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psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer-2003-2005
November 25, 2009 - Book/Report
Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer … Citation Text:
Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. … Cite
Citation
Citation Text:
Saving Mothers' Lives: Reviewing Maternal Deaths … Copy Citation
Related Resources From the Same Author(s)
Deaths in Acute Hospitals … October 26, 2010
Deaths in Acute Hospitals: Caring to the End?
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psnet.ahrq.gov/node/60178/psn-pdf
April 01, 2020 - rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-
analysis
In this systematic review, the authors aimed to estimate the proportion of inpatient deaths … meta-analysis of eight studies including adult patients who died in the hospital found that
3.1% of 12,503 deaths … 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
( … studies have overestimated the rate of
preventable mortality because the great majority of inpatient deaths
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psnet.ahrq.gov/node/50606/psn-pdf
October 30, 2019 - One doctor. 25 deaths. How could it have happened? … https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
Systemic failures persistently … This news story discusses
a case involving unexplained patient deaths under the care of one physician … https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/851071/psn-pdf
June 28, 2023 - Inside the preventable deaths that happened within a
prominent transplant center. … https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
Medical … This report describes the
errors that contributed to failed transplants and patient deaths at one liver … https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
https
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-final-es.pdf
September 01, 2019 - Trends in Quality of Care for Blacks
Changes in Disparities for Blacks
New HIV Cases
HIV Infection Deaths … Overview of Disparities by Residence Location
Largest Disparities
Mortality Measure: HIV Infection Deaths … Mortality Measure: Unexpected Deaths After Hospital Admission
Mortality Measure: Infant Mortality … Use
Opioid Measures
Opioid Prescriptions
Opioid Use Disorder
Opioid-Related Mortality
Overdose Deaths … Involving Any Opioid
Overdose Deaths Involving Natural and Semisynthetic Opioids and Overdose Deaths
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psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
March 24, 2021 - By analyzing errors that lead to preventable or potentially preventable deaths in trauma care , healthcare … Related Resources From the Same Author(s)
Changes in error patterns in unanticipated trauma deaths … during 20 years: in pursuit of zero preventable deaths. … June 30, 2021
Zero preventable deaths after traumatic injury: an achievable goal.
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psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
June 22, 2022 - Commentary
Deaths due to medical error: jumbo jets or just small propeller planes … Deaths due to medical error: jumbo jets or just small propeller planes? … Deaths due to medical error: jumbo jets or just small propeller planes? … June 21, 2017
Estimating deaths due to medical error: the ongoing controversy and why
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-mh.html
May 01, 2018 - Thirty years ago, the Heckler Report found that:
National data are not available for homicide deaths … major depressive episode in the last 12 months who received treatment
Worse
No Change
Suicide deaths … Narrowing
Trends: No measure of mental health care for Hispanics was improving; suicide deaths … Hispanics had lower suicide death rates than Whites, but this disparity was narrowing as Hispanic suicide deaths
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psnet.ahrq.gov/node/844553/psn-pdf
February 15, 2023 - Mental health conditions leading cause of pregnancy-
related deaths. … https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
Maternal … https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
https:// … eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
https://psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights
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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/37030/psn-pdf
June 23, 2017 - A series of anesthesia-related maternal deaths in
Michigan, 1985-2003. … A series of anesthesia-related maternal deaths in Michigan, 1985-
2003. … https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
The researchers … retrospectively analyzed cases of pregnancy-associated deaths involving anesthesia care
and found that … https://psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003
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psnet.ahrq.gov/node/74694/psn-pdf
January 26, 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.
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psnet.ahrq.gov/node/853247/psn-pdf
September 06, 2023 - Dangers and deaths around black pregnancies seen as a
‘completely preventable’ health crisis. … https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable- … https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis … https://psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
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psnet.ahrq.gov/node/45113/psn-pdf
May 11, 2016 - Early 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 … It is
important to note that discerning the preventability of adverse events (and consequent deaths)
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psnet.ahrq.gov/node/846764/psn-pdf
March 29, 2023 - Senators threaten consequences after VA confirms 4
deaths tied to computer system tested in Spokane. … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer- … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane … https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
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psnet.ahrq.gov/node/47758/psn-pdf
April 17, 2019 - contribution-adverse-events-death-hospitalised-patients
This study used the Global Trigger Tool to review all inpatient deaths … The study did
not assess the preventability of deaths; prior studies have consistently found that about … 5% in-hospital
deaths are likely preventable. … contribution-adverse-events-death-hospitalised-patients
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
https://psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
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psnet.ahrq.gov/node/34641/psn-pdf
March 03, 2011 - Study of the deaths associated with anesthesia and
surgery: based on a study of 599, 548 anesthesias … A study of the deaths associated with anesthesia and surgery: based on a study
of 599, 548 anesthesias … https://psnet.ahrq.gov/issue/study-deaths-associated-anesthesia-and-surgery-based-study-599-548-
anesthesias-ten … The researchers retrospectively reviewed 7977 deaths in 599,548 patients from
1948 to 1952 and determined … The researchers state that, in 1952, there were 2.4 times as many deaths
from anesthesia as from poliomyelitis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
December 01, 2016 - Results
The methods for this 2014 update on the rates and counts of HACs and associated costs and
deaths … Cumulative deaths averted from 2010 through 2014 are estimated at nearly 87,000. … As a result of this variation, costs
associated and deaths averted by HAC type, as shown in Exhibits … , with approximately 70,000 of these deaths averted in 2013 and 2014 alone, is
encouraging. … Even with less precision, the estimates of deaths averted and cost savings are
compelling.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Results
The methods for this 2014 update on the rates and counts of HACs and associated costs and
deaths … Cumulative deaths averted from 2010 through 2014 are estimated at nearly 87,000. … As a result of this variation, costs
associated and deaths averted by HAC type, as shown in Exhibits … , with approximately 70,000 of these deaths averted in 2013 and 2014 alone, is
encouraging. … Even with less precision, the estimates of deaths averted and cost savings are
compelling.
-
psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
June 02, 2021 - Researchers utilized data from the Centers for Disease Control and Prevention to examine opioid-related deaths … During this period, opioid-related deaths increased by nearly 350%. … Overdose deaths occurred more among men than women and were most prevalent in patients aged 15 to 34 … These findings raise concern regarding the increasing proportion of deaths associated with opioid use