinel-event-alert
https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
-
psnet.ahrq.gov/node/838912/psn-pdf
December 01, 2005 - discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem-
histology-meta
Autopsies are considered the gold standard in determining cause of death … and identifying diagnostic errors
that may have played a role in the death. … changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy
-
psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
August 02, 2017 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death … Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death … Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death
-
psnet.ahrq.gov/node/72647/psn-pdf
January 20, 2021 - issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-
process-care
Unexpected death … including over 5 million births between 2011 and 2017 in the United States found unexpected
newborn death