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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported. … A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-
higher-reported … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported … https://psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
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psnet.ahrq.gov/node/47946/psn-pdf
May 22, 2019 - Vital signs: pregnancy-related deaths, United States,
2011-2015, and strategies for prevention, 13 states … Vital Signs: Pregnancy-Related Deaths, United States, 2011-
2015, and Strategies for Prevention, 13 … https://psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies … 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
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
May 01, 2018 - Cardiovascular Care for Hispanics
Measure
Most Recent Disparity
Disparity Change
Deaths … 1,000 hospital admissions with acute myocardial infarction (AMI), age 18+
Same
No Change
Deaths … per 1,000 hospital admissions with coronary artery bypass graft, age 40+
Same
No Change
Deaths … Inpatient Deaths With Heart Attack
Inpatient deaths per 1,000 adult hospital admissions with heart … 2011
50.5
42.1
48.1
2012
48.3
43.0
48.0
2012 Achievable Benchmark: 39 Deaths
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psnet.ahrq.gov/node/867144/psn-pdf
November 13, 2024 - How Abortion Bans Lead to
Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths.
ProPublica. 2024:September - November 2024. … https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
Healthcare policy … https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
https://psnet.ahrq.gov … hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
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www.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
November 01, 2022 - ) or non-Hispanic Black (4.6 deaths per 100,000 population) adolescents. … The overall maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births, up from 20.1 deaths … in 2019 and 17.4 deaths in 2018. … Although the rise in opioid-related deaths had briefly flattened between 2017–2018, rates of overdose … deaths involving any opioid have begun to rise again, increasing by 36.8 percent between 2019 and 2020
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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - influencing implementation of
a new national patient safety policy in England: lessons
from 'Learning from Deaths … influencing implementation of a new national
patient safety policy in England: lessons from ‘Learning from Deaths … understanding-factors-influencing-implementation-new-national-patient-safety-
policy-england
Autopsies following unexpected deaths … In 2017, the National Health Service (NHS) implemented “Learning from Deaths”
(LfD) to report, learn … from, and avoid potentially preventable deaths.
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psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between-1983-and-1993
March 14, 2022 - Study
Classic
Increase in US medication-error deaths between … Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4. … Increase in US medication-error deaths between 1983 and 1993. Lancet. 1998;351(9103):643-4.
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psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
September 09, 2020 - 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 … December 21, 2022
Drug-related deaths among inpatients: a meta-analysis. … June 26, 2019
Deaths among opioid users: impact of potential inappropriate prescribing … March 6, 2019
Prevention of prescription opioid misuse and projected overdose deaths
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psnet.ahrq.gov/issue/there-link-between-nursing-home-reported-quality-and-covid-19-cases-evidence-california
June 30, 2021 - state-level data to examine the association between nursing home-reported quality and COVID-19 cases and deaths … results indicate that nursing homes with higher ratings were less likely to experience COVID-19 cases and deaths … April 20, 2022
Role of nursing home quality on COVID-19 cases and deaths: evidence from … Homes
February 24, 2022
Role of nursing home quality on COVID-19 cases and deaths … Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths
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psnet.ahrq.gov/node/73978/psn-pdf
October 20, 2021 - Preventing pregnancy-related mental health deaths:
insights from 14 US maternal mortality review
committees … Preventing pregnancy-related mental health deaths: insights
from 14 US maternal mortality review committees … https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal … to 2017 from 14 state Maternal Mortality Review Committees and found that 11%
of pregnancy-related deaths … https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
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psnet.ahrq.gov/node/73866/psn-pdf
September 22, 2021 - Role of nursing home quality on COVID-19 cases and
deaths: evidence from Florida nursing homes. … Role of nursing home quality on COVID-19 cases and deaths: evidence from
Florida nursing homes. … https://psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-
nursing-homes … Florida, this study explored the association
between nursing home characteristics and COVID-19 cases and deaths … https://psnet.ahrq.gov/issue/role-nursing-home-quality-covid-19-cases-and-deaths-evidence-florida-nursing-homes
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psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
February 27, 2019 - study highlights the growing epidemic of opioid medication overdoses, which now account for more deaths … November 17, 2011
Infant deaths associated with cough and cold medications—two states … March 6, 2019
Prevention of prescription opioid misuse and projected overdose deaths … February 13, 2019
Drug and opioid-involved overdose deaths- United States, 2013-2017. … November 15, 2017
Increases in drug and opioid overdose deaths—United States, 2000–2015
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psnet.ahrq.gov/node/38294/psn-pdf
March 01, 2011 - Factors associated with unanticipated day of surgery
deaths in Department of Veterans Affairs hospitals … Factors associated with unanticipated day of surgery deaths in
Department of Veterans Affairs hospitals … , 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. … https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - Article
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths … Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths. … Citation
Citation Text:
‘Last responders’ seek to expand postmortem COVID testing In unexplained deaths … July 22, 2020
A spike in people dying at home suggests coronavirus deaths in Houston
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - of deaths per HAC case. … For example, we estimate for CLABSI that there are 0.15 excess deaths for each case. … Stated another way, for every 1,000 CLABSI cases there are 150 excess deaths. … First, we estimated the total number of deaths due to maternal adverse events based on National Vital … related to pregnancy: 38.2 percent (2011-2013 data). 58
Percentage of pregnancy-related deaths due
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psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
August 06, 2016 - Book/Report
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. … Citation Text:
Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. … Cite
Citation
Citation Text:
Zero: Eliminating Unnecessary Deaths
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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/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling … Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the … The investigators concluded that no deaths or serious harm could be directly attributed to the scheduling … Cite
Citation
Citation Text:
Review of Alleged Patient Deaths … Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths
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psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - Pregnancy-related deaths: saving women’s lives before,
during and after delivery. … https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery … It reports that 60% of these deaths are preventable and provides suggestions for families,
clinicians … https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
https … perspective/maternal-safety
https://psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths
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psnet.ahrq.gov/node/50580/psn-pdf
October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths:
inside an unfolding investigation at a VA hospital … https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-
investigation-va-hospital … This story examines how trends in deaths at a VA medical center were slow to
raise concerns, what exacerbated … https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital … https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital