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Showing results for "deaths".

21. One doctor. 25 deaths. How could it have happened? | PSNet
    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 Cite Citation Citation Text: One doctor. 25 deaths

22. Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet
    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

23. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet
    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.

24. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet
    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

25. Measuring and Responding to Deaths From Medical Errors | PSNet
    psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
    April 01, 2008 - Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. … Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. … in which there were very few deaths. … One commonly used method for identifying preventable deaths is reviewing deaths in patients with diagnoses … they should implement formal strategies for identifying preventable deaths and analyzing these deaths

26. Death by handwriting. | PSNet
    psnet.ahrq.gov/issue/death-handwriting
    October 19, 2022 - Newspaper/Magazine Article Death by handwriting. Citation Text: Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

27. A recent two-fold increase in medical adverse event deaths among US inpatients. | PSNet
    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.

28. A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient safety in hospitals. | PSNet
    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

29. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. | PSNet
    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.

30. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. | PSNet
    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

31. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet
    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:

32. Hospital Reporting of Deaths Related to Restraint and Seclusion.  | PSNet
    psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
    September 20, 2006 - Book/Report Hospital Reporting of Deaths Related to Restraint and Seclusion.  … Citation Text: Hospital Reporting of Deaths Related to Restraint and Seclusion.  Levinson DR. … findings from an investigation into the reporting of and response to restraint and seclusion-related deaths … URL Cite Citation Citation Text: Hospital Reporting of Deaths

33. Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet
    psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
    September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United … Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strategies for Prevention, 13 States … 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 as … August 26, 2020 Drug and opioid-involved overdose deaths- United States, 2013-2017.

34. A conceptual framework to reduce inpatient preventable deaths. | PSNet
    psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
    April 24, 2018 - Study A conceptual framework to reduce inpatient preventable deaths. … A Conceptual Framework to Reduce Inpatient Preventable Deaths. … A Conceptual Framework to Reduce Inpatient Preventable Deaths.

35. Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet
    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.

36. The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. | PSNet
    psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
    October 05, 2022 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed flaws in the … Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths

37. Hospital deaths in patients with sepsis from 2 independent cohorts. | PSNet
    psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
    November 21, 2021 - Study 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. … national databases to demonstrate that sepsis accounted for more than one-third of all in-hospital deaths … Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2.

38. Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet
    psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
    June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids such … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … May 22, 2019 Prevention of prescription opioid misuse and projected overdose deaths in

39. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
    psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
    June 17, 2014 - Study Learning from preventable deaths: exploring case record reviewers' narratives … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Researchers applied change analysis , a type of root cause analysis , to their review of preventable deaths … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … June 17, 2014 Preventable deaths due to problems in care in English acute hospitals:

40. Maternal deaths at MetroWest hospital prompt state probes. | PSNet
    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 Cite Citation Citation Text: Maternal deaths … September 28, 2005 View More Related Resources Dangers and deaths … March 8, 2019 Lost Mothers: Maternal Care and Preventable Deaths.