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psnet.ahrq.gov/node/36917/psn-pdf
September 01, 2011 - Analysis of deaths related to anesthesia in the period
1996-2004 from closed claims registered by the … Analysis of deaths related to anesthesia in the period 1996-
2004 from closed claims registered by the … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-
registered-danish-patient … algorithms, preoperative evaluation, training, education, and use of
protocols might prevent such deaths … https://psnet.ahrq.gov/issue/analysis-deaths-related-anesthesia-period-1996-2004-closed-claims-registered-danish-patient
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psnet.ahrq.gov/issue/sign-safety
April 15, 2020 - devise plans to improve safety in hospitals, the Sign up to Safety campaign aims to prevent 6000 patient deaths … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020 … March 1, 2023
Is anybody 'Learning' from deaths?
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psnet.ahrq.gov/node/40404/psn-pdf
February 10, 2015 - The quality 'journey' at Ascension Health: how we've
prevented at least 1,500 avoidable deaths a year—and … The quality 'journey' at Ascension Health: how we've prevented at
least 1,500 avoidable deaths a year … https://psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-
deaths-year-and-aim … This commentary reveals how one large health care system successfully reduced preventable deaths and … https://psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
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psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable? … Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-
deaths-preventable … More than half of unexpected deaths in the sample were related to a
preventable medical error, suggesting … https://psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cancer.html
June 01, 2018 - Outcome:
Age-adjusted breast cancer deaths per 100,000 population. … Breast Cancer Deaths
Age-Adjusted Breast Cancer Deaths
Age-adjusted breast cancer deaths per 100,000 … 21.5
21.3
2013
21.5
20.8
20
20.2
21.1
21.3
2008 Achievable Benchmark: 17 Deaths … Breast cancer deaths reflect the impact of breast cancer screening, diagnosis, and treatment. … Achievable Benchmark:
The 2008 top 5 State achievable benchmark was 17 deaths per 100,000 population
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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/43602/psn-pdf
October 15, 2014 - Classifying errors in preventable and potentially
preventable trauma deaths: a 9-year review using the … Classifying errors in preventable and potentially preventable trauma
deaths: a 9-year review using the … https://psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths … -9-
year-review-using
Approximately 1 in 13 deaths of patients with major trauma were considered preventable … https://psnet.ahrq.gov/issue/classifying-errors-preventable-and-potentially-preventable-trauma-deaths
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psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
November 17, 2021 - cases identified, the majority involved delays in care (26%), elopements (15%), suicide attempts and deaths … October 29, 2017
Retrospective analysis of reported suicide deaths and attempts on Veterans … September 23, 2020
Hemodialysis bleeding events and deaths: an 18-year retrospective … February 8, 2023
Retrospective analysis of reported suicide deaths and attempts on Veterans
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates. … Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. … https://psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient … https://psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates … https://psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
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psnet.ahrq.gov/node/45301/psn-pdf
April 22, 2017 - Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. … Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. … https://psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-
preventability … https://psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability … https://psnet.ahrq.gov/issue/preventing-medical-injury
https://psnet.ahrq.gov/issue/problem-preventable-deaths
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psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: … Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: … https://psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety … The
authors suggest that examining deaths alone does not provide a complete picture of the epidemiology … https://psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
-
psnet.ahrq.gov/node/43667/psn-pdf
November 12, 2014 - Learning from preventable deaths: exploring case record
reviewers' narratives using change analysis. … Learning from preventable deaths: exploring case record reviewers'
narratives using change analysis. … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using … Researchers applied change analysis, a type of root cause analysis, to their review of preventable deaths … https://psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
-
psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - This study used the Global Trigger Tool to review all inpatient deaths in a Norwegian hospital for … The study did not assess the preventability of deaths; prior studies have consistently found that about … 5% in-hospital deaths are likely preventable.
-
psnet.ahrq.gov/node/60536/psn-pdf
May 27, 2020 - Nursing home workers warned government about safety
violations before COVID-19 outbreaks and deaths. … psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-
outbreaks-and-deaths … psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths … psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Table 1: Number of live births, maternal deaths, and maternal mortality rates, by race and Hispanic … per 100,000 live births.
2Includes deaths for race and Hispanic-origin groups not shown separately, … Maternal deaths occur while pregnant or within 42
days of being pregnant. … Racial/Ethnic Disparities in Pregnancy-Related Deaths -
United States, 2007-2016. … Incidence of maternal sepsis and sepsis-related maternal
deaths in the United States.
-
psnet.ahrq.gov/node/47054/psn-pdf
July 19, 2018 - A target to achieve zero preventable trauma deaths
through quality improvement. … A Target to Achieve Zero Preventable Trauma Deaths Through
Quality Improvement. … https://psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement … , but the actual number of preventable trauma deaths in the United States
remains unknown. … https://psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
-
psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
January 05, 2017 - The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. … The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. … The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths … December 21, 2014
Saving lives by studying deaths: using standardized mortality reviews
-
psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - Building a framework for trust: critical event analysis of
deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical
care. … https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
This … The authors describe operational aspects of SASM and report on
nearly 45,000 deaths reviewed in the … Findings include a decrease over time in the percentage
of deaths for which adverse events in management
-
www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi6.html
January 01, 2013 - To estimate the deaths prevented, a range in mortality was assumed (11-31 percent) 2 . … Thus, for each 100 CLABSIs prevented, 11-31 deaths are prevented.
Equation 1. … estimated 131 infections were prevented over the course of the study which translates to an estimated 14-41 deaths … These estimates only consider data currently available and as such do not include infections avoided, deaths
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-final-es.pdf
January 01, 2021 - From 2000 to 2018, the rate of colon cancer deaths decreased 36%, from 20.8 to 13.4
deaths per … Suicide death rates rose 23%, going from 14.0 deaths to 17.2 deaths per 100,000
population between … From 2000 to 2018, HIV deaths in Black populations
decreased from 23.3 deaths to 6.2 deaths per 100,000 … Still, deaths in
Black populations remain more than 6 times as high as HIV deaths in White
populations … (0.9 deaths per 100,000 population)