-
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
-
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.
-
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.
-
psnet.ahrq.gov/node/865879/psn-pdf
May 15, 2024 - psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths … psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
-
psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - opioid-overdose-patient-safety-problem
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states … -2000-2015
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-
-
psnet.ahrq.gov/node/837151/psn-pdf
May 18, 2022 - maternal-safety
https://psnet.ahrq.gov/primer/maternal-safety
https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery … https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
-
psnet.ahrq.gov/node/837697/psn-pdf
July 20, 2022 - mortality rates at public and for-profit providers, researchers found an
additional 557 treatable deaths … patient-safety-private-hospitals-known-and-unknown-risk
https://psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
-
psnet.ahrq.gov/node/60793/psn-pdf
August 12, 2020 - state-level data to examine the
association between nursing home-reported quality and COVID-19 cases and deaths … indicate that nursing homes with
higher ratings were less likely to experience COVID-19 cases and deaths
-
psnet.ahrq.gov/node/50655/psn-pdf
January 01, 2020 - hospital-wide, automated electronic reporting system that
was intended to capture real-time data about patient deaths … Over a 7-year period, 91% of deaths resulted in a review, and 5% were considered
preventable by the
-
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
-
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
-
psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - alternatives-opioid-education-and-prescription-drug-monitoring-program-
cumulatively-decreased
Reducing opioid-related overdoses and deaths … alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states
-
psnet.ahrq.gov/node/74134/psn-pdf
December 01, 2021 - In this study, patient deaths
occurring within 7 days of ED discharge were analyzed to determine if … the deaths were anticipated or
unanticipated and/or due to medical error.
-
psnet.ahrq.gov/node/74717/psn-pdf
February 02, 2022 - children’s hospital implemented a safe sleep bundle in all departments to reduce sudden unexpected infant
deaths … statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
https://psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
-
psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic
June 11, 2008 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths … Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths … Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths
-
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
-
psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
July 13, 2022 - July 13, 2022
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … 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?
-
psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - March 20, 2019
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.
-
psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - 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 1, 2022
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document
-
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