-
psnet.ahrq.gov/node/60793/psn-pdf
August 12, 2020 - state-level data to examine the
association between nursing home-reported quality and COVID-19 cases and deaths … indicate that nursing homes with
higher ratings were less likely to experience COVID-19 cases and deaths
-
psnet.ahrq.gov/node/837151/psn-pdf
May 18, 2022 - maternal-safety
https://psnet.ahrq.gov/primer/maternal-safety
https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery … https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
-
psnet.ahrq.gov/node/837697/psn-pdf
July 20, 2022 - mortality rates at public and for-profit providers, researchers found an
additional 557 treatable deaths … patient-safety-private-hospitals-known-and-unknown-risk
https://psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
-
psnet.ahrq.gov/node/865879/psn-pdf
May 15, 2024 - psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths … psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
-
psnet.ahrq.gov/node/33606/psn-pdf
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 … only captured a fraction of the scope of the
epidemic, since most opioid-related adverse events and deaths … As a
result, most of the standard methods used to measure safety events did not detect these deaths. … https://www.hhs.gov/overdose-prevention/
https://psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states
-
psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
March 23, 2022 - March 23, 2022
Changes in error patterns in unanticipated trauma deaths during 20 years … : in pursuit of zero preventable deaths. … March 16, 2022
Zero preventable deaths after traumatic injury: an achievable goal.
-
psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
March 05, 2025 - December 14, 2016
Learning from preventable deaths: exploring case record reviewers' … 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:
-
psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - March 20, 2019
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.
-
psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - 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 1, 2022
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document
-
psnet.ahrq.gov/issue/presenting-complaint-use-language-disempowers-patients
July 13, 2022 - July 13, 2022
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … 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?
-
hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit1_4.pdf
January 01, 2009 - and Other
Facilities
13%
Home Health
Care
10%
Another Short-
term Hospital
2%
In-hospital
Deaths … These included
discharge to another short-term hospital (864,500 stays), in-hospital deaths (757,800 … Long-term Care and Other Facilities
All Stays
Routine
Another Short-term Hospital
In-hospital Deaths … The number of discharges for in-hospital deaths declined by 11 percent between 1997 and 2009.
-
hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section1_5.pdf
January 01, 2008 - and Other
Facilities
13%
Home Health
Care
10%
Another Short-
term Hospital
2%
In-hospital
Deaths … These included
discharge to another short-term hospital (877,700 discharges), in-hospital deaths (811,200 … Long-term Care and Other Facilities
All Discharges
Routine
Another Short-term Hospital
In-hospital Deaths … The number of discharges for in-hospital deaths (down 5 percent) and discharges to another short-term
-
psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
February 27, 2019 - November 17, 2011
Infant deaths associated with cough and cold medications—two states … June 16, 2019
Drug and opioid-involved overdose deaths- United States, 2013-2017. … August 21, 2018
Increases in drug and opioid overdose deaths—United States, 2000–2015 … May 16, 2012
Infant deaths associated with cough and cold medications—two states, 2005
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - percent did not receive life-saving beta-blocker treatment, leading to as many as 18,000 unnecessary deaths … health care delivery lead to missed or delayed diagnoses, higher costs, and unnecessary injuries and deaths … study of New York State hospitals found 1 in 25 patients were injured by the care they received and deaths … Negligence was blamed for 27.6 percent of the injuries and 51.3 percent of the deaths. … Based on this study, researchers estimated that preventable errors in hospital care led to 180,000 deaths
-
psnet.ahrq.gov/node/72568/psn-pdf
January 01, 2021 - alternatives-opioid-education-and-prescription-drug-monitoring-program-
cumulatively-decreased
Reducing opioid-related overdoses and deaths … alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased
https://psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states
-
psnet.ahrq.gov/node/74717/psn-pdf
February 02, 2022 - children’s hospital implemented a safe sleep bundle in all departments to reduce sudden unexpected infant
deaths … statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
https://psnet.ahrq.gov/issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal-process-care
-
psnet.ahrq.gov/node/74134/psn-pdf
December 01, 2021 - In this study, patient deaths
occurring within 7 days of ED discharge were analyzed to determine if … the deaths were anticipated or
unanticipated and/or due to medical error.
-
psnet.ahrq.gov/node/838629/psn-pdf
October 19, 2022 - This
study used data from the Learning from Lives and Deaths (LeDeR) program in the UK to examine the … challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
-
psnet.ahrq.gov/node/60276/psn-pdf
April 29, 2020 - body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-
outcomes
This study reviewed medical malpractice claims spanning a 10-year period involving deaths … that physicians should not hesitate to advocate for
autopsies to investigate unexpected in-hospital deaths
-
psnet.ahrq.gov/node/47496/psn-pdf
June 15, 2019 - Zealand Audit of Surgical Mortality database
over a 1-year period, researchers fully audited 3422 deaths … surgery might mitigate CDMIs
related to decisions to perform surgery and that retrospectively reviewing deaths