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Showing results for "deaths".

41. Intraoperative deaths: who, why, and can we prevent them? | PSNet
    psnet.ahrq.gov/issue/intraoperative-deaths-who-why-and-can-we-prevent-them
    November 04, 2020 - Study Intraoperative deaths: who, why, and can we prevent them? … Intraoperative deaths: who, why, and can we prevent them? … While interoperative deaths (IODs) are rare, they are catastrophic events. … Intraoperative deaths: who, why, and can we prevent them?

42. Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet
    psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
    September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United … Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strategies for Prevention, 13 States … The Centers for Disease Control and Prevention examined trends in pregnancy-related deaths between 2011 … About 60% of deaths were deemed preventable, and leading causes included cardiovascular events such as … August 26, 2020 Drug and opioid-involved overdose deaths- United States, 2013-2017.

43. Deaths following prehospital safety incidents: an analysis of a national database. | PSNet
    psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
    October 03, 2018 - Study Deaths following prehospital safety incidents: an analysis of a national database … Deaths following prehospital safety incidents: an analysis of a national database. … This study examined patient deaths related to ambulance safety incidents and found that the majority … Deaths following prehospital safety incidents: an analysis of a national database.

44. Inside the preventable deaths that happened within a prominent transplant center. | PSNet
    psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
    May 02, 2018 - Newspaper/Magazine Article Inside the preventable deaths that happened within a prominent … Citation Text: Inside the preventable deaths that happened within a prominent transplant center. … This report describes the errors that contributed to failed transplants and patient deaths at one liver … Cite Citation Citation Text: Inside the preventable deaths … April 12, 2023 A spike in people dying at home suggests coronavirus deaths in Houston

45. Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet
    psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
    June 28, 2017 - Study Drug and opioid-involved overdose deaths- United States, 2013-2017. … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids such … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … May 22, 2019 Prevention of prescription opioid misuse and projected overdose deaths in

46. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
    psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
    June 17, 2014 - Study Learning from preventable deaths: exploring case record reviewers' narratives … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Researchers applied change analysis , a type of root cause analysis , to their review of preventable deaths … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … June 17, 2014 Preventable deaths due to problems in care in English acute hospitals:

47. Death by PCA | PSNet
    psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - While deaths from PCAs are rare, they can occur and this heightens the importance of developing safe

48. The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. | PSNet
    psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
    October 05, 2022 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed flaws in the … Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths

49. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet
    psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
    March 24, 2021 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths … The researchers audited 9 years of records related to inpatient trauma deaths and found identifiable … Related Resources From the Same Author(s) Changes in error patterns in unanticipated trauma deaths … during 20 years: in pursuit of zero preventable deaths.

50. Avoidable sepsis infections send thousands of seniors to gruesome deaths. | PSNet
    psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
    March 27, 2019 - Magazine Article Avoidable sepsis infections send thousands of seniors to gruesome deaths … Citation Text: Avoidable sepsis infections send thousands of seniors to gruesome deaths. … Citation Citation Text: Avoidable sepsis infections send thousands of seniors to gruesome deaths

51. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. | PSNet
    psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
    October 02, 2024 - How Abortion Bans Lead to Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. … How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. … Resources From the Same Author(s) Report links Georgia's abortion ban to preventable deaths

52. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet
    psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
    April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare … Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement … Human: Building a Safer Health System estimated that medical errors contributed to 44,000 to 98,000 deaths … studies are overestimated , and that patient safety advocates should shift the focus from estimating deaths … Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement

53. Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage. | PSNet
    psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
    May 04, 2022 - Review Hospitalizations and deaths related to adverse drug events worldwide: systematic … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with … found that hospitalizations related to ADEs ranged from 10 to 383 events per 100,000 people, whereas deaths … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with … May 4, 2022 Drug-related deaths among inpatients: a meta-analysis.

54. How health care systems let our patients down: a systematic review into suicide deaths. | PSNet
    psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
    October 19, 2022 - How health care systems let our patients down: a systematic review into suicide deaths … How health care systems let our patients down: a systematic review into suicide deaths. … This systematic review examined common systems factors affecting suicide deaths in mental health care … Seven themes contributing to suicide deaths were identified: (1) inappropriate or incomplete risk assessment … How health care systems let our patients down: a systematic review into suicide deaths.

55. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet
    psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
    November 17, 2021 - Study Retrospective analysis of reported suicide deaths and attempts on Veterans … Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses … root cause analysis reports of suicide events in VA hospitals to characterize suicide attempts and deaths … Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses … March 25, 2020 Hemodialysis bleeding events and deaths: an 18-year retrospective analysis

56. Prevention of prescription opioid misuse and projected overdose deaths in the United States. | PSNet
    psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
    August 04, 2021 - Classic Prevention of prescription opioid misuse and projected overdose deaths … Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. … programs and insurance coverage changes will result in only a small absolute decrease in opioid overdose deaths … Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. … February 6, 2019 Drug and opioid-involved overdose deaths- United States, 2013-2017.

57. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet
    psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
    July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of … Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals … This study examines contributors to unexpected deaths in low-risk surgical patients, and concludes that … patient and surgical factors were responsible for most deaths. … The utility of examining unexpected deaths was discussed in a recent AHRQ WebM&M commentary .

58. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
    July 27, 2022 - In this systematic review, the authors aimed to estimate the proportion of inpatient deaths deemed preventable … The authors conclude that a reasonable estimate of preventable deaths in the US may be about 22,000 annually … , but only about 7,150 of these deaths affect patients expected to live more than 3 months (in the absence … studies have overestimated the rate of preventable mortality because the great majority of inpatient deaths … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable … deaths. … Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable … deaths. … https://psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit

60. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. | PSNet
    psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective
    May 18, 2022 - Study Trends of diagnostic adverse events in hospital deaths: longitudinal analyses … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record … other AEs, although DAEs were considered more preventable and were associated with more preventable deaths … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record … March 18, 2013 Is researching adverse events in hospital deaths a good way to describe