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psnet.ahrq.gov/node/860714/psn-pdf
January 17, 2024 - Diagnostic errors in hospitalized adults who died or were
transferred to intensive care.
January 17, 2024
Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern
Med. 2024:184(2):164-173.
https://psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-tr…
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psnet.ahrq.gov/node/44556/psn-pdf
December 23, 2016 - Preventing falls and fall-related injuries in health care
facilities.
December 23, 2016
Sentinel Event Alert. September 28, 2015;(55):1-5.
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
Falls in the hospital are common, particularly among elderly patients, and falls …
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psnet.ahrq.gov/node/72700/psn-pdf
January 01, 2022 - Missed acute coronary syndrome during telephone triage
at out-of-hours primary care: lessons from a case-control
study.
February 3, 2021
Erkelens DC, Rutten FH, Wouters LT, et al. Missed Acute Coronary Syndrome During Telephone Triage at
Out-of-Hours Primary Care. J Patient Saf. 2022;18(1):40-45. doi:10.1097/pts.0…
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psnet.ahrq.gov/node/60580/psn-pdf
January 01, 2022 - Sustaining the gains: a 7-year follow-through of a
hospital-wide patient safety improvement project on
hospital-wide adverse event outcomes and patient safety
culture.
June 10, 2020
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient
safety improvement projec…
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psnet.ahrq.gov/node/73348/psn-pdf
June 02, 2021 - Association of opioid consumption profiles after
hospitalization with risk of adverse health care events.
June 2, 2021
Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after
hospitalization with risk of adverse health care events. JAMA Netw Open. 2021;4(5):e218782.
doi:10.1001/…
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psnet.ahrq.gov/node/852749/psn-pdf
January 01, 2024 - A multi-facetted patient safety resource--a qualitative
interview study on hospital managers' perception of the
nurse-led Rapid Response Team.
August 23, 2023
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi?facetted patient safety resource—a qualitative
interview study on hospital managers' perception of the n…
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Incidence and method of suicide in hospitals in the United
States.
October 31, 2018
Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United
States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002.
https://psnet.ahrq.gov/issue/incidence-…
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psnet.ahrq.gov/node/851352/psn-pdf
July 12, 2023 - Identifying a list of healthcare 'never events' to effect
system change: a systematic review and narrative
synthesis.
July 12, 2023
Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system
change: a systematic review and narrative synthesis. BMJ Open Qual. 2023;12(2…
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psnet.ahrq.gov/node/38515/psn-pdf
March 03, 2011 - Errors in administration of parenteral drugs in intensive
care units: multinational prospective study.
March 3, 2011
Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units:
multinational prospective study. BMJ. 2009;338:b814. doi:10.1136/bmj.b814.
https://psnet…
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psnet.ahrq.gov/node/866156/psn-pdf
June 20, 2024 - Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US
Preventive Services Task Force.
June 20, 2024
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated
evidence report and systematic review for the US Preventive…
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psnet.ahrq.gov/node/850158/psn-pdf
June 07, 2023 - Incidence and outcomes of non-ventilator-associated
hospital-acquired pneumonia in 284 US hospitals using
electronic surveillance criteria.
June 7, 2023
Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired
pneumonia in 284 US hospitals using electronic surveilla…
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/integrating-evidence-based-clinical-and-community-strategies-improve-health
March 12, 2021 - Tobacco use, poor diet, and physical inactivity alone contribute to more than a third of the premature deaths … Tobacco use accounted for over 435,000 deaths per year in 2000 ( Table 1 ) . 1 , 2 The current prevalence … Excess deaths associated with underweight, overweight, and obesity. JAMA 2005;293(15):1861-7.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/hepatitis-c-virus-infection-screening-2004
March 08, 2004 - HCV is associated with approximately 40 percent of cases of chronic liver disease and 8,000 to 10,000 deaths … 2,311]) than those without it (0.2 percent [247 of 113, 009]), but it is not clear how many of these deaths … No serious complications or deaths from treatment were reported. … vs. 16 vs. 22
Depression (%): 34 vs. 29 vs. 31
Injection site reaction (%): 36 vs. 59 vs. 58
Deaths … 2-10 major complications and 0-1.5 deaths
Proportion of patients referred for evaluation
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/3XUeA-_n8KhYeS95ohoo2_
August 03, 2020 - Neonatal
deaths per 1000 live births were 22 in
the normal group, 29 in the moderate
anemia group, and … antenatal visit with neonatal mortality
in nearly 20000 births, found that the
incidence of neonatal deaths … centers received 13 416 reports of child¬
hood ingestion of iron or iron-containing
vitamins.72 Most deaths
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meps.ahrq.gov/data_stats/nhc/communty.pdf
December 31, 1996 - OMB # 0935-0099
DATE: 9/30/97
Department of Health and Human Services
Public Health Service
Agency for Health Care Policy and Research
and
National Center for Health Statistics
MEDICAL EXPENDITURE PANEL SURVEY
NATIONAL NURSING HOME EXPENDITURE SURVEY
COMMUNITY QUESTIONNAIRE
NATIONAL STUDY
VERSION 2.2
ASSURANCE…
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psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
January 27, 2021 - Book/Report
Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm.
Citation Text:
Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Saks M, Landsman S. New York, NY: Oxford University Press; 2021. ISBN: 9780190667986.
…
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www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf
January 01, 2024 - following important study results: “Patients
with chronic kidney failure had an increased number of deaths … following important
study results: “Patients with chronic kidney failure had an increased number of deaths
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hcup-us.ahrq.gov/reports/statbriefs/sb306-overview-sepsis-2016-2021.pdf
January 01, 2021 - ■ Sepsis stays resulting in an in-hospital death accounted for 26.3 percent of all in-hospital deaths … in 2016 and
29.3 percent of all in-hospital deaths in 2021 (data not shown).
3
Figure 2.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sZN5HHS8w5Sar6bBPabsaB
June 01, 2008 - of persons without diabetes,
and cardiovascular events account for more than three
fourths of these deaths … calcium-channel blocker or an angiotensin-
converting enzyme inhibitor over a thiazide diuretic in re-
ducing deaths … experienced a 25% relative
risk reduction (CI, 12% to 36%) in cardiovascular events,
cardiovascular deaths … placebo; NSD in total deaths. … acarbose, should be considered when prescribing these
drugs, but they are not associated with increased deaths
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary23/diabetes-mellitus-type-2-in-adults-screening-2008
June 15, 2008 - of persons without diabetes, and cardiovascular events account for more than three fourths of these deaths … calcium-channel blocker or an angiotensin-converting enzyme inhibitor over a thiazide diuretic in reducing deaths … experienced a 25% relative risk reduction (CI, 12% to 36%) in cardiovascular events, cardiovascular deaths … acarbose, should be considered when prescribing these drugs, but they are not associated with increased deaths … β-Blockers: increase in withdrawals secondary to adverse events vs. placebo; NSD in total deaths.