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Showing results for "deaths".

61. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet
    psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
    November 10, 2021 - Study Preventing pregnancy-related mental health deaths: insights from 14 US maternal … Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees … to 2017 from 14 state Maternal Mortality Review Committees and found that 11% of pregnancy-related deaths … Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees

62. Pregnancy-related deaths: saving women’s lives before, during and after delivery. | PSNet
    psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
    September 07, 2016 - Newspaper/Magazine Article Pregnancy-related deaths: saving women’s lives before, … Citation Text: Pregnancy-related deaths: saving women’s lives before, during and after delivery. … It reports that 60% of these deaths are preventable and provides suggestions for families, clinicians … Copy URL Cite Citation Citation Text: Pregnancy-related deaths

63. A target to achieve zero preventable trauma deaths through quality improvement. | PSNet
    psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
    March 03, 2011 - Study A target to achieve zero preventable trauma deaths through quality improvement … A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. … National Academies of Sciences, Engineering, and Medicine called for achieving zero preventable trauma deaths … , but the actual number of preventable trauma deaths in the United States remains unknown. … A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement.

64. Medical error—the third leading cause of death in the US. | PSNet
    psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
    September 16, 2020 - studies summarized in the seminal To Err Is Human report yielded an estimate of 44,000 to 98,000 deaths … A recent British study found that only 3.6% of inpatient deaths were potentially avoidable, which translates … to approximately 26,000 preventable deaths each year in the United States. … This commentary argues that preventable deaths total more than 250,000 deaths per year, which would rank … It is important to note that discerning the preventability of adverse events (and consequent deaths)

65. 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

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73509/psn-pdf
    July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … https://psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis … using the ‘Learning from Deaths’ program. … research should focus on which actions were most successful at decreasing potentially preventable deaths

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844991/psn-pdf
    February 22, 2023 - Is anybody 'Learning' from deaths? … Is anybody ‘Learning’ from deaths? … https://psnet.ahrq.gov/issue/anybody-learning-deaths-sequential-content-and-reflexive-thematic-analysis … national-statutory In 2017, England’s National Health Service (NHS) implemented the Learning from Deaths … of the program, the actions taken in response and their impact, and engagement with Learning from Deaths

68. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. | PSNet
    psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths-9-year-review-using
    November 27, 2012 - Study Classifying errors in preventable and potentially preventable trauma deaths … Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the … Approximately 1 in 13 deaths of patients with major trauma were considered preventable or potentially … Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the … 8, 2018 Unexpected death within 72 hours of emergency department visit: were those deaths

69. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet
    psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
    March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient … Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: … The authors suggest that examining deaths alone does not provide a complete picture of the epidemiology … Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: … April 4, 2018 Trends of diagnostic adverse events in hospital deaths: longitudinal analyses

70. Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet
    psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
    June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical … Building a framework for trust: critical event analysis of deaths in surgical care. … The authors describe operational aspects of SASM and report on nearly 45,000 deaths reviewed in the past … Findings include a decrease over time in the percentage of deaths for which adverse events in management … Building a framework for trust: critical event analysis of deaths in surgical care.

71. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
    psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
    January 15, 2020 - to identify incident characteristics and contributing factors for medical or surgical complication deaths … to identify incident characteristics and contributing factors for medical or surgical complication deaths … Classification for Patient Safety (ICPS) to identify characteristics and risk factors of preventable deaths … to identify incident characteristics and contributing factors for medical or surgical complication deaths

72. Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. | PSNet
    psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
    August 12, 2020 - Study Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida … Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. … Florida, this study explored the association between nursing home characteristics and COVID-19 cases and deaths … Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes.

73. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet
    psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
    September 10, 2014 - Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths … Text: Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths … The study did not formally address whether these delays in care directly led to deaths or preventable … An investigation of specific cases of deaths among patients who were waiting for appointments is ongoing … Text: Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths

74. Medical adverse events in the US 2018 mortality data. | PSNet
    psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
    December 21, 2022 - This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the United … States compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to an adverse event. … Procedure-related complications contributed to the majority of adverse event deaths. … Resources From the Same Author(s) A recent two-fold increase in medical adverse event deaths

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836744/psn-pdf
    March 17, 2022 - Drug-related deaths among inpatients: a meta-analysis. … Drug-related deaths among inpatients: a meta-analysis. … https://psnet.ahrq.gov/issue/drug-related-deaths-among-inpatients-meta-analysis Adverse drug events … contributed to 5.6% of all inpatient hospital deaths. … The authors estimated that almost half of drug-related deaths are preventable.

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867020/psn-pdf
    October 23, 2024 - What can we learn from coroners’ reports on preventable deaths? October 23, 2024 Jeraj S. … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths Analysis of system … This article discusses an effort in the United Kingdom to learn from preventable deaths reported to … https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths https://psnet.ahrq.gov

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/845298/psn-pdf
    March 01, 2023 - The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … The quality of ‘Learning from Deaths’ reporting in quality accounts within the NHS in England 2017–2020 … https://psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths … the quality of reports submitted during the first three years of England’s mandatory Learning from Deaths … Three years in, the identification, reporting, and investigation of deaths has improved, but evidence

78. Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. | PSNet
    psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
    August 05, 2009 - Newspaper/Magazine Article Suspicious insulin injections, nearly a dozen deaths: … Citation Text: Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation … This story examines how trends in deaths at a VA medical center were slow to raise concerns, what exacerbated … Cite Citation Citation Text: Suspicious insulin injections, nearly a dozen deaths

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854985/psn-pdf
    November 01, 2023 - A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … https://psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds … issue Prevention of Future Death reports (PFD) when they determine taking actions could prevent future deaths … summarizes studies that use PFDs to investigate patient safety, such as medication- or diagnosis-related deaths

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867690/psn-pdf
    March 05, 2025 - Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective … Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective … https://psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four … other AEs, although DAEs were considered more preventable and were associated with more preventable deaths … https://psnet.ahrq.gov/issue/trends-diagnostic-adverse-events-hospital-deaths-longitudinal-analyses-four-retrospective