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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/node/47369/psn-pdf
April 08, 2019 - errors,
ineffective treatments, and care coordination weaknesses contribute to preventable maternal death … https://psnet.ahrq.gov/perspective/maternal-safety
https://psnet.ahrq.gov/issue/preventing-maternal-death
-
psnet.ahrq.gov/node/47946/psn-pdf
May 22, 2019 - A recent Annual Perspective on maternal safety touched on the persistently
higher death rates among
-
effectivehealthcare.ahrq.gov/products/patient-safety-databases-prescriptions/research
August 26, 2008 - We measured ADEs through the medical claims and death records for three types of outcomes: death, expected … We obtained the date of death from the state death certificate. … Clinical Findings
Death. … Death records. … Utah Medicaid Data Warehouse contains the certificate records of birth, death, and fetal death.
-
psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - This analysis describes the
prevalence of pregnancy-related death and areas of concern during pregnancy
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/breastfeeding-benefits-infants-children-key-questions.pdf
January 01, 2018 - There is also a diagnostic
shift from Sudden Infant Death Syndrome to Sudden Unexpected Infant Death … COVID-19)
o sudden infant death syndrome/ sudden unexpected infant death
o infant mortality
• longer
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or33.jsp
August 01, 2014 - Slide 2
Background
Slide 3
Excess mortality among AI/ANs
After declining in 1900s, AI/AN death … Slide 6
Methods
Slide 7
Data Sources and Linkage
Washington death certificates, 1990-2009 … likelihood of a match, "gray area" matches reviewed by hand
Slide 8
Analysis
Cause of Death … defined using ICD-9/10 only underlying cause of death
AI/AN in analysis = AI/AN on death certificate … of AI/AN population
Even with combined data years, small numbers make AI/AN rates unstable
Death
-
psnet.ahrq.gov/node/73978/psn-pdf
October 20, 2021 - A substantial proportion of people with a
pregnancy-related mental health cause of death had a history
-
hcup-us.ahrq.gov/reports/statbriefs/sb21.pdf
December 01, 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. … rate age < 18 SCD death rate age >=18
N
um
be
r o
f i
n-
ho
sp
ita
l d
ea
th
s
Figure 5.
-
psnet.ahrq.gov/node/74208/psn-pdf
December 22, 2021 - to detect patient
deterioration and prevent cardiac arrest, transfer to the intensive care unit, or death … psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
-
psnet.ahrq.gov/node/837310/psn-pdf
June 01, 2022 - National cross-sectional cohort study of the relationship
between quality of mental healthcare and death … National cross-sectional cohort study of the relationship between
quality of mental healthcare and death
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/coronary-stents-outcomes_research.pdf
January 01, 2010 - Outcomes including death, myocardial
infarction (MI), revascularization, major bleeding, stroke, death … or MI, death or MI or
revascularization, and death or MI or stroke, were compared using estimated cumulative … The composite events used in this study were: MI or
death, MI or death or revascularization, and MI … or death or stroke. … The unadjusted 30-month rates of death or MI (17% vs. 23%), death or MI or
revascularization (32% vs
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/coronary-stents-outcomes_research.pdf
January 01, 2010 - Outcomes including death, myocardial
infarction (MI), revascularization, major bleeding, stroke, death … or MI, death or MI or
revascularization, and death or MI or stroke, were compared using estimated cumulative … The composite events used in this study were: MI or
death, MI or death or revascularization, and MI … or death or stroke. … The unadjusted 30-month rates of death or MI (17% vs. 23%), death or MI or
revascularization (32% vs
-
hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or34.pdf
October 11, 2013 - are an important population
health indicator
• Due to high rates of racial misclassification
on death … Northwest Portland Area
Indian Health Board
Indian Leadership for Indian Health
• Death … find individuals who appear in both
Matched based on identifiers (name, birthdate,
SSN, date of death … Health Board 7
• Age- and sex-specific mortality rates
computed using 2008-2010
race-corrected death … • Even with combined data years, small numbers
make AI/AN rates unstable
• Age misreporting on death
-
www.ahrq.gov/news/hcup-covid-initial-hospitalizations.html
November 01, 2019 - New Data Briefs Measure Hospitalizations and In-Hospital Deaths in Early Months of COVID-19
Four new statistical briefs from AHRQ's Healthcare Cost and Utilization Project (HCUP) provide data on hospitalizations in the initial months of the COVID-19 pandemic. The analyses, based on data from 13 states, …
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Romano_Selecting_Quality_Measures.ppt
January 01, 2005 - Acceptable
Acceptable (-)
Unclear
Unclear (-)
Decubitus ulcer
Complications of anesthesia
Death … recommended
Experimental or rejected PSIs
recommended
Selected infections due to medical care
Death … DRGs
Postop hip fracture
Foreign body left during procedure
Anesthesia reactions and complications
Death … TPPS01 COMPLICATIONS OF ANESTHESIA 6,144,984 6,144 7,303 7,015 8,138 8,700 8,388,778 5305
TPPS02 DEATH … DRGs
Postop hip fracture
Foreign body left during procedure
Anesthesia reactions and complications
Death
-
www.cahps.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
-
www.cpsi.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
-
www.healthcare411.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
-
www.innovations.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