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Showing results for "deaths".

  1. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
    October 09, 2024 - January 7, 2009 Learning from preventable deaths: exploring case record reviewers' narratives … November 12, 2014 Relationship between preventable hospital deaths and other measures … June 17, 2014 Preventable deaths due to problems in care in English acute hospitals: … July 10, 2019 Reviewing deaths in British and US hospitals: a study of two scales for

  2. Substance Use-Related Health Outcome Trends | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/alarming-trends-substance-use-related-health-outcomes-what-can-primary-care
    July 10, 2023 - The predicted number of fatal overdoses (drug overdose deaths) in 2022 was 109,680. … About 75% (82,998) of those drug overdose deaths were predicted to involve opioids, which is also an … The predicted number of drug overdose deaths involving fentanyl and methamphetamine also increased compared … Drug Overdose Deaths Top 100,000 in 2022 Commonwealth Fund - Overdose Deaths Declined but Remained Near

  3. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet

    psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
    December 23, 2012 - This hearing examined a series of problems occurring in the VA system including unexplained deaths of … December 6, 2011 More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve … September 2, 2016 More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43150/psn-pdf
    April 30, 2014 - Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. … https://psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease … https://psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease

  5. Learning from litigation. The role of claims analysis in patient safety. | PSNet

    psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
    November 21, 2018 - November 21, 2018 Learning from preventable deaths: exploring case record reviewers' … November 12, 2014 Relationship between preventable hospital deaths and other measures … April 22, 2009 Preventable deaths due to problems in care in English acute hospitals: … , 2022 View More Related Resources Is anybody 'Learning' from deaths … influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths

  6. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/objective-outcome-tool.docx
    January 01, 2017 - Total number of ventilator days ________ Total number of hospital days ________ Total number of deaths … Total number of deaths How many deaths have occurred in the patients who have been or were mechanically

  7. Trends in Unintentional Injury Mortality among American Indians and Alaska Natives, Washington, 1990-2009 (pdf file)

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or33.pdf
    October 25, 2012 - average • Large racial disparities in injury deaths • Injury prevention has become a public health … Board Indian Leadership for Indian Health Results Linkage increased ascertainment of AI/AN deaths … 10,870 12,212 White Deaths 795,675 794,409 Washington AI/ANs died at younger ages (1990-2009) … Indian Health Board 10/25/2012 13 Motor vehicle crashes and poisoning cause majority of injury deaths … and increased marginally Northwest Portland Area Indian Health Board 10/25/2012 19 Drowning deaths

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47338/psn-pdf
    September 19, 2018 - Avoidable sepsis infections send thousands of seniors to gruesome deaths. … https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths Sepsis … https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths https

  9. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

    psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
    February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis … Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from … Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from

  10. Engaging Patients to Enable Interoperable Lung Cancer Decision Support at Scale | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/engaging-patients-enable-interoperable-lung-cancer-decision-support-scale
    July 31, 2025 - interoperable clinical decision support tool and patient-facing app has the potential to reduce lung cancer deaths—the … leading cause of cancer-related deaths in the United States. … Type of Care Preventive Care Lung cancer is the leading cause of cancer-related deaths … test known as low-dose computed tomography (LDCT) can detect lung cancer early and reduce lung cancer deaths … disseminate patient-centered tools to help improve lung cancer screening at scale and reduce lung cancer deaths

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47759/psn-pdf
    February 06, 2019 - California doctors alarmed as state links their opioid prescriptions to deaths. … https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths … https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44405/psn-pdf
    September 02, 2015 - ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review https://psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer … impact-hospital-acquired-conditions-medicare-program-payments https://psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective … https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes

  13. Final Progress Report: Refinements in Evaluating Minimum Surgery Volume Standards (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
    January 01, 2024 - volume tertile hospitals have 1.4, and lowest volume tertile surgeons have 1.6, additional operative deaths … random effects PURPOSE Findings that higher surgery volumes are associated with lower operative deaths … deaths compared with their high-volume counterparts. … Combining the two components – 1.36 additional deaths from the quality component and 0.84 fewer deaths … deaths).

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45737/psn-pdf
    December 22, 2017 - nursing assistants and suggest that doing so may compromise patient safety by increasing preventable deaths … psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why … https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why

  15. Mapping changes in surgical mortality over 9 years by peer review audit. | PSNet

    psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit
    March 04, 2011 - Investigators evaluated more than 40,000 deaths and discovered several notable findings. … These included reduced mortality after elective procedures, fewer adverse events attributed to deaths … Resources From the Same Author(s) Building a framework for trust: critical event analysis of deaths

  16. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-misuse-and-diversion-urgent-need-consider-role-iatrogenic-addiction-current
    July 18, 2012 - A substantial number of drug deaths in the United States have been associated with inadvertent overdose … March 6, 2019 Prevention of prescription opioid misuse and projected overdose deaths … February 6, 2019 California doctors alarmed as state links their opioid prescriptions to deaths

  17. Symposium on Simulation Science in Health and Medicine. | PSNet

    psnet.ahrq.gov/issue/symposium-simulation-science-health-and-medicine
    April 03, 2017 - September 14, 2022 Healthcare Inspection—Emergency Department Patient Deaths: Memphis … September 7, 2022 Changes in error patterns in unanticipated trauma deaths during 20 … years: in pursuit of zero preventable deaths. … February 17, 2021 Zero preventable deaths after traumatic injury: an achievable goal.

  18. Mitigating Overdose Risk | The Academy

    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/mitigating-overdose-risk
    January 01, 2019 - in the U.S., down almost 27% from 2023. 2 This follows a dramatic increase of overdose deaths over … the last two decades. 3 Over two-thirds (68%; n=54,743) of overdose deaths in 2024 involved opioids, … increased 10-fold from 1999 to 2022 5 , and the rate of overdose deaths involving synthetic opioids … Overdose Deaths Decrease Almost 27% in 2024. May 9, 2025. … Drug Overdose Deaths in the United States, 2003-2023.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38581/psn-pdf
    August 27, 2013 - improvements have been made, patient safety incidents still account for nearly 100,000 preventable deaths … rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals

  20. Opioid Use Disorder News—2019 Updates | The Academy

    integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-2019-updates
    October 04, 2019 - medication-assisted treatment (MAT): Department of Health and Human Services Drug and Opioid-Involved Overdose Deaths … from the Centers for Disease Control and Prevention (CDC) finds that nearly two-thirds of overdose deaths … Drugs Most Frequently Involved in Drug Overdose Deaths: United States, 2011–2016 (PDF—335 KB)   This … CDC report examines the specific drugs involved most frequently in drug overdose deaths between 2011
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