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Showing results for "deaths".

  1. 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

  2. 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

  3. 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.

  4. sb291-COVID-19-PediatricHosptl (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb291-COVID-19-PediatricHosptl.pdf
    August 23, 2021 - Agency for Healthcare Research and Quality Changes in Pediatric Hospitalizations and In-Hospital Deaths … versus the average in April–December 2016–2019 (from 9,200 to 8,000 deaths). … decreased by nearly half (40.0 percent; from 250 to 150 deaths) (see Appendix). … deaths related to COVID-19 by patient characteristics are not provided. … White pediatric patients (3,600 to 2,900 deaths).

  5. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
    October 01, 2022 - • The overall maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births, an increase … from 2019 (20.1 deaths per 100,000 live births) and 2018 (17.4 deaths per 100,00 live births). … ) or non-Hispanic Black (4.6 deaths per 100,000 population) adolescents … to 17.2 deaths per 100,000 population, while deaths related to natural and semisynthetic opioids increased … Breast cancer deaths decreased by 28.7% between 2000 and 2020; colorectal cancer deaths decreased by

  6. Psn-Pdf (pdf file)

    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

  7. Psn-Pdf (pdf file)

    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

  8. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. | PSNet

    psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
    May 01, 2017 - Classic 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … Citation Text: 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … , the report estimates a $12 billion savings in health care costs and 50,000 fewer hospital patient deaths … Citation Text: 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths

  9. 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

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33830/psn-pdf
    March 22, 2016 - Measuring and Responding to Deaths From Medical Errors March 22, 2016 Ranji SR. … Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. 2016. … in which there were very few deaths. … One commonly used method for identifying preventable deaths is reviewing deaths in patients with diagnoses … they should implement formal strategies for identifying preventable deaths and analyzing these deaths

  11. Mental health conditions leading cause of pregnancy-related deaths. | PSNet

    psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
    November 29, 2017 - Newspaper/Magazine Article Mental health conditions leading cause of pregnancy-related deaths … Citation Text: Mental health conditions leading cause of pregnancy-related deaths. Quick Safety. … Citation Citation Text: Mental health conditions leading cause of pregnancy-related deaths

  12. Psn-Pdf (pdf file)

    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

  13. 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.

  14. Psn-Pdf (pdf file)

    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

  15. Psn-Pdf (pdf file)

    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

  16. Psn-Pdf (pdf file)

    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

  17. Psn-Pdf (pdf file)

    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

  18. Psn-Pdf (pdf file)

    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.

  19. Psn-Pdf (pdf file)

    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

  20. Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. | PSNet

    psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
    January 23, 2019 - A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. … A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. … those characteristics are present in National Health Service (NHS) investigations regarding patient deaths … A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England.
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