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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes … Deaths due to medical error: jumbo jets or just small propeller planes? … Deaths due to medical error: jumbo jets or just small propeller planes? … June 21, 2017
Estimating deaths due to medical error: the ongoing controversy and why
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psnet.ahrq.gov/node/844553/psn-pdf
February 15, 2023 - Mental health conditions leading cause of pregnancy-
related deaths. … https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
Maternal … https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
https:// … eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights
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psnet.ahrq.gov/node/46704/psn-pdf
December 04, 2018 - Surveying care teams after in-hospital deaths to identify
preventable harm and opportunities to improve … Surveying Care Teams after in-Hospital Deaths to Identify Preventable
Harm and Opportunities to Improve … https://psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and … The survey aimed to identify deaths that merited further
investigation. … Respondents expressed needs for both clinician support following patient deaths
and greater advance
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psnet.ahrq.gov/node/37030/psn-pdf
June 23, 2017 - A series of anesthesia-related maternal deaths in
Michigan, 1985-2003. … A series of anesthesia-related maternal deaths in Michigan, 1985-
2003. … https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
The researchers … retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care
and found that … https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
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psnet.ahrq.gov/node/74694/psn-pdf
January 26, 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.
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psnet.ahrq.gov/node/853247/psn-pdf
September 06, 2023 - Dangers and deaths around black pregnancies seen as a
‘completely preventable’ health crisis. … https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable- … https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis … https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
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psnet.ahrq.gov/node/45113/psn-pdf
May 11, 2016 - Early studies
summarized in the seminal To Err Is Human report yielded an estimate of 44,000 to 98,000 deaths … A recent British study found that only
3.6% of inpatient deaths were potentially avoidable, which translates … to approximately 26,000 preventable
deaths each year in the United States. … This commentary argues that preventable deaths total more than
250,000 deaths per year, which would … It is
important to note that discerning the preventability of adverse events (and consequent deaths)
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psnet.ahrq.gov/node/846764/psn-pdf
March 29, 2023 - Senators threaten consequences after VA confirms 4
deaths tied to computer system tested in Spokane. … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer- … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
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psnet.ahrq.gov/node/47758/psn-pdf
April 17, 2019 - contribution-adverse-events-death-hospitalised-patients
This study used the Global Trigger Tool to review all inpatient deaths … The study did
not assess the preventability of deaths; prior studies have consistently found that about … 5% in-hospital
deaths are likely preventable. … contribution-adverse-events-death-hospitalised-patients
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
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psnet.ahrq.gov/node/34641/psn-pdf
March 03, 2011 - Study of the deaths associated with anesthesia and
surgery: based on a study of 599, 548 anesthesias … A study of the deaths associated with anesthesia and surgery: based on a study
of 599, 548 anesthesias … https://psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-
anesthesias-ten … The researchers retrospectively reviewed 7977 deaths in 599,548 patients from
1948 to 1952 and determined … The researchers state that, in 1952, there were 2.4 times as many deaths
from anesthesia as from poliomyelitis
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psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
June 02, 2021 - Researchers utilized data from the Centers for Disease Control and Prevention to examine opioid-related deaths … During this period, opioid-related deaths increased by nearly 350%. … Overdose deaths occurred more among men than women and were most prevalent in patients aged 15 to 34 … These findings raise concern regarding the increasing proportion of deaths associated with opioid use
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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 … Analysis of deaths related to anesthesia in the period 1996-
2004 from closed claims registered by the … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-
registered-danish-patient … algorithms, preoperative evaluation, training, education, and use of
protocols might prevent such deaths … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
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psnet.ahrq.gov/issue/sign-safety
April 15, 2020 - devise plans to improve safety in hospitals, the Sign up to Safety campaign aims to prevent 6000 patient deaths … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … March 1, 2023
Is anybody 'Learning' from deaths?
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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 … The quality 'journey' at Ascension Health: how we've prevented at
least 1,500 avoidable deaths a year … https://psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-
deaths-year-and-aim … This commentary reveals how one large health care system successfully reduced preventable deaths and … https://psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable? … Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-
deaths-preventable … More than half of unexpected deaths in the sample were related to a
preventable medical error, suggesting … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
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psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - Drug and opioid-involved overdose deaths- United States,
2013-2017. … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
This Centers … The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids
such … https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
https:/
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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 … Classifying errors in preventable and potentially preventable trauma
deaths: a 9-year review using the … https://psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths … -9-
year-review-using
Approximately 1 in 13 deaths of patients with major trauma were considered preventable … https://psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths
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psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
November 17, 2021 - cases identified, the majority involved delays in care (26%), elopements (15%), suicide attempts and deaths … October 29, 2017
Retrospective analysis of reported suicide deaths and attempts on Veterans … September 23, 2020
Hemodialysis bleeding events and deaths: an 18-year retrospective … February 8, 2023
Retrospective analysis of reported suicide deaths and attempts on Veterans
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates. … Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. … https://psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient … https://psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates … https://psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
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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. … Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. … https://psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-
preventability … https://psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability … https://psnet.ahrq.gov/issue/preventing-medical-injury
https://psnet.ahrq.gov/issue/problem-preventable-deaths