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psnet.ahrq.gov/node/44376/psn-pdf
October 08, 2016 - Avoidability of hospital deaths and association with
hospital-wide mortality ratios: retrospective case record
review and regression analysis.
October 8, 2016
Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide
mortality ratios: retrospective case record review…
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psnet.ahrq.gov/node/43226/psn-pdf
June 17, 2014 - Relationship between preventable hospital deaths and
other measures of safety: an exploratory study.
June 17, 2014
Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures
of safety: an exploratory study. Int J Qual Health Care. 2014;26(3):298-307. doi:10.1093/intqhc/mz…
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hcup-us.ahrq.gov/reports/statbriefs/sb98.pdf
October 01, 2010 - Quality (AHRQ)’s Inpatient
Quality Indicators (IQIs) are used to develop risk-adjusted in-hospital death … Between 2000 and 2007, in-hospital death rates for these
diagnoses declined for all age categories, … patients aged 65 years and older than for younger adults (aged 18–44 years), who exhibited overall lower
death … 51 percent (from 55
to 27 deaths per 1,000 admissions) from 2000 to 2007, demonstrating the lowest death
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psnet.ahrq.gov/node/73866/psn-pdf
September 22, 2021 - Role of nursing home quality on COVID-19 cases and
deaths: evidence from Florida nursing homes.
September 22, 2021
Wang X, Wilson C, Holmes K. Role of nursing home quality on COVID-19 cases and deaths: evidence from
Florida nursing homes. J Gerontol Soc Work. 2021:1-17. doi:10.1080/01634372.2021.1950255.
https://p…
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psnet.ahrq.gov/node/37030/psn-pdf
June 23, 2017 - A series of anesthesia-related maternal deaths in
Michigan, 1985-2003.
June 23, 2017
Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-
2003. Anesthesiology. 2007;106(6):1096-1104.
https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan…
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psnet.ahrq.gov/node/36917/psn-pdf
September 01, 2011 - Analysis of deaths related to anesthesia in the period
1996-2004 from closed claims registered by the Danish
Patient Insurance Association.
September 1, 2011
Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996-
2004 from closed claims registered by the Danish…
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psnet.ahrq.gov/node/40404/psn-pdf
February 10, 2015 - The quality 'journey' at Ascension Health: how we've
prevented at least 1,500 avoidable deaths a year—and aim
to do even better.
February 10, 2015
Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at
least 1,500 avoidable deaths a year--and aim to do even better.…
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psnet.ahrq.gov/node/43602/psn-pdf
October 15, 2014 - Classifying errors in preventable and potentially
preventable trauma deaths: a 9-year review using the
Joint Commission's standardized methodology.
October 15, 2014
Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma
deaths: a 9-year review using the Joint Com…
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care.
March 4, 2011
Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical
care. BMJ. 2005;330(7500):1139-42.
https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi…
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psnet.ahrq.gov/node/45301/psn-pdf
April 22, 2017 - Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability.
April 22, 2017
Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: a
retrospective patient record review study.
September 16, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: a re…
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psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis.
November 12, 2014
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. J R Soc Med. 2014;107(9):365-75. doi:10.1177/0141076814532394…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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psnet.ahrq.gov/node/47054/psn-pdf
July 19, 2018 - A target to achieve zero preventable trauma deaths
through quality improvement.
July 19, 2018
Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through
Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159.
https://psnet.ahrq.gov/issue/target-achi…
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psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - Preventable deaths in patients admitted from emergency
department.
June 25, 2009
Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department.
Emerg Med J. 2006;23(6):452-5.
https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
The authors re…
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psnet.ahrq.gov/node/38547/psn-pdf
April 08, 2009 - Mortality related to anaesthesia in France: analysis of
deaths related to airway complications.
April 8, 2009
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths
related to airway complications. Anaesthesia. 2009;64(4):366-70. doi:10.1111/j.1365-2044.2008.05792.x.…
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psnet.ahrq.gov/node/35984/psn-pdf
January 02, 2017 - The clinical transformation of Ascension Health:
eliminating all preventable injuries and deaths.
January 2, 2017
Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all
preventable injuries and deaths. Jt Comm J Qual Patient Saf. 2006;32(6):299-308.
https://psnet.…
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psnet.ahrq.gov/node/41537/psn-pdf
December 30, 2014 - Deaths due to medical error: jumbo jets or just small
propeller planes?
December 30, 2014
Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf.
2012;21(9). doi:10.1136/bmjqs-2012-001368.
https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-prop…
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psnet.ahrq.gov/node/33956/psn-pdf
March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery
Inquest: An Inquiry into Twelve Deaths at the Winnipeg
Health Sciences Center in 1994.
March 7, 2005
Inquest, Manitoba Pediatric Cardiac Surgery. Winnepeg, Manitoba: Provincial Court of Manitoba; 1999.
ISBN 0771115164.
https://psnet.ahrq.gov/issue/report-manito…
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psnet.ahrq.gov/node/40727/psn-pdf
October 21, 2011 - Saving lives by studying deaths: using standardized
mortality reviews to improve inpatient safety.
October 21, 2011
Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve
inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408.
https://psnet.ahrq.gov/issue/savin…