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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Resources
WebM&M Cases
Medication Mix-Up Leads to Patient Death
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - WebM&M Cases
Delay in Appropriate Diagnosis and Treatment Leading to Death
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_consumer.pdf
August 01, 2017 - other
medicines that cause drowsiness can lead to severe drowsiness,
breathing problems, coma, and death
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - years, and those with moderate or severe SDB documented by preoperative sleep study.( 1,6 ) Though death
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Resources
WebM&M Cases
Medication Mix-Up Leads to Patient Death
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antipsychotics-adults_research-protocol.pdf
December 01, 2010 - dyskinesia, cardiomyopathies and cardiac arrhythmias,
agranulocytosis, suicide-related behaviors, and death … dyskinesia, cardiomyopathies and cardiac
arrhythmias, agranulocytosis, suicide-
related behaviors, death … dyskinesia, cardiomyopathies and cardiac
arrhythmias, agranulocytosis, suicide-related behaviors, and death
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary29/obstructive-sleep-apnea-in-adults-screening
November 15, 2022 - weeks of follow-up, 76 , 123 , 129 , 132 3 reported no participant deaths, and 1 reported a single death … Sleep-related QOL: 3 RCTs (256)
ESS: pooled mean difference, −1.67 (95% CI, −2.09 to −1.25); 1 death
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/ace-inhibitor-arb-update-surveillance-160328.pdf
May 29, 2025 - $ACEI$or$ARB$(3$studies,$including$1$death)$is$insufficient$to$discern$any$differential$
effects$between … $Medical$records$data$were$extracted$and$linked$with$nationwide$hospital$discharge$
and$cause$of$death … $The$composite$primary$outcome$was$the$time$to$death,$end"stage$renal$disease,$or$a$50%$reduction$from … $ACEI$or$ARB$(3$studies,$
including$1$death)$is$insufficient$to$
discern$any$differential$effects$between
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effectivehealthcare.ahrq.gov/sites/default/files/ch_11-user-guide-to-ocer_130129.pdf
January 03, 2012 - were five
cohort definitions used to analyze the use of
antithrombotic medication and the time to death … propensity
score, and physician preference instrumental
variable analyses) all showed an excess risk of
death … Aprotinin during coronary-artery bypass grafting
and risk of death.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/field-triage-glascow-disposition-170415.pdf
January 12, 2017 - Predicting death is
frequently used as a proxy for needing trauma center
resources.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/radiation-therapy-brain-metases-protocol.pdf
October 10, 2019 - of brain metastases may have
substantial prognostic implications by causing neurologic symptoms or death … necrosis, fatigue, seizures, vomiting
(KQ 1-3)
(KQ 4)
Final Health Outcomes
Survival
Death … However, if not specified, we will apply the FDA definition of serious adverse events
(death, life-threating … Overall survival (time to death, hazard ratio)
2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - unit at some time during their hospital stay per month (patients are counted in the
month of their death … , regardless of their location at the time of death)
Phase 4.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/zVVRY6wa4Sgj-EJb3BRcVy
November 01, 2013 - significant differences in the
incidence of osteoporosis, cardiovascular events, other
types of cancer, or death … Between
2005 and 2009, the median age at diagnosis was 61 years,
and the median age at death from the … Other rel-
evant study outcomes included death, fractures, thrombo-
embolic events, cardiovascular disease
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-cholestorol-medicines-update_executive.pdf
February 01, 2014 - artery
disease, myocardial infarction (MI),
unstable angina, and heart failure, is
a leading cause of death … superior lipid outcomes but fails
to reduce atherosclerosis or lead to decreased rates of
cardiovascular death … therapy can lead to
superior lipid outcomes but fail to reduce clinical outcomes
such as cardiovascular death
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - Meningitis, pneumonia, and sepsis are
major causes of death in children with SCD, and pneumococcal sepsis … is known to progress from
the onset of fever to death in fewer than 12 hours (Gaston, Verter, Woods … ability to resist infections and leaving them at risk for sudden debilitating illnesses and even
death
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - dislodge or block leg or arm
blood flow, causing serious illness, disability, and in some cases,
death … from sudden complications that can lead to increased
morbidity and length of stay, and in some cases, death … chance of adverse drug
events (ADEs), which can lead to repeat ED visits, hospitalization, or
even death … forms in a vein—includes both deep venous thrombosis
(DVT) and pulmonary embolism (PE) and can lead to death … drug events (ADEs), improved patient outcomes, reduced
costs, and most importantly, reduced risk of death
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-update-2015_research-protocol.pdf
January 01, 2015 - morbidity, and health care costs.1-3 Diabetes-related
complications were the seventh leading cause of death … Diabetes increases the
risk of cardiovascular-related death nearly two-fold and is the leading cause … Age and the burden of death attributable
to diabetes in the United States.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021769-anderson-final-report-2016.pdf
January 01, 2016 - The PHQ-9 also includes one item that asks the patient about thoughts
of death or hurting themselves … For the current study, two additional items were asked of
patients who indicated any thoughts of death … and Wilson Pace for any patient who met the following criteria: (1) indicated
they had thoughts of death
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www.ahrq.gov/sites/default/files/2025-02/woods-report.pdf
January 01, 2025 - relative dissatisfaction (7%), prolonged hospital stay
(4%), physical/psychological injury (3%), and death … One end of the line is labeled perfect health,
and the other end is labeled impending death (death within
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Anticoagulant Care in Transitions Between Hospital and Home
Hemorrhagic events
Readmission
ED LOS
Death … no statistically significant differences for outcomes (i.e., recurrent venous thromboembolism (VTE), death … prescribing appropriateness but no statistically significant differences in admission or in-patient death