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psnet.ahrq.gov/node/37048/psn-pdf
September 29, 2011 - //psnet.ahrq.gov/issue/when-my-father-died
The physician author recounts the story of her father's death—a … death that she feels was preventable and
caused, in part, by errors in judgment made during his care
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psnet.ahrq.gov/node/46280/psn-pdf
December 03, 2018 - This news series reports on the incidence of maternal death, individual
stories of harm, and factors … /lost-mothers-maternal-care-and-preventable-deaths
https://psnet.ahrq.gov/issue/preventing-maternal-death
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psnet.ahrq.gov/node/46334/psn-pdf
August 09, 2017 - https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
Maternal death is … maternal-deaths-metrowest-hospital-prompt-state-probes
https://psnet.ahrq.gov/issue/preventing-maternal-death
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digital.ahrq.gov/2020-year-review/research-summary/creating-health-information-exchange-application-provide-fast-access-patient-data-emergency
January 01, 2020 - about a patient’s health history, especially in the emergency department (ED) setting, where life and death … repeated or unnecessary diagnostic tests and to expedite care and treatment in potentially life or death … You really can't spend minutes looking up stuff on the computer when somebody is bleeding to death right
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
September 18, 2019 - March 18, 2020
Death by suicide within 1 week of hospital discharge: a retrospective … October 24, 2018
The causes of their death appear (unto our shame perpetual): why root … February 21, 2018
Death by suicide within 1 week of hospital discharge: a retrospective
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … Practice Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death … Practice Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death
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psnet.ahrq.gov/node/74838/psn-pdf
February 16, 2022 - err-human-building-safer-health-system
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/congestive-heart-failure-medicines_research.pdf
March 01, 2010 - Results: H-ISDN prescription was not associated with risk of death in five of nine subgroups
predefined … , or > 12 months) following heart failure diagnosis), but was associated with
an increased risk of death … Death occurred more frequently in the H-ISDN group (46.7%) than in the no H-ISDN group
(35.5%). … Hypothesis Testing
H0(1): There is no association between exposure to H-ISDN and either time to death … H0(3): There is no association between exposure to H-ISDN and either risk-adjusted time
to death or
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or34.jsp
August 01, 2014 - tables are an important population health indicator
Due to high rates of racial misclassification on death … NW AI/AN life expectancy 4 years below US all-races
Slide 4
AI/AN often misclassified on death … conducted with public health datasets in OR, ID, and WA
Slide 6
Methods
Slide 7
Data sources
Death … to find individuals who appear in both
Matched based on identifiers (name, birthdate, SSN, date of death … Even with combined data years, small numbers make AI/AN rates unstable
Age misreporting on death
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - August 24, 2016
'Alarm fatigue’ a factor in 2nd death. … October 5, 2011
MGH death spurs review of patient monitors. … January 18, 2012
'Alarm fatigue’ a factor in 2nd death.
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psnet.ahrq.gov/node/46151/psn-pdf
May 24, 2017 - This news article reports on this critical safety problem
in the context of the preventable death of … psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
https://psnet.ahrq.gov/issue/preventing-maternal-death
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hcup-us.ahrq.gov/reports/statbriefs/sb260-appendix.pdf
December 25, 2022 - Rates and All
Drug Overdose Death
Rates, Kaiser Family
Foundation (analysis
of data from Centers … Control
and Prevention
WONDER Online
Database)
www.kff.org/other
/state-
indicator/opioid-
overdose-death … http://www.kff.org/other/state-indicator/opioid-overdose-death-rates
http://www.kff.org/other/state-indicator … /opioid-overdose-death-rates
http://www.kff.org/other/state-indicator/opioid-overdose-death-rates
http … ://www.kff.org/other/state-indicator/opioid-overdose-death-rates
5
Appendix A.2.
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psnet.ahrq.gov/issue/night-hospital-both-ends-stethoscope
October 21, 2015 - March 30, 2016
Inquiry into reporter's death finds multiple failures in care. … November 12, 2014
Trail of medical missteps in a Peace Corps death. … June 5, 2013
What a new doctor learned about medical mistakes from her Mom's death.
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psnet.ahrq.gov/issue/malpractice-makes-perfect
April 04, 2018 - 2013
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … March 14, 2018
View More
Related Resources
Lessons learned from a death … June 26, 2019
Death by 1,000 clicks: where electronic health records went wrong.
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psnet.ahrq.gov/node/47964/psn-pdf
May 15, 2019 - They found a higher odds of death among opioid users with at least a single incidence
of inappropriate
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hcup-us.ahrq.gov/reports/statbriefs/sb21.jsp
December 21, 2006 - Figure 5 shows the number of in-hospital deaths and death rate for SCD hospitalizations from 1994 to … In 1994, for adults with SCD, there were an estimated 480 in-hospital deaths, which was a death rate … The number of in-hospital deaths, as well as death rate, was stable from 1994 to 1997. … From 1998 through 2004, the in-hospital deaths and death rate remained stable for adults. … In contrast, the in-hospital deaths and death rate have remained relatively low and constant over the
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psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - https://psnet.ahrq.gov/issue/losing-laura
This magazine article reports on the preventable death of … Written
by the patient's husband, the article outlines the failures that led to her death despite the
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
March 01, 2005 - http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/index.htm
Leading Causes of Death … Actual causes of death in the United States, 2000. JAMA. 2004;291:1238-45. … Chart1
Tobacco
Poor Diet and Physical Inactivity
Alcohol
Motor Vehicle Collision
Cause of Death … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
March 01, 2005 - http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/index.htm
Leading Causes of Death … Actual causes of death in the United States, 2000. JAMA. 2004;291:1238-45. … Chart1
Tobacco
Poor Diet and Physical Inactivity
Alcohol
Motor Vehicle Collision
Cause of Death … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese … # (thousands)
Leading Causes of Death the U.S. 2000
Weight
Normal 23
Obese 31
Morbidly Obese
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psnet.ahrq.gov/node/34702/psn-pdf
December 23, 2008 - letter, the authors report their analysis of fatal medication errors as reported on United
States death … They find a 2.57-fold increase in the incidence of
medication errors as the reported cause of death,