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Total Results: 5,550 records

Showing results for "deaths".

321. The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet
     psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
     March 23, 2022 - March 23, 2022 Changes in error patterns in unanticipated trauma deaths during 20 years … : in pursuit of zero preventable deaths. … March 16, 2022 Zero preventable deaths after traumatic injury: an achievable goal.

322. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? | PSNet
     psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
     March 05, 2025 - December 14, 2016 Learning from preventable deaths: exploring case record reviewers' … 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:

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60276/psn-pdf
     April 29, 2020 - body-evidence-do-autopsy-findings-impact-medical-malpractice-claim- outcomes This study reviewed medical malpractice claims spanning a 10-year period involving deaths … that physicians should not hesitate to advocate for autopsies to investigate unexpected in-hospital deaths

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47834/psn-pdf
     February 27, 2019 - Reviewers rated 11 of the 300 sepsis- associated deaths as definitely or moderately likely preventable … prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47496/psn-pdf
     June 15, 2019 - Zealand Audit of Surgical Mortality database over a 1-year period, researchers fully audited 3422 deaths … surgery might mitigate CDMIs related to decisions to perform surgery and that retrospectively reviewing deaths

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838629/psn-pdf
     October 19, 2022 - This study used data from the Learning from Lives and Deaths (LeDeR)  program in the UK to examine the … challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths

327. Learning from every death. | PSNet
     psnet.ahrq.gov/issue/learning-every-death
     June 28, 2011 - September 12, 2016 Deaths due to medical error: jumbo jets or just small propeller planes

328. 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.

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37242/psn-pdf
     September 12, 2016 - The authors conclude that the original definition, which uses all deaths rather than specific complications … or deaths, provides the best reliability and validity.

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33606/psn-pdf
     December 15, 2024 - Deaths from prescription opioid use began to rise shortly thereafter, and as prescribing continued to … According to data from the CDC and National Institute on Drug Abuse, more than 73,000 deaths involving … only captured a fraction of the scope of the epidemic, since most opioid-related adverse events and deaths … As a result, most of the standard methods used to  measure safety events did not detect these deaths … https://www.hhs.gov/overdose-prevention/ https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60185/psn-pdf
     April 01, 2020 - 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

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45126/psn-pdf
     December 22, 2018 - high risk for adverse drug events, and increases in opioid abuse have led to an epidemic of overdose deaths … data sources to determine whether implementing a drug monitoring program decreased opioid overdose deaths

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37598/psn-pdf
     March 12, 2008 - /patient-safety-trauma-maximal-impact-management-errors-level-i-trauma- center In this study, all deaths … occurring on a trauma service were reviewed in order to determine the number of preventable deaths

334. In Conversation With… Brian Jarman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
     March 01, 2015 - We point out that the observed minus expected deaths isn't unnecessary deaths and it isn't avoidable … deaths. … It's just the difference between the number of deaths that you get in the hospital and the number that … The commonly used HSMR is a ratio of the observed number of in-hospital deaths to the number expected … Have there been 13,000 needless deaths at 14 NHS trusts? BMJ. 2013;347:f4893.

335. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
     psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
     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 … Have there been 13,000 needless deaths at 14 NHS trusts? BMJ. 2013;347:f4893. … We point out that the observed minus expected deaths isn't unnecessary deaths and it isn't avoidable … deaths.

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37902/psn-pdf
     July 09, 2008 - relationship-between-preventability-death-after-coronary-artery-bypass-graft- surgery-and-all Although nearly one-third of deaths … after bypass surgery were judged to be preventable based on retrospective review, preventable deaths

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34815/psn-pdf
     January 31, 2011 - 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

338. Patient safety in trauma: maximal impact management errors at a level I trauma center. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center
     February 19, 2020 - In this study, all deaths occurring on a trauma service were reviewed in order to determine the number … of preventable deaths and the root causes contributing to the adverse outcomes.

339. State policies for prescription drug monitoring programs and adverse opioid-related hospital events. | PSNet
     psnet.ahrq.gov/issue/state-policies-prescription-drug-monitoring-programs-and-adverse-opioid-related-hospital
     August 11, 2021 - March 10, 2021 Hospitalizations and deaths related to adverse drug events worldwide: … June 26, 2019 Deaths among opioid users: impact of potential inappropriate prescribing … March 6, 2019 Prevention of prescription opioid misuse and projected overdose deaths

340. High nursing staff turnover in nursing homes offers important quality information. | PSNet
     psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
     September 16, 2020 - September 16, 2020 Preventing pregnancy-related mental health deaths: insights from 14 … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths … Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths