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psnet.ahrq.gov/node/47750/psn-pdf January 30, 2019 - secondary-analysis
The seminal report, To Err Is Human, famously estimated that 44,000 to 98,000 deaths … For the study period, researchers
attribute 123,603 deaths to AEMT. … The number of such deaths increased, but the US age-standardized
mortality rate for deaths due to AEMT … An Annual Perspective discussed challenges associated with measuring and responding to deaths
associated … two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
https://psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors 
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psnet.ahrq.gov/node/43506/psn-pdf September 10, 2014 - Review of Alleged Patient Deaths, Patient Wait Times, and
Scheduling Practices at the Phoenix VA Health … https://psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices … The investigators concluded that no deaths or serious harm could be
directly attributed to the scheduling … https://psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health … psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths 
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psnet.ahrq.gov/node/41079/psn-pdf October 16, 2012 - Effects of nurse staffing and nurse education on patient
deaths in hospitals with different nurse work … Effects of nurse staffing and nurse education on patient deaths in
hospitals with different nurse work … https://psnet.ahrq.gov/issue/effects-nurse-staffing-and-nurse-education-patient-deaths-hospitals-different … https://psnet.ahrq.gov/issue/effects-nurse-staffing-and-nurse-education-patient-deaths-hospitals-different-nurse-work … https://psnet.ahrq.gov/issue/effects-nurse-staffing-and-nurse-education-patient-deaths-hospitals-different-nurse-work 
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psnet.ahrq.gov/node/837517/psn-pdf June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post-
pandemic NHS.
June 22, 2022
Hunt J. … https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
The National Health … https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
https://psnet.ahrq.gov 
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psnet.ahrq.gov/node/36383/psn-pdf March 03, 2011 - Patterns of errors contributing to trauma mortality:
lessons learned from 2,594 deaths. … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths … The researchers audited 9 years of records related to inpatient trauma deaths and found identifiable … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths 
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psnet.ahrq.gov/node/36593/psn-pdf November 17, 2011 - Infant deaths associated with cough and cold
medications—two states, 2005. … Infant deaths associated with cough and cold medications--two states, 2005. … https://psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
The … https://psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
https 
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psnet.ahrq.gov/node/44586/psn-pdf June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and
Estimates of Cost Savings and Deaths Averted From 2010 … /psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-
deaths-averted … the report estimates a $12 billion savings in health care costs and 50,000 fewer
hospital patient deaths … ://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted … ://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted 
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psnet.ahrq.gov/node/37441/psn-pdf November 01, 2012 - Saving Mothers' Lives: Reviewing Maternal Deaths to
Make Motherhood Safer—2003–2005. … https://psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer-
2003 … https://psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer-2003 … -2005
https://psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer 
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psnet.ahrq.gov/node/42734/psn-pdf November 13, 2013 - Healthcare Inspection—Emergency Department Patient
Deaths: Memphis VAMC, Memphis, Tennessee. … https://psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc- … https://psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee … https://psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee 
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psnet.ahrq.gov/node/40292/psn-pdf March 16, 2011 - Patterns of unexpected in-hospital deaths: a root cause
analysis. … Patterns of unexpected in-hospital deaths: a root cause analysis. … https://psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
This literature … https://psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
https://psnet.ahrq.gov 
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psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead-she-became-statistic July 22, 2020 - This story discusses a case of an  American Indian/Alaska Native  mother and infants whose deaths may … Resources From the Same Author(s) 
 
 
 
 
 
 
 A spike in people dying at home suggests coronavirus deaths … August 26, 2020 
 
 
 
 
 
 
 
 Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them 
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psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation May 24, 2023 - professionalism  at the individual and organization level as a contributor to the preventable 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/primer/maternal-safety January 10, 2024 - Table 1:   Number of live births, maternal deaths, and maternal mortality rates, by race and Hispanic … per 100,000 live births. 2 Includes 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/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/45595/psn-pdf April 19, 2017 - Estimating deaths due to medical error: the ongoing
controversy and why it matters. … Estimating deaths due to medical error: the ongoing controversy and why it
matters. … https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters … However, their deaths may be due to
the underlying illness rather than the medical care they received … https://psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters 
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psnet.ahrq.gov/node/44701/psn-pdf June 07, 2016 - The problem with preventable deaths.
June 7, 2016
Hogan H. The problem with preventable deaths. … https://psnet.ahrq.gov/issue/problem-preventable-deaths
A key goal of patient safety improvement is … https://psnet.ahrq.gov/issue/problem-preventable-deaths
https://psnet.ahrq.gov/issue/preventing-medical-injury 
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review May 18, 2022 - influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths … April 19, 2017 
 
 
 
 
 
 
 
 The problem with preventable deaths. … June 7, 2016 
 
 
 
 
 
 
 
 Learning from preventable deaths: exploring case record reviewers' narratives … November 12, 2014 
 
 
 
 
 
 
 
 Avoidability of hospital deaths and association with hospital-wide … October 8, 2016 
 
 
 
 
 
 
 
 Relationship between preventable hospital deaths and other measures of 
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psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two October 16, 2024 - the  DEER taxonomy ) to identify diagnostic errors among patients with preventable or non-preventable deaths … diagnostic errors and diagnostic process failures contributing to death were higher in preventable deaths … (56%) but were also present in non-preventable deaths (17%). 
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psnet.ahrq.gov/node/60950/psn-pdf September 23, 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 … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states 
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psnet.ahrq.gov/node/47211/psn-pdf November 16, 2018 - A conceptual framework to reduce inpatient preventable
deaths. … A Conceptual Framework to Reduce Inpatient Preventable
Deaths. … https://psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
This analysis … https://psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
https://psnet.ahrq.gov