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psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
January 23, 2019 - Study
Classic
Increases in drug and opioid overdose deaths—United … Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. … Opioid overdose deaths are increasing each year, through 2015, and current rates are the highest ever … The types of opioids most commonly involved in overdose deaths are natural and semisynthetic opioids, … Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015.
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psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
March 13, 2019 - Review
Patterns of unexpected in-hospital deaths: a root cause analysis. … Patterns of unexpected in-hospital deaths: a root cause analysis. … Patterns of unexpected in-hospital deaths: a root cause analysis.
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psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
August 18, 2021 - influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths … In 2017, the National Health Service (NHS) implemented “ Learning from Deaths ” (LfD) to report, learn … from, and avoid potentially preventable deaths. … April 19, 2023
Is anybody 'Learning' from deaths? … March 6, 2019
Prevention of prescription opioid misuse and projected overdose deaths
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psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
October 28, 2020 - Commentary
What can we learn from coroners’ reports on preventable deaths? … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … This article discusses an effort in the United Kingdom to learn from preventable deaths reported to … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943.
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psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths
August 10, 2016 - Special or Theme Issue
Lost Mothers: Maternal Care and Preventable Deaths. … Citation Text:
Lost Mothers: Maternal Care and Preventable Deaths. … Cite
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Lost Mothers: Maternal Care and Preventable Deaths … March 25, 2009
A spike in people dying at home suggests coronavirus deaths in Houston … February 14, 2018
Maternal deaths at MetroWest hospital prompt state probes.
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psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
February 22, 2023 - The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … Three years in, the identification, reporting, and investigation of deaths has improved, but evidence … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … February 22, 2023
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative
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psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
July 20, 2022 - Study
Classic
Preventable deaths due to problems in care … Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review … 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 … November 12, 2014
Relationship between preventable hospital deaths and other measures
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psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
April 17, 2024 - Study
Surveying care teams after in-hospital deaths to identify preventable harm … Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Improve … The survey aimed to identify deaths that merited further investigation. … Researchers identified five deaths that would not have come to light through other hospital case review … Respondents expressed needs for both clinician support following patient deaths and greater advance
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psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
March 29, 2023 - Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths … Intraoperative deaths are rare, catastrophic events. … This retrospective review of 154 intraoperative deaths occurring between March 2010 and August 2022 at … one academic medical center found that most deaths occurred during emergency procedures.
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psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
July 08, 2020 - Study
Unexpected death within 72 hours of emergency department visit: were those deaths … Unexpected death within 72 hours of emergency department visit: were those deaths preventable? … More than half of unexpected deaths in the sample were related to a preventable medical error, suggesting … Unexpected death within 72 hours of emergency department visit: were those deaths preventable? … August 4, 2015
Classifying errors in preventable and potentially preventable trauma deaths
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psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - Newspaper/Magazine Article
Maternal deaths at MetroWest hospital prompt state probes … Citation Text:
Maternal deaths at MetroWest hospital prompt state probes. Kowalczyk L. … Copy URL
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Maternal deaths … September 28, 2005
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Dangers and deaths … March 8, 2019
Lost Mothers: Maternal Care and Preventable Deaths.
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psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
February 24, 2011 - Study
Classic
Estimating hospital deaths due to medical … Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. … The authors attempt to address the concern that the estimates of deaths related to medical errors are … The authors retrospectively reviewed medical records of in-hospital deaths. … Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
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psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study
November 12, 2014 - Study
Relationship between preventable hospital deaths and other measures of safety … Relationship between preventable hospital deaths and other measures of safety: an exploratory study. … A classic British study found that only 5.2% of in-hospital deaths were considered preventable, challenging … Relationship between preventable hospital deaths and other measures of safety: an exploratory study. … November 12, 2014
Preventable deaths due to problems in care in English acute hospitals
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psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
March 24, 2021 - Commentary
Zero preventable deaths after traumatic injury: an achievable goal. … Zero preventable deaths after traumatic injury. … Zero preventable deaths after traumatic injury. … during 20 years: in pursuit of zero preventable deaths. … : in pursuit of zero preventable deaths.
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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
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Zero: Eliminating Unnecessary Deaths
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psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
November 12, 2014 - Study
Classic
Avoidability of hospital deaths and association … Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case … , defined as those deaths linked to errors. … November 12, 2014
Relationship between preventable hospital deaths and other measures … June 17, 2014
Preventable deaths due to problems in care in English acute hospitals:
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psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
April 06, 2022 - Study
A recent two-fold increase in medical adverse event deaths among US inpatients … A recent two-fold increase in medical adverse event deaths among US inpatients. … this study found that medical adverse events were listed as the underlying cause of death in 0.24% of deaths … From 2014 to 2019, researchers identified a nearly 16% annual increase in deaths attributed to adverse … A recent two-fold increase in medical adverse event deaths among US inpatients.
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psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
October 19, 2022 - Review
A systematic narrative review of coroners’ Prevention of Future Deaths reports … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … issue Prevention of Future Death reports (PFD) when they determine taking actions could prevent future deaths … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … Related Resources
What can we learn from coroners’ reports on preventable deaths
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psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
February 26, 2009 - Study
A series of anesthesia-related maternal deaths in Michigan, 1985-2003. … A series of anesthesia-related maternal deaths in Michigan, 1985-2003. … The researchers retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care … system errors, lapses in monitoring, and inadequate supervision by anesthesiologists were factors in the deaths … A series of anesthesia-related maternal deaths in Michigan, 1985-2003.
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psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
November 06, 2019 - Newspaper/Magazine Article
One doctor. 25 deaths. … Citation Text:
One doctor. 25 deaths. How could it have happened? … This news story discusses a case involving unexplained patient deaths under the care of one physician … Copy URL
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One doctor. 25 deaths