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Total Results: 5,205 records

Showing results for "deaths".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37700/psn-pdf
     October 25, 2013 - improvements have been made, patient safety incidents still account for more than 200,000 preventable deaths … rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals

282. More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet
     psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
     September 02, 2016 - Congressional Testimony More Than 1,000 Preventable Deaths a Day Is Too Many: The … Citation Text: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety … Cite Citation Citation Text: More Than 1,000 Preventable Deaths

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74121/psn-pdf
     November 30, 2021 - Given that more than 60% of maternal deaths are preventable the challenge for obstetric providers is … The Joint Commission issued a Sentinel Event Alert in 201318 in response to a spate of deaths related … Take-Home Points Maternal deaths and severe maternal morbidity remain major challenges in the United … More than 65% of maternal deaths and morbidity are preventable. … Pregnancy-Related Deaths: Data from 14 U.S. Maternal Mortality Review Committees, 2008-2017.

284. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. | PSNet
     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

285. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet
     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.

286. TQIP Mortality Reporting System Case Reports. | PSNet
     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.

287. The NHS Patient Safety Strategy. | PSNet
     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.

288. Psn-Pdf (pdf file)
     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

289. Psn-Pdf (pdf file)
     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

290. Psn-Pdf (pdf file)
     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

291. Psn-Pdf (pdf file)
     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

292. Psn-Pdf (pdf file)
     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.

293. Psn-Pdf (pdf file)
     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

294. Psn-Pdf (pdf file)
     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

295. Psn-Pdf (pdf file)
     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

296. Digital Clinical Safety Strategy | PSNet
     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

297. Gossypiboma: tales of lost sponges and lessons learned. | PSNet
     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

298. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
     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.

299. Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet
     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

300. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet
     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