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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: … Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: … https://psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety … The
authors suggest that examining deaths alone does not provide a complete picture of the epidemiology … https://psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
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psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis. … Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using … Researchers applied change analysis, a type of root cause analysis, to their review of preventable deaths … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - This study used the Global Trigger Tool to review all inpatient deaths in a Norwegian hospital for … The study did not assess the preventability of deaths; prior studies have consistently found that about … 5% in-hospital deaths are likely preventable.
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psnet.ahrq.gov/node/60536/psn-pdf
May 27, 2020 - Nursing home workers warned government about safety
violations before COVID-19 outbreaks and deaths. … psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-
outbreaks-and-deaths … psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths … psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Table 1: Number of live births, maternal deaths, and maternal mortality rates, by race and Hispanic … per 100,000 live births.
2Includes deaths for race and Hispanic-origin groups not shown separately, … Maternal deaths occur while pregnant or within 42
days of being pregnant. … Racial/Ethnic Disparities in Pregnancy-Related Deaths -
United States, 2007-2016. … Incidence of maternal sepsis and sepsis-related maternal
deaths in the United States.
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psnet.ahrq.gov/node/47054/psn-pdf
July 19, 2018 - A target to achieve zero preventable trauma deaths
through quality improvement. … A Target to Achieve Zero Preventable Trauma Deaths Through
Quality Improvement. … https://psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement … , but the actual number of preventable trauma deaths in the United States
remains unknown. … https://psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
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psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
January 05, 2017 - The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths … December 21, 2014
Saving lives by studying deaths: using standardized mortality reviews
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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical
care. … https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
This … The authors describe operational aspects of SASM and report on
nearly 45,000 deaths reviewed in the … Findings include a decrease over time in the percentage
of deaths for which adverse events in management
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psnet.ahrq.gov/node/36037/psn-pdf
June 25, 2009 - Preventable deaths in patients admitted from emergency
department. … Preventable deaths in patients admitted from emergency department.
Emerg Med J. 2006;23(6):452-5. … https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
The authors retrospectively … found that inappropriate medical management,
delay in diagnosis, and misdiagnosis contributed to the deaths … https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
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psnet.ahrq.gov/node/38547/psn-pdf
April 08, 2009 - Mortality related to anaesthesia in France: analysis of
deaths related to airway complications. … Mortality related to anaesthesia in France: analysis of deaths
related to airway complications. … https://psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-
complications … https://psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications … https://psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
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psnet.ahrq.gov/node/41537/psn-pdf
December 30, 2014 - Deaths due to medical error: jumbo jets or just small
propeller planes? … Deaths due to medical error: jumbo jets or just small propeller planes? … https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
This … https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
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/35984/psn-pdf
January 02, 2017 - The clinical transformation of Ascension Health:
eliminating all preventable injuries and deaths. … The clinical transformation of Ascension Health: eliminating all
preventable injuries and deaths. … psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-
and-deaths … psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths … psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
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psnet.ahrq.gov/issue/effective-intervention-limiting-opioid-prescribing-means-reducing-opioid-analgesic-misuse-and
July 29, 2020 - intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths … intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths … intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths … Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Comparison of military and civilian methods for determining potentially preventable deaths … Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic … Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic … May 8, 2024
Surveying care teams after in-hospital deaths to identify preventable harm
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psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
October 12, 2022 - Study
Medical record review of deaths, unexpected intensive care unit admissions … Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: … Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: … November 16, 2022
Drug-related deaths among inpatients: a meta-analysis.
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Study
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis … Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root … Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root … June 23, 2021
Retrospective analysis of reported suicide deaths and attempts on Veterans
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psnet.ahrq.gov/node/40727/psn-pdf
October 21, 2011 - Saving lives by studying deaths: using standardized
mortality reviews to improve inpatient safety. … Saving lives by studying deaths: using standardized mortality reviews to improve
inpatient safety. … https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve … https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety … https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety
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psnet.ahrq.gov/node/33956/psn-pdf
March 07, 2005 - The Report of the Manitoba Pediatric Cardiac Surgery
Inquest: An Inquiry into Twelve Deaths at the Winnipeg … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths- … winnipeg-health
A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health … https://psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
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psnet.ahrq.gov/node/45039/psn-pdf
September 27, 2016 - Deaths following prehospital safety incidents: an analysis
of a national database. … Deaths following prehospital safety incidents: an analysis of a national database. … https://psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database … This study examined patient deaths
related to ambulance safety incidents and found that the majority … https://psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
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psnet.ahrq.gov/node/43230/psn-pdf
July 15, 2014 - Hospital deaths in patients with sepsis from 2
independent cohorts. … Hospital deaths in patients with sepsis from 2 independent cohorts.
JAMA. 2014;312(1):90-2. … https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
This study used national … databases to demonstrate that sepsis accounted for more than one-third of all in-
hospital deaths among … https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
https://psnet.ahrq.gov