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psnet.ahrq.gov/primer/opioid-safety December 15, 2024 - Deaths from prescription opioid use began to rise shortly thereafter, and as prescribing continued to … According to  data  from the CDC and National Institute on Drug Abuse, more than 73,000 deaths involving … As a result, most of the standard methods used to  measure safety events  did not detect these deaths … May 4, 2022 
 
 
 
 
 
 
 
 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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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/trends.html June 01, 2018 - worsening over time, including two measures of management of chronic conditions (bold):
	 
 Suicide deaths … Two measures showed widening of urban-rural disparities:
	 
 Deaths per 1,000 hospital admissions with … Deaths per 1,000 hospital admissions with congestive heart failure, age 18 and over. … Two measure showed widening of uninsured-privately insured disparities:
	 
 Deaths per 1,000 hospital 
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psnet.ahrq.gov/node/33871/psn-pdf December 22, 2018 - Control and Prevention report that the US pregnancy-related
mortality ratio has increased from 7.2 deaths … per 100,000 live births in 1987 to 18.0 deaths per 100,000 live
births in 2014. … In a study of
pregnancy-related deaths from 2011–2013 in the US, approximately 30% of these deaths occurred … maternal and pregnancy-related mortality,
careful analysis consistently demonstrates that at least 50% of deaths … per 100,000 births vs. 12.4 deaths per 100,000). 
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psnet.ahrq.gov/node/73477/psn-pdf July 07, 2021 - https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
A weave … https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
https 
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-spmh.html June 01, 2018 - major depressive episode in the last 12 months who received treatment 
 Worse 
 No Change 
 
 
 Suicide deaths … Blacks had a lower suicide death rate than Whites but this disparity is narrowing as Black suicide deaths … Suicide Deaths 
 Suicide deaths per 100,000 population, by race, 2008-2013, and stratified by sex for … Achievable Benchmark: 
 
 The 2008 top 5 State achievable benchmark was 9 suicide deaths per 100,000 
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psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients-keep-getting April 22, 2020 - August 23, 2023 
 
 
 
 
 
 
 
 Inside the preventable deaths that happened within a prominent transplant … March 16, 2011 
 
 
 
 
 
 View More 
 
 
 
 
 
 Related Resources 
 
 
 
 
 
 
 Inside the preventable deaths … Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths 
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psnet.ahrq.gov/node/37700/psn-pdf October 25, 2013 - improvements have been made, patient safety incidents still account for more than 200,000 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 
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-radiation-induced-breast-cancer-and-breast-/breast-cancer-screening-january-2016 January 11, 2016 - (CI, 11 to 23), relative to 968 breast cancer deaths averted by early detection from screening. … per 100,000 women) than other women (113 cancer cases and 15 deaths per 100,000 women). … cases [CI, 79 to 161] and 15
breast cancer deaths [CI, 10 to 21]) ( Table 2 ). … For women screened annually from age 40 to 74 years, we estimated fewer breast cancer deaths (16 deaths … Number of Breast Cancer Deaths Averted by Screening 100,000 Women and Number of Breast Cancer Deaths 
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psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety September 02, 2016 - Congressional Testimony 
 
 
 
 
 
 
 
 
 
 More Than 1,000 Preventable Deaths a Day Is Too Many: The … Citation Text: 
 More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety … Cite
           
 
  Citation 
 
 Citation Text: 
 More Than 1,000 Preventable Deaths 
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/references.html December 01, 2017 - Disparities in premature deaths from heart disease - 50 states and the District of Columbia, 2001. … Deaths: Preliminary data for 2011. … Deaths: Leading causes for 2009. Hyattsville, MD: National Center for Health Statistics;2012. 
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psnet.ahrq.gov/node/74121/psn-pdf November 30, 2021 - Given that more than 60% of maternal deaths are preventable the challenge for obstetric providers is … The Joint Commission issued a
Sentinel Event Alert in 201318 in response to a spate of deaths related … Take-Home Points
Maternal deaths and severe maternal morbidity remain major challenges in the United … More than 65% of maternal deaths and morbidity are preventable. … Pregnancy-Related Deaths: Data from 14 U.S. Maternal
Mortality Review Committees, 2008-2017. 
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psnet.ahrq.gov/issue/misdiagnosis-analysis-based-case-record-review-proposals-aimed-improve-diagnostic-processes November 12, 2014 - Citation 
 
 
 
 
 
 
 Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Learning from preventable deaths … 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: … May 19, 2021 
 
 
 
 
 
 
 
 Avoidability of hospital deaths and association with hospital-wide mortality 
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psnet.ahrq.gov/issue/nhs-patient-safety-strategy April 15, 2020 - 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? … A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. 
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports March 23, 2022 - May 5, 2021 
 
 
 
 
 
 
 
 Changes in error patterns in unanticipated trauma deaths during 20 years: … in pursuit of zero preventable deaths. … March 24, 2021 
 
 
 
 
 
 
 
 Zero preventable deaths after traumatic injury: an achievable goal. 
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psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units November 11, 2020 - A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. … November 12, 2014 
 
 
 
 
 
 
 
 Association of unexpected newborn deaths with changes in obstetric … April 27, 2022 
 
 
 
 
 
 
 
 Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. 
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www.ahrq.gov/hai/pfp/interimhac2014-ap1.html November 01, 2015 - National Scorecard HACs for Interim 2014 vs. 2010, and Projected 2014 Cost Savings and Reductions in Deaths … Measured HACs (From 2010 to Interim 2014) 
 Projected Cost Savings in 2014 c 
 Projected Reductions in Deaths … Inpatient Mortality per HAC 
 Projected PfP Cost Savings in 2014 if 2014 Goal Met 
 Projected Reductions in Deaths … In order to produce consistent estimates of cost savings and deaths averted for 2010 to 2013, the per-HAC … estimates established for the costs and deaths associated with HACs in 2011 have not been modified. 
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psnet.ahrq.gov/node/851201/psn-pdf July 05, 2023 - maternal-safety-and-perinatal-mental-health
https://psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-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/73984/psn-pdf October 20, 2021 - Diagnostic Error Evaluation and Research (DEER) taxonomy, researchers reviewed 16 records of patients
whose deaths … rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety 
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psnet.ahrq.gov/node/39282/psn-pdf September 20, 2011 - The study also reported that for the
50 diagnosis groups with the highest number of deaths, 17 were … The authors estimate that nearly 3400 excess deaths during 2005-
2006 could be attributed to weekend … care, which exceeds the number of deaths from road accidents in
Great Britain in 2006—an admittedly 
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psnet.ahrq.gov/node/43290/psn-pdf June 25, 2014 - Similarly, deaths in patients with
low-mortality diagnoses are also used to identify safety problems … psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals