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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - influencing implementation of
a new national patient safety policy in England: lessons
from 'Learning from Deaths … influencing implementation of a new national
patient safety policy in England: lessons from ‘Learning from Deaths … understanding-factors-influencing-implementation-new-national-patient-safety-
policy-england
Autopsies following unexpected deaths … In 2017, the National Health Service (NHS) implemented “Learning from Deaths”
(LfD) to report, learn … from, and avoid potentially preventable deaths.
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psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
September 09, 2020 - risk for adverse drug events , and increases in opioid abuse have led to an epidemic of overdose deaths … data sources to determine whether implementing a drug monitoring program decreased opioid overdose deaths … December 21, 2022
Drug-related deaths among inpatients: a meta-analysis. … June 26, 2019
Deaths among opioid users: impact of potential inappropriate prescribing … March 6, 2019
Prevention of prescription opioid misuse and projected overdose deaths
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psnet.ahrq.gov/issue/there-link-between-nursing-home-reported-quality-and-covid-19-cases-evidence-california
June 30, 2021 - state-level data to examine the association between nursing home-reported quality and COVID-19 cases and deaths … results indicate that nursing homes with higher ratings were less likely to experience COVID-19 cases and deaths … April 20, 2022
Role of nursing home quality on COVID-19 cases and deaths: evidence from … Homes
February 24, 2022
Role of nursing home quality on COVID-19 cases and deaths … Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths
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psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
November 29, 2017 - Newspaper/Magazine Article
Mental health conditions leading cause of pregnancy-related deaths … Citation Text:
Mental health conditions leading cause of pregnancy-related deaths. Quick Safety. … Citation
Citation Text:
Mental health conditions leading cause of pregnancy-related deaths
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psnet.ahrq.gov/node/73978/psn-pdf
October 20, 2021 - Preventing pregnancy-related mental health deaths:
insights from 14 US maternal mortality review
committees … Preventing pregnancy-related mental health deaths: insights
from 14 US maternal mortality review committees … https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal … to 2017 from 14 state Maternal Mortality Review Committees and found that 11%
of pregnancy-related deaths … https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - Article
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths … Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. … Citation
Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths … July 22, 2020
A spike in people dying at home suggests coronavirus deaths in Houston
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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. … Role of nursing home quality on COVID-19 cases and deaths: evidence from
Florida nursing homes. … https://psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-
nursing-homes … Florida, this study explored the association
between nursing home characteristics and COVID-19 cases and deaths … https://psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
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psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling … Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the … The investigators concluded that no deaths or serious harm could be directly attributed to the scheduling … Cite
Citation
Citation Text:
Review of Alleged Patient Deaths … Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths
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psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
January 30, 2019 - Newspaper/Magazine Article
A spike in people dying at home suggests coronavirus deaths … A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. … A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. … May 25, 2022
Retrospective analysis of reported suicide deaths and attempts on Veterans … Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths
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psnet.ahrq.gov/node/38294/psn-pdf
March 01, 2011 - Factors associated with unanticipated day of surgery
deaths in Department of Veterans Affairs hospitals … Factors associated with unanticipated day of surgery deaths in
Department of Veterans Affairs hospitals … , and concludes that
patient and surgical factors were responsible for most deaths. … The utility of examining unexpected deaths
was discussed in a recent AHRQ WebM&M commentary. … https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - Pregnancy-related deaths: saving women’s lives before,
during and after delivery. … https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery … It reports that 60% of these deaths are preventable and provides suggestions for families,
clinicians … https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
https … perspective/maternal-safety
https://psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - How Abortion Bans Lead to Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. … How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. … Resources From the Same Author(s)
Report links Georgia's abortion ban to preventable deaths
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psnet.ahrq.gov/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - The seminal report, To Err Is Human , famously estimated that 44,000 to 98,000 deaths per year in the … For the study period, researchers attribute 123,603 deaths to AEMT. … The number of such deaths increased, but the US age-standardized mortality rate for deaths due to AEMT … An Annual Perspective discussed challenges associated with measuring and responding to deaths associated
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psnet.ahrq.gov/node/50580/psn-pdf
October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths:
inside an unfolding investigation at a VA hospital … https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-
investigation-va-hospital … This story examines how trends in deaths at a VA medical center were slow to
raise concerns, what exacerbated … https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital … https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Newspaper/Magazine Article
Algorithm that detects sepsis cut deaths by nearly 20 … Citation Text:
Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. … Cite
Citation
Citation Text:
Algorithm that detects sepsis cut deaths
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psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
June 06, 2018 - The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year … This commentary reveals how one large health care system successfully reduced preventable deaths and … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year
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psnet.ahrq.gov/node/34639/psn-pdf
March 02, 2011 - Preventable deaths: who, how often, and why?
March 2, 2011
Dubois RW, Brook RH. … Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. … investigating the prevalence of preventable deaths. … of deaths may serve as catalysts for improved performance. … https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
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psnet.ahrq.gov/node/836714/psn-pdf
March 09, 2022 - Intraoperative deaths: who, why, and can we prevent
them? … Intraoperative deaths: who, why, and can we prevent
them? … https://psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
While interoperative … deaths (IODs) are rare, they are catastrophic events. … https://psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
August 06, 2016 - Book/Report
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. … Citation Text:
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. … Cite
Citation
Citation Text:
Zero: Eliminating Unnecessary Deaths
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psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes
May 03, 2017 - Newspaper/Magazine Article
Popular blood thinner causing deaths, injuries in nursing