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  1. www.uspreventiveservicestaskforce.org/home/getfilebytoken/2GDCmTe7akyrAHsTMbfz72
    May 06, 2022 - Senger, MPH C ardiovascular disease (CVD) is the leading cause of death in the US.1 Aspirin has long … harms (KQ2) were total major bleeding (bleeding requiring transfusion or hospitalization or leading to death … Effect of daily aspirin on long-term risk of death due to cancer: analysis of individual patient data … Short-term effects of daily aspirin on cancer incidence, mortality, and non-vascular death: analysis
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
    July 01, 2022 - Safety Data Already Collected by the Organization Strategy A Case Example Learning From Every Death … Learning from every death. … harm � Category H- An error occurred that required intervention necessary to sustain life Error, Death … � Category I- An error occurred that may have contributed to or resulted in the patient’s death … treatment Very Serious Harm/danger of permanent damage Serious Permanent Damage Immediate and Inevitable Death
  3. www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
    July 01, 2022 - Safety Data Already Collected by the Organization Strategy A Case Example Learning From Every Death … Learning from every death. … harm � Category H- An error occurred that required intervention necessary to sustain life Error, Death … � Category I- An error occurred that may have contributed to or resulted in the patient’s death … treatment Very Serious Harm/danger of permanent damage Serious Permanent Damage Immediate and Inevitable Death
  4. Psn-Pdf (pdf file)

    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…
  5. effectivehealthcare.ahrq.gov/sites/default/files/related_files/pneumonia-antibiotic-treatment_executive.pdf
    November 01, 2014 - lengths of stay and costs of care; in one report from Asian countries, they were associated with death … ventilation 1 prospective cohort (n=638) High NA Direct Imprecise Insufficient Mortality (composite of death … response or days on a ventilator—or preferably, patient-centered health outcomes, especially disease or death
  6. effectivehealthcare.ahrq.gov/sites/default/files/pdf/mat-retention-strategies-rapid-review-1.pdf
    August 01, 2020 - Mortality after prison release: opioid overdose and other causes of death, risk factors, and time trends … dispensed medication between randomization and end of study period (March 31, 2013) or date of death
  7. effectivehealthcare.ahrq.gov/products/lung-cancer-nonsurgical-therapies/research-protocol
  8. psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
    January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx Spotlight A Loss of Trust and a Missed Diagnosis Source and Credits • This presentation is based on the February 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.…
  9. effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-cancer_clinician.pdf
    July 01, 2017 - Management of Renal Masses and Localized Renal Cell Carcinoma: Current State of the Evidence Management of Renal Masses and Localized Renal Cell Carcinoma: Current State of the Evidence Focus of This Summary This is a summary of a systematic review that evaluated the recent evidence regarding the benefits and adve…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50841/psn-pdf
    January 29, 2020 - acute hemolytic reaction, and 1 in 1.8 million units of transfused red blood cell units results in death
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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.…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…