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psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes November 12, 2014 - Citation 
 
 
 
 
 
 
 Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Learning from preventable deaths … 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: … May 19, 2021 
 
 
 
 
 
 
 
 Avoidability of hospital deaths and association with hospital-wide mortality 
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psnet.ahrq.gov/issue/nhs-patient-safety-strategy April 15, 2020 - 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? … A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. 
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports March 23, 2022 - May 5, 2021 
 
 
 
 
 
 
 
 Changes in error patterns in unanticipated trauma deaths during 20 years: … in pursuit of zero preventable deaths. … March 24, 2021 
 
 
 
 
 
 
 
 Zero preventable deaths after traumatic injury: an achievable goal. 
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psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units November 11, 2020 - A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. … November 12, 2014 
 
 
 
 
 
 
 
 Association of unexpected newborn deaths with changes in obstetric … April 27, 2022 
 
 
 
 
 
 
 
 Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. 
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psnet.ahrq.gov/node/851201/psn-pdf July 05, 2023 - maternal-safety-and-perinatal-mental-health
https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths … https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review 
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psnet.ahrq.gov/node/73984/psn-pdf October 20, 2021 - Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records of patients
whose deaths … rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety 
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psnet.ahrq.gov/node/39282/psn-pdf September 20, 2011 - The study also reported that for the
50 diagnosis groups with the highest number of deaths, 17 were … The authors estimate that nearly 3400 excess deaths during 2005-
2006 could be attributed to weekend … care, which exceeds the number of deaths from road accidents in
Great Britain in 2006—an admittedly 
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psnet.ahrq.gov/node/43290/psn-pdf June 25, 2014 - Similarly, deaths in patients with
low-mortality diagnoses are also used to identify safety problems … psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals 
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psnet.ahrq.gov/node/33782/psn-pdf March 01, 2015 - The commonly used HSMR is a ratio of the observed
number of in-hospital deaths to the number expected … Moreover, when in-hospital deaths are subjected to forensic clinical analysis, studies show that only … Sensitivity may be increased by enlarging the number of evaluable deaths by including those occurring … Specificity may be increased by excluding those deaths that can
reasonably be attributed to advanced … Have there been 13,000 needless deaths at 14 NHS
trusts? BMJ. 2013;347:f4893. [go to PubMed]
19. 
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psnet.ahrq.gov/node/43653/psn-pdf January 01, 2015 - information-front-line
Early efforts to characterize patient safety included the review of individual cases of patient deaths … implementation of
an electronic tool which directly queries clinicians about specific cases of inpatient deaths … discussion-medical-errors-morbidity-and-mortality-conferences
https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety 
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psnet.ahrq.gov/node/43063/psn-pdf May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many:
The Need to Improve Patient Safety. … https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
A … https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
https 
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psnet.ahrq.gov/node/50945/psn-pdf February 26, 2020 - This story discusses a case
of an American Indian/Alaska Native mother and infants whose deaths may … https://psnet.ahrq.gov/issue/doing-harm
https://psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states 
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psnet.ahrq.gov/issue/digital-clinical-safety-strategy March 01, 2023 - 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? … June 8, 2022 
 
 
 
 
 
 
 
 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document 
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned March 24, 2021 - Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Changes in error patterns in unanticipated trauma deaths … during 20 years: in pursuit of zero preventable deaths. … 2021 
 
 
 
 
 
 
 
 Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths 
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psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009 June 14, 2017 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 Children's Hospital investigated five patient deaths from 
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psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or April 05, 2017 - Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths … Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths … Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths 
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery November 25, 2020 - are considered preventable. 1  The U.S. has an increasing rate of maternal mortality of 17 maternal deaths … Given that more than 60% of  maternal deaths are preventable  the challenge for obstetric providers is … It is very problematic that race and ethnic disparities are reflected in maternal deaths and morbidity … More than 65% of maternal deaths and morbidity are preventable. … Pregnancy-Related Deaths: Data from 14 U.S. Maternal Mortality Review Committees, 2008-2017. 
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psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability April 03, 2019 - Study 
 
 
 
 
 
 
 
 
 
 Reviewing deaths in British and US hospitals: a study of two scales for assessing … Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. … Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. 
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric March 07, 2018 - "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths 
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psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national October 31, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Patient-safety–related hospital deaths in England: thematic analysis of incidents … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national