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psnet.ahrq.gov/node/35439/psn-pdf October 26, 2005 - organization’s response to a 2001 incident in which an incomplete bibliographic
review played a role in the death … medical-research-and-institutional-review-board-librarians-role-human-subject-testing
https://psnet.ahrq.gov/issue/research-volunteer-death 
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psnet.ahrq.gov/node/42780/psn-pdf June 17, 2014 - intrathecal-chemotherapy-potential-medication-error
https://psnet.ahrq.gov/issue/not-again
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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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2022/TechSpecs/IQI_33_Primary_Cesarean_Delivery_Rate_Uncomplicated.pdf July 01, 2022 - Excludes 
deliveries with complications (abnormal presentation, preterm delivery, fetal death, multiple … discharges:
• with any listed ICD-10-CM diagnosis code for abnormal presentation, preterm delivery, fetal death … (MDC=missing) when user indicates that MDC is provided
 Appendix A – Abnormal presentation, fetal death 
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2022/TechSpecs/IQI_22_Vaginal_Birth_After_Cesarean_(VBAC)_Delivery_Rate_Uncomplicated.pdf July 01, 2022 - Excludes 
deliveries with complications (abnormal presentation, preterm delivery, fetal death, multiple … discharges:
• with any listed ICD-10-CM diagnosis code for abnormal presentation, preterm delivery, fetal 
death … MDC (MDC=missing) when user indicates that MDC is provided
Appendix A – Abnormal presentation, fetal death 
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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 
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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 
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psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care August 09, 2017 - August 9, 2017 
 
 
 
 
 
 
 
 'Alarm fatigue’ a factor in 2nd death. … 2018 
 
 
 
 
 
 
 
 Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … February 22, 2017 
 
 
 
 
 
 
 
 For Colorado mom, story of daughter's hospital death is key to others 
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psnet.ahrq.gov/node/49813/psn-pdf January 01, 2018 - It
is now the fifth leading cause of death for Americans age 65 and older, and 1 in 3 seniors die with … A national study of the location of death for older persons with
dementia. … Timing of POLST form completion by cause
of death. J Pain Symptom Manage. 2015;50:650-658. … Committee on Approaching Death: Addressing Key End of Life Issues; Institute of Medicine. … After death, palliative care services help family
members with bereavement.
  
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psnet.ahrq.gov/node/836714/psn-pdf March 09, 2022 - intraoperative-deaths-who-why-and-can-we-prevent-them
https://psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care 
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psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb June 01, 2017 - After looking at these 4 million admissions, we found that the odds of death was about 10% higher in … When we looked at the odds of 30-day postoperative death, we found that as your operation approached … a 40% higher odds of death compared to patients who had had their operation on a Monday. … The risk of death in elective surgery is thankfully pretty low, a fraction of a percent. … You have a higher risk of death. 
- 
                                        
psnet.ahrq.gov/node/47128/psn-pdf October 13, 2018 - Discussing an error that
resulted in the death of a young man, this commentary reviews how cognitive … bias and misdiagnosis
contributed to the incident and the impact of the patient's death on his family 
- 
                                        
psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries September 09, 2015 - November 16, 2022 
 
 
 
 
 
 
 
 Government Response to the Investigation into the Death of Elizabeth … July 25, 2018 
 
 
 
 
 
 
 
 The Life and Death of Elizabeth Dixon: A Catalyst for Change. … More 
 
 
 
 
 
 Related Resources 
 
 
 
 
 
 
 Government Response to the Investigation into the Death 
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psnet.ahrq.gov/node/46872/psn-pdf May 09, 2018 - issue/how-guide-prevent-obstetrical-adverse-events
https://psnet.ahrq.gov/issue/many-women-come-close-death-childbirth … https://psnet.ahrq.gov/issue/preventing-maternal-death 
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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 
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psnet.ahrq.gov/node/74226/psn-pdf February 01, 2019 - Trends and statistics: overdose death rates. January 29, 2021. … Trends and statistics: overdose death rates. January 29, 2021. … https://www.drugabuse.gov/drug-topics/trends-statistics/overdose-death-rates
https://www.drugabuse.gov … Trends and statistics: overdose death rates. January 29, 2021. … https://www.drugabuse.gov/drug-topics/trends-statistics/overdose-death-rates
https://psnet.ahrq.gov/ 
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psnet.ahrq.gov/node/851349/psn-pdf July 12, 2023 - that the majority (87.6%) were due to active failures and 2.2% resulted in moderate/severe harm or death 
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psnet.ahrq.gov/node/34779/psn-pdf December 21, 2014 - The second, a statistical approach, systematically captures annual death and
complication rates for … While presenting tables of
common surgical death and complication rates, the authors suggest that greater 
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psnet.ahrq.gov/node/74112/psn-pdf April 14, 2017 - health-equity-and-maternal-health
https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children 
- 
                                        
psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed June 01, 2017 - After looking at these 4 million admissions, we found that the odds of death was about 10% higher in … When we looked at the odds of 30-day postoperative death, we found that as your operation approached … a 40% higher odds of death compared to patients who had had their operation on a Monday. … The risk of death in elective surgery is thankfully pretty low, a fraction of a percent. … You have a higher risk of death. 
- 
                                        
psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected December 04, 2016 - Related Resources From the Same Author(s) 
 
 
 
 
 
 
 For Colorado mom, story of daughter's hospital death … December 23, 2020 
 
 
 
 
 
 View More 
 
 
 
 
 
 Related Resources 
 
 
 
 
 
 
 Lessons learned from a death … December 12, 2014 
 
 
 
 
 
 
 
 Inquiry into reporter's death finds multiple failures in care.