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psnet.ahrq.gov/node/46704/psn-pdf
December 04, 2018 - Surveying care teams after in-hospital deaths to identify
preventable harm and opportunities to improve … Surveying Care Teams after in-Hospital Deaths to Identify Preventable
Harm and Opportunities to Improve … https://psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and … The survey aimed to identify deaths that merited further
investigation. … Respondents expressed needs for both clinician support following patient deaths
and greater advance
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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
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - 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. … https://psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-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
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psnet.ahrq.gov/node/74838/psn-pdf
February 16, 2022 - Overstating inpatient deaths due to medical error erodes
trust in healthcare and the patient safety … Overstating inpatient deaths due to medical error erodes trust in healthcare
and the patient safety … https://psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and … 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
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psnet.ahrq.gov/node/36980/psn-pdf
June 29, 2011 - Under-reporting of deaths to the coroner by doctors: a
retrospective review of deaths in two hospitals … Under-reporting of deaths to the coroner by doctors: a
retrospective review of deaths in two hospitals … https://psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two- … https://psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne … https://psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two-hospitals-melbourne
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psnet.ahrq.gov/node/850913/psn-pdf
June 21, 2023 - Understanding ultrarare adverse events - lessons learned
from a twelve-year review of intraoperative deaths … Understanding ultrarare adverse events - lessons learned from a
twelve-year review of intraoperative deaths … understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-
intraoperative
Intraoperative deaths … This retrospective review of 154 intraoperative deaths
occurring between March 2010 and August 2022 … at one academic medical center found that most deaths
occurred during emergency procedures.
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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
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psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes
May 03, 2017 - Newspaper/Magazine Article
Popular blood thinner causing deaths, injuries in nursing
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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.
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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
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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
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psnet.ahrq.gov/node/47611/psn-pdf
January 23, 2019 - Drug and opioid-involved overdose deaths- United States,
2013-2017. … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
This Centers … The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids
such … https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
https:/
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psnet.ahrq.gov/node/60932/psn-pdf
January 01, 2021 - Retrospective analysis of reported suicide deaths and
attempts on Veterans Health Administration campuses … Retrospective analysis of reported suicide deaths and attempts on
Veterans Health Administration campuses … https://psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health … root cause analysis reports of suicide events in VA hospitals to
characterize suicide attempts and deaths … https://psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
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psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States. … Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. … https://psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united … programs and insurance coverage changes will result in only a small absolute decrease in
opioid overdose deaths … https://psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
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psnet.ahrq.gov/node/837207/psn-pdf
May 25, 2022 - Hospitalizations and deaths related to adverse drug
events worldwide: systematic review of studies with … Hospitalizations and deaths related to adverse drug events
worldwide: systematic review of studies with … https://psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-
systematic-review-studies … found
that hospitalizations related to ADEs ranged from 10 to 383 events per 100,000 people, whereas deaths … https://psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
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psnet.ahrq.gov/node/60824/psn-pdf
August 19, 2020 - For-profit long-term care homes and the risk of COVID-19
outbreaks and resident deaths. … For-profit long-term care homes and the risk of COVID-19 outbreaks
and resident deaths. … https://psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths … Canada, to explore
the association between for-profit status and the risk of COVID-19 outbreaks and deaths … https://psnet.ahrq.gov/issue/profit-long-term-care-homes-and-risk-covid-19-outbreaks-and-resident-deaths
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psnet.ahrq.gov/node/841770/psn-pdf
December 21, 2022 - A recent two-fold increase in medical adverse event
deaths among US inpatients. … A recent two-fold increase in medical adverse event deaths among US inpatients. … https://psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients … From 2014 to
2019, researchers identified a nearly 16% annual increase in deaths attributed to adverse … https://psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
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psnet.ahrq.gov/node/47964/psn-pdf
May 15, 2019 - Deaths among opioid users: impact of potential
inappropriate prescribing practices. … Deaths among opioid users: impact of potential inappropriate
prescribing practices. … https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-
practices … https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices … https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impact-potential-inappropriate-prescribing-practices
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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
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - Sentinel Event Alerts
Preventing maternal death.
Citation Text:
Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4.
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