- 
                                        
hcup-us.ahrq.gov/reports/statbriefs/sb21.pdf December 01, 2006 - In 2004, the total number of in-
hospital deaths among adults
with SCD was 699, and among
children 47 … In 1998, in-hospital
deaths among adults spiked to 
758 from 516 in 1997. … The number of in-hospital deaths, as well as death rate, was stable from 
1994 to 1997. … hospitalizations with SCD, to a peak of 758 deaths. … From 1998 through 2004, the in-
hospital deaths and death rate remained stable for adults. 
- 
                                        
psnet.ahrq.gov/node/33782/psn-pdf March 01, 2015 - The commonly used HSMR is a ratio of the observed
number of in-hospital deaths to the number expected … Moreover, when in-hospital deaths are subjected to forensic clinical analysis, studies show that only … Sensitivity may be increased by enlarging the number of evaluable deaths by including those occurring … Specificity may be increased by excluding those deaths that can
reasonably be attributed to advanced … Have there been 13,000 needless deaths at 14 NHS
trusts? BMJ. 2013;347:f4893. [go to PubMed]
19. 
- 
                                        
hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_3.pdf January 01, 2007 - Long-term Care and 
Other Facilities
Home Health Care
Another Short-term 
Hospital
In-hospital Deaths …  Four percent of stays resulted in in-hospital deaths and less than 1 percent were discharges against …  Less than 1 percent of Medicaid, private insurance, and uninsured stays resulted in in-hospital deaths … For stays with Medicare as the primary payer, in-hospital deaths occurred in 4 percent of stays. 
- 
                                        
psnet.ahrq.gov/node/43653/psn-pdf January 01, 2015 - information-front-line
Early efforts to characterize patient safety included the review of individual cases of patient deaths … implementation of
an electronic tool which directly queries clinicians about specific cases of inpatient deaths … discussion-medical-errors-morbidity-and-mortality-conferences
https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety 
- 
                                        
psnet.ahrq.gov/node/43063/psn-pdf May 01, 2015 - More Than 1,000 Preventable Deaths a Day Is Too Many:
The Need to Improve Patient Safety. … https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
A … https://psnet.ahrq.gov/issue/more-1000-preventable-deaths-day-too-many-need-improve-patient-safety
https 
- 
                                        
psnet.ahrq.gov/node/50945/psn-pdf February 26, 2020 - This story discusses a case
of an American Indian/Alaska Native mother and infants whose deaths may … https://psnet.ahrq.gov/issue/doing-harm
https://psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states 
- 
                                        
psnet.ahrq.gov/issue/digital-clinical-safety-strategy March 01, 2023 - 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? … June 8, 2022 
 
 
 
 
 
 
 
 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document 
- 
                                        
psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned March 24, 2021 - Related Resources From the Same Author(s) 
 
 
 
 
 
 
 Changes in error patterns in unanticipated trauma deaths … during 20 years: in pursuit of zero preventable deaths. … 2021 
 
 
 
 
 
 
 
 Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths 
- 
                                        
psnet.ahrq.gov/issue/childrens-hospital-investigated-five-patient-deaths-deadly-fungal-disease-2009 June 14, 2017 - Newspaper/Magazine Article 
 
 
 
 
 
 
 
 
 
 Children's Hospital investigated five patient deaths from 
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf January 01, 2017 - lab results not 
credible
1967 (CLIA) On automated labs: 
<1 defect/100,000
Patient Safety 180,000 deaths … Diagnostic Safety 40,000 – 80,000 deaths/yr 2008  
(DEM)
??? … these slides if Victor doesn’t cover 
them
Diagnostic Error
Error-related 
Harm
40,000 – 80,000 
deaths … care 
visits involves a 
preventable dx error; 
half are potentially 
harmful
US Each Hospital
10 deaths … The petri dish for diagnostic errors
• Inpatients One in ten diagnoses is probably wrong. 36,000 
deaths 
- 
                                        
psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or April 05, 2017 - Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths … Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths … Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths 
- 
                                        
psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery November 25, 2020 - are considered preventable. 1  The U.S. has an increasing rate of maternal mortality of 17 maternal deaths … Given that more than 60% of  maternal deaths are preventable  the challenge for obstetric providers is … It is very problematic that race and ethnic disparities are reflected in maternal deaths and morbidity … More than 65% of maternal deaths and morbidity are preventable. … Pregnancy-Related Deaths: Data from 14 U.S. Maternal Mortality Review Committees, 2008-2017. 
- 
                                        
www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi7.html January 01, 2013 - course of the study, an estimated 131 infections were prevented which translates to an estimated 14-41 deaths … Approximately $906,000 was invested in the national NCLABSI project resulting in infections prevented and deaths 
- 
                                        
psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability April 03, 2019 - Study 
 
 
 
 
 
 
 
 
 
 Reviewing deaths in British and US hospitals: a study of two scales for assessing … 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. 
- 
                                        
psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric March 07, 2018 - "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths 
- 
                                        
psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national October 31, 2014 - Study 
 
 
 
 
 
 
 
 
 
 Patient-safety–related hospital deaths in England: thematic analysis of incidents … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national 
- 
                                        
psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic June 11, 2008 - Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths … Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths … Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths 
- 
                                        
psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications June 20, 2011 - Study 
 
 
 
 
 
 
 
 
 
 Mortality related to anaesthesia in France: analysis of deaths related to airway … Mortality related to anaesthesia in France: analysis of deaths related to airway complications. … Mortality related to anaesthesia in France: analysis of deaths related to airway complications. 
- 
                                        
psnet.ahrq.gov/node/50655/psn-pdf January 01, 2020 - hospital-wide, automated electronic reporting system that
was intended to capture real-time data about patient deaths … Over a 7-year period, 91% of deaths resulted in a review, and 5% were considered
preventable by the 
- 
                                        
psnet.ahrq.gov/node/60657/psn-pdf July 08, 2020 - opioid-overdose-patient-safety-problem
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states … -2000-2015
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-