-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-surgical-report-cards.pdf
July 01, 2023 - Heart surgery death rates decline in New York. New York Times. December 5,
1990;Sect. B10.
5.
-
psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - events are serious and costly errors that may lead to consequential harm, or in the most serious cases, death
-
psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Psychological outcomes of debriefing healthcare providers who experience expected and unexpected patient death
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - severe retinopathy of prematurity,
poor neurodevelopmental outcomes, prolonged hospitalization, and death
-
psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - Unfortunately, stroke remains a leading cause of disability and death that can affect a wide range of
-
psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - effects of laryngospasm
Hypoxemia with hypoxic cardiac arrest, hypoxic ischemic encephalopathy and death
-
psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - April 3, 2013
Relationship between preventability of death after coronary artery bypass
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/advanced-care-decision-aids_research-protocol.pdf
December 09, 2013 - Healthy people engaged in estate planning may consider
common decisions that arise near death, such
-
digital.ahrq.gov/sites/default/files/docs/lessons-covid19-slides-07012021.pdf
July 01, 2021 - Needed
8
8
Result: Too Hard to Make “LHS Cycle” Work
9
COVID-19 Pandemic:
• Highlights life / death
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - The patient’s death may be result of errors in each of the cardinal dimensions of clinical decision-making
-
psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - than
24 hours have mortality rates of 23%–75% (23-28), representing an increase of relative risk for death
-
psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - Errors in Sepsis Management
May 1, 2015
Inquiry into reporter's death
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/acs-pci-adjunctive-devices_surveillance.pdf
April 01, 2013 - aspiration
did not have better outcomes than those
treated with PCI alone (composite
outcome of death
-
psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - mortality for ED patients in the post-EC3 cohort; number needed to treat [NNT]=220 patients to reduce 1 death
-
psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - made prompt and proactive management challenging, ultimately resulting in airway collapse
and patient death
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Surgery
9
Patients whose surgical teams exhibited fewer teamwork behaviors were at higher risk for death
-
hcup-us.ahrq.gov/reports/statbriefs/sb143.pdf
March 01, 2012 - untreated tooth decay could result in loss of teeth and difficulty eating,
and it can even lead to death
-
hcup-us.ahrq.gov/reports/statbriefs/sb119.pdf
August 01, 2011 - over 10 million
Americans participate in paintball activities each year.4 However,
serious injury or death
-
hcup-us.ahrq.gov/reports/methods/2008_02.pdf
January 01, 2008 - Pneumothorax (PSI 6)
Postoperat ive Sepsis (PSI 13)
Selec ted Infec t ions Due to Medical Care (PSI 7)
Death … PSIs AND STATE-LEVEL FACTORS USED IN ANALYSIS
PROVIDER-LEVEL PSIs PROVIDER-LEVEL PSIs, continued
Death … Take PSI 2 for death in low mortality
DRGs where, because of the objective basis for this outcome, reported … ) 23 Patient Safety in Hospitals in 2004
RESULTS OF ANALYSIS OF STATE-LEVEL VARIATION FOR 2004:
DEATH … E-code
usage** was
associated*** with
States' PSI rates
Complications of anesthesia (PSI 1) Yes No
Death
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Actual causes of
death in the United States. JAMA
1993;270:2207-12.
39. … Risk
factors for sudden infant death syndrome
among northern plains Indians. … Maternal
smoking and sudden infant death syndrome:
epidemiological study related to pathology. … Lung tissue concentrations of nicotine in
sudden infant death syndrome (SIDS). … Sudden infant
death syndrome and reported maternal
smoking during pregnancy.