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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - 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. … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-
higher-reported … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported … https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
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psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the United … States compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to an adverse event. … Procedure-related complications contributed to the majority of adverse event deaths. … Resources From the Same Author(s)
A recent two-fold increase in medical adverse event 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/47946/psn-pdf
May 22, 2019 - Vital signs: pregnancy-related deaths, United States,
2011-2015, and strategies for prevention, 13 states … Vital Signs: Pregnancy-Related Deaths, United States, 2011-
2015, and Strategies for Prevention, 13 … https://psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies … The Centers for Disease Control and Prevention examined trends in
pregnancy-related deaths between 2011 … About 60% of deaths were deemed preventable, and leading causes
included cardiovascular events such
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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/node/867144/psn-pdf
November 13, 2024 - How Abortion Bans Lead to
Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024. … https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
Healthcare policy … https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
https://psnet.ahrq.gov … hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
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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/issue/increase-us-medication-error-deaths-between-1983-and-1993
March 14, 2022 - Study
Classic
Increase in US medication-error deaths between … Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4. … Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4.
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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/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
August 05, 2009 - Newspaper/Magazine Article
Suspicious insulin injections, nearly a dozen deaths: … Citation Text:
Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation … This story examines how trends in deaths at a VA medical center were slow to raise concerns, what exacerbated … Cite
Citation
Citation Text:
Suspicious insulin injections, nearly a dozen deaths
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psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
August 12, 2020 - Study
Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida … Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. … Florida, this study explored the association between nursing home characteristics and COVID-19 cases and deaths … Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes.
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psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
January 15, 2020 - to identify incident characteristics and contributing factors for medical or surgical complication deaths … to identify incident characteristics and contributing factors for medical or surgical complication deaths … Classification for Patient Safety (ICPS) to identify characteristics and risk factors of preventable deaths … to identify incident characteristics and contributing factors for medical or surgical complication deaths
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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/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/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
May 01, 2017 - Classic
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … Citation Text:
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … , the report estimates a $12 billion savings in health care costs and 50,000 fewer hospital patient deaths … Citation Text:
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths
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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/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/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths
November 01, 2023 - Audiovisual
California doctors alarmed as state links their opioid prescriptions to deaths … Citation Text:
California doctors alarmed as state links their opioid prescriptions to deaths. … Citation
Citation Text:
California doctors alarmed as state links their opioid prescriptions to deaths
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psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review … Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review … https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective … based on prior classic studies of preventable inpatient
mortality and found that only 5.2% of deaths … The majority of preventable
deaths occurred in patients whose life expectancy was considered to be less
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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