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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/node/841149/psn-pdf
December 07, 2022 - 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/45473/psn-pdf
April 24, 2018 - validity-selected-ahrq-patient-safety-indicators-based-va-national-surgical-quality
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals … https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
June 03, 2020 - The authors report the results of implementing two strategies to eliminate preventable deaths: tight … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths
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psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety
September 03, 2011 - Study
Saving lives by studying deaths: using standardized mortality reviews to improve … 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. … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths
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psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
September 12, 2018 - National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths … National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths … National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths … July 24, 2017
Zero preventable deaths after traumatic injury: an achievable goal.
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psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
September 23, 2015 - Investigators found a higher rate of 30-day deaths for weekend admissions compared to midweek ones. … Of note, there was a reduced risk of deaths occurring on the weekends themselves; the risk came on subsequent … September 27, 2016
Deaths due to medical error: jumbo jets or just small propeller planes … April 17, 2013
Preventable deaths due to problems in care in English acute hospitals:
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psnet.ahrq.gov/node/39777/psn-pdf
November 04, 2012 - /economic-measurement-medical-errors
Although the Institute of Medicine's estimate of up to 98,000 deaths … case–control study analyzed a large claims database of more than 24 million patients to
identify errors, deaths … occur in
hospitalized patients yearly, resulting in $19.5 billion in excess costs and 2500 excess deaths … psnet.ahrq.gov/issue/err-human-building-safer-health-system
https://psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
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psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
August 16, 2023 - Newspaper/Magazine Article
Dangers and deaths around black pregnancies seen as a … Citation Text:
Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health … Copy URL
Cite
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Citation Text:
Dangers and deaths
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - have been only a small fraction (1.5%) of the number of resident deaths. … of weekly cases and deaths to date in the pandemic, rising to 5,333 confirmed cases and 565 deaths in … Nursing home deaths soar past 3,600 in alarming surge [press release]. … State Reporting of Cases and Deaths Due to COVID-19 in Long-Term Care Facilities. … Variation in COVID-19 hospitalizations and deaths across New York City boroughs.
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psnet.ahrq.gov/node/46334/psn-pdf
August 09, 2017 - Maternal deaths at MetroWest hospital prompt state
probes.
August 9, 2017
Kowalczyk L. … https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
Maternal death is … https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
July 19, 2023 - Cases are categorized by the type of anesthesia given, the number of deaths recorded, and the characteristics … When deaths were related to the use of muscle relaxants, errors of omission or commission were always … March 28, 2011
Study of the deaths associated with anesthesia and surgery: based on a
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Control and Prevention report that the US pregnancy-related
mortality ratio has increased from 7.2 deaths … per 100,000 live births in 1987 to 18.0 deaths per 100,000 live
births in 2014. … In a study of
pregnancy-related deaths from 2011–2013 in the US, approximately 30% of these deaths occurred … maternal and pregnancy-related mortality,
careful analysis consistently demonstrates that at least 50% of deaths … per 100,000 births vs. 12.4 deaths per 100,000).
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - Study
Contributory factors and patient harm including deaths associated direct acting … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants ( … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (
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psnet.ahrq.gov/node/44349/psn-pdf
July 22, 2015 - Popular blood thinner causing deaths, injuries in nursing
homes. … July 22, 2015
https://psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes … https://psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary-deaths
January 19, 2022 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths … Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths … Text:
Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths
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psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
September 21, 2022 - Newspaper/Magazine Article
Senators threaten consequences after VA confirms 4 deaths … Citation Text:
Senators threaten consequences after VA confirms 4 deaths tied to computer system tested … Cite
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Senators threaten consequences after VA confirms 4 deaths
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths … Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths … Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths
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psnet.ahrq.gov/issue/slow-troubling-death-autopsy
August 19, 2020 - August 26, 2020
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths
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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - Although the Institute of Medicine's estimate of up to 98,000 deaths yearly from preventable adverse … case–control study analyzed a large claims database of more than 24 million patients to identify errors, deaths … events occur in hospitalized patients yearly, resulting in $19.5 billion in excess costs and 2500 excess deaths