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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - 19
Deaths From Heart Disease Increased in 2020
Heart disease is the most common underlying cause of death … and Fetal Death Reporting defines an underlying cause of death as one that
initiates the chain of … pathological events leading to death.
2
Figure 1 shows the 10 leading causes of death in the United … Age-adjusted rates of death from heart failure rose
continuously between 2016 and 2020. … They may manifest as a
variety of arrhythmias, including atrial fibrillation, or as sudden cardiac death
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psnet.ahrq.gov/issue/mother-says-er-misdiagnosis-leads-sons-death
December 19, 2007 - Audiovisual
Mother says ER misdiagnosis leads to son's death.
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effectivehealthcare-admin.ahrq.gov/products/atypical-antipsychotics-seniors-death/research
November 01, 2017 - Comparative Safety of Conventional and Atypical Antipsychotic Medications: Risk of Death … Comparative Safety of Conventional and Atypical Antipsychotic Medications: Risk of Death … Project Timeline
Comparative Safety of Conventional and Atypical Antipsychotic Medications: Risk of Death … Comparative Safety of Conventional and Atypical Antipsychotic Medications: Risk of Death … https://effectivehealthcare.ahrq.gov/products/atypical-antipsychotics-seniors-death/research
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psnet.ahrq.gov/issue/nebraska-medical-center-investigates-staff-after-girls-death
August 18, 2010 - Newspaper/Magazine Article
Nebraska Medical Center investigates staff after girl's death … April 14, 2010
This news piece focuses on a heparin overdose that resulted in the death … March 25, 2009
Baby's death spotlights safety risks linked to computerized systems.
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psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
April 19, 2023 - Book/Report
Failures in Care Coordination and Reviewing a Patient's Death at the … Citation Text:
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City … unsubstantiated, the report highlights lack of clinical review and inaccurate analysis of patient death … Citation
Citation Text:
Failures in Care Coordination and Reviewing a Patient's Death … Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death
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psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
August 10, 2022 - Study
Classic
Race, postoperative complications, and death … Race, postoperative complications, and death in apparently healthy children. … Race, postoperative complications, and death in apparently healthy children.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotic-medicine-mortality-elderly_research.pdf
March 01, 2009 - We
further estimated multivariate adjusted risk differences for each cause of death and total death … OOH cardiovascular death as indicated on the death certificate includes many more causes
aside from … Antipsychotics and the risk of sudden cardiac
death. … Antipsychotics and the risk of sudden cardiac
death. … sudden cardiac death.
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/antipsychotic-medicine-mortality-elderly_research.pdf
March 01, 2009 - We
further estimated multivariate adjusted risk differences for each cause of death and total death … OOH cardiovascular death as indicated on the death certificate includes many more causes
aside from … Antipsychotics and the risk of sudden cardiac
death. … Antipsychotics and the risk of sudden cardiac
death. … sudden cardiac death.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
January 01, 2019 - Gen_3
Gen_3: Extent of Harm
Event Type Extent of Harm Percentage Frequency
Blood or Blood Product Death … No Harm 1.0% 6,019
Blood or Blood Product Unknown Harm 0.0% 66
Device or Medical/Surgical Supply Death … Other Substance No Harm 11.6% 72,356
Medication or Other Substance Unknown Harm 0.2% 1,009
Other Death … Other Mild Harm 14.9% 93,473
Other No Harm 28.7% 179,493
Other Unknown Harm 0.8% 5,113
Perinatal Death … Mild Harm 1.4% 8,490
Perinatal No Harm 1.3% 8,047
Perinatal Unknown Harm 0.0% 42
Pressure Ulcer Death
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psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
March 23, 2011 - Commentary
A tragic death: a time to blame or a time to learn? … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.
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pbrn.ahrq.gov/tools-and-resources/pbrn-literature/health-care-contacts-year-suicide-death
January 02, 2022 - Literature
Funding Opportunities
Health Care Contacts in the Year Before Suicide Death … MAIN MEASURES: Health system contacts in the year before death. … KEY RESULTS: Nearly all individuals received health care in the year prior to death (83 %), but half … Only 24 % had a mental health diagnosis in the 4-week period prior to death. … The individuals more likely to make a visit in the year prior to death (p < 0.05) tended to be women,
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2002%20Death%20Rate%20in%20Low-Mortality%20Diagnosis%20Related%20Groups%20(DRGs).xlsx
January 01, 2002 - PSI 02 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs)
Cover Sheet
AHRQ Quality Indicators … (AHRQ QI™) Proposed Coding for ICD-10-CM/PCS Specification
Patient Safety Indicators #2 (PSI #2) Death … PSI%2002%20Death%20in%20Low-Mortality%20Diagnosis%20Related%20Groups%20(DRGs).pdf
Numerator
PSI #2 Death … Related Groups (DRGs)
www.qualityindicators.ahrq.gov &P of &N
November 2013
Denominator
PSI #2 Death … Codes
AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PSI #2 Death
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/asymptomatic-coronary-artery-disease-screening-1996
January 01, 1996 - death. … death). … death. … The usual underlying cause of sudden cardiac death during exercise is hypertrophic cardiomyopathy or … Sudden cardiac death without warning: possible mechanisms and implications for screening asymptomatic
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.html
September 01, 2021 - preventable after thorough case review. 1,2 The World Health Organization defines maternal mortality as a death … termination of pregnancy. 3 The Centers for Disease Control and Prevention defines maternal mortality as a death … to a week postpartum, and one-third after a week to a year postpartum. 4 The top causes of maternal death … outcome of birth that results in significant short-term or long-term consequences. 8 For every maternal death
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psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - Classic
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … This column chronicles the tragic death of Betsy Lehman , a Boston Globe health columnist, who fell … Citation Text:
Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … June 10, 2018
Death and neurological devastation from intrathecal vinca alkaloids: prepared
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psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
December 09, 2020 - Newspaper/Magazine Article
When we're all responsible for a patient's death, no one … Citation Text:
When we're all responsible for a patient's death, no one is. … Cite
Citation
Citation Text:
When we're all responsible for a patient's death
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - Harm 25.6% 401,728 1,567,355
Moderate Harm 2.6% 41,312 1,567,355
Severe Harm 0.4% 6,421 1,567,355
Death … Device or Medical/Surgical Supply Severe Harm 0.2% 70 1,567,355
Device or Medical/Surgical Supply Death … 49,754 1,567,355
Fall Moderate Harm 1.6% 3,598 1,567,355
Fall Severe Harm 0.4% 813 1,567,355
Fall Death … Perinatal Moderate Harm 4.2% 1,153 1,567,355
Perinatal Severe Harm 0.8% 228 1,567,355
Perinatal Death … 1,567,355
Other Moderate Harm 2.5% 20,655 1,567,355
Other Severe Harm 0.4% 3,393 1,567,355
Other Death
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - Harm 27.7% 350,945 1,267,662
Moderate Harm 2.7% 34,589 1,267,662
Severe Harm 0.4% 4,927 1,267,662
Death … Device or Medical/Surgical Supply Severe Harm 0.2% 55 1,267,662
Device or Medical/Surgical Supply Death … 39,579 1,267,662
Fall Moderate Harm 1.8% 3,050 1,267,662
Fall Severe Harm 0.4% 673 1,267,662
Fall Death … Perinatal Moderate Harm 4.3% 1,121 1,267,662
Perinatal Severe Harm 0.8% 213 1,267,662
Perinatal Death … 1,267,662
Other Moderate Harm 2.4% 15,680 1,267,662
Other Severe Harm 0.4% 2,500 1,267,662
Other Death
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - Harm 31.8% 342,513 1,075,547
Moderate Harm 3.0% 32,740 1,075,547
Severe Harm 0.4% 4,533 1,075,547
Death … Device or Medical/Surgical Supply Severe Harm 0.2% 51 1,075,547
Device or Medical/Surgical Supply Death … 38,580 1,075,547
Fall Moderate Harm 2.0% 2,964 1,075,547
Fall Severe Harm 0.4% 618 1,075,547
Fall Death … 1,075,547
Other Moderate Harm 2.8% 14,737 1,075,547
Other Severe Harm 0.4% 2,319 1,075,547
Other Death … Device or Medical/Surgical Supply Severe Harm 1.1% 51 1,075,547
Device or Medical/Surgical Supply Death
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psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
September 01, 2021 - Study
Frequency and type of situational awareness errors contributing to death and … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims … In this closed claims analysis of anesthesia malpractice claims for death or brain damage, researchers … found that situational awareness errors on the part of the anesthesiologist contributed to death or … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims