-
psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - 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? … February 22, 2023
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative
-
psnet.ahrq.gov/issue/information-needs-operating-room-teams-what-right-what-wrong-and-what-needed
August 18, 2017 - December 21, 2014
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/prevention-opioid-overdose
July 18, 2018 - intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths … May 29, 2019
Deaths among opioid users: impact of potential inappropriate prescribing … March 6, 2019
Prevention of prescription opioid misuse and projected overdose deaths
-
psnet.ahrq.gov/issue/artificial-intelligence-systems-complex-decision-making-acute-care-medicine-review
March 16, 2011 - Related Resources From the Same Author(s)
Patterns of unexpected in-hospital deaths … January 13, 2021
Increases in drug and opioid overdose deaths—United States, 2000–2015 … June 28, 2017
A conceptual framework to reduce inpatient preventable deaths.
-
psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
July 06, 2012 - October 4, 2011
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:
-
psnet.ahrq.gov/issue/distracting-communications-operating-theatre
August 18, 2017 - February 23, 2011
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/saving-lives-and-saving-money-hospital-acquired-conditions-update
May 01, 2017 - 2017
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … 2024
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths
-
psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care
August 18, 2017 - June 15, 2016
Learning from preventable deaths: exploring case record reviewers' narratives … 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:
-
psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - December 29, 2014
Learning from preventable deaths: exploring case record reviewers' … November 12, 2014
Relationship between preventable hospital deaths and other measures … July 26, 2011
Preventable deaths due to problems in care in English acute hospitals:
-
hcup-us.ahrq.gov/reports/statbriefs/sb194-Inpatient-Mortality-High-Volume-Conditions.jsp
July 01, 2015 - Deaths per 1,000 hospital admissions for acute myocardial infarction were 94.0 in 2002, 88.4 in 2003, … Deaths per 1,000 hospital admissions for pneumonia were 65.0 in 2002, 58.9 in 2003, 54.9 in 2004, 46.7 … , from 112.6 to 82.6 deaths per 1,000 admissions). … per 1,000 admissions for AMI, and 43 percent decrease, from 81.4 to 46.7 deaths per 1,000 admissions … do not reflect any postdischarge deaths.
-
psnet.ahrq.gov/node/37975/psn-pdf
February 15, 2011 - Similar findings were noted in a prior study that analyzed deaths
between 1983 and 1993. … issue/adverse-drug-events-ambulatory-care
https://psnet.ahrq.gov/issue/increase-us-medication-error-deaths-between
-
psnet.ahrq.gov/node/47834/psn-pdf
February 27, 2019 - Reviewers rated 11 of the 300 sepsis-
associated deaths as definitely or moderately likely preventable … prevalence-underlying-causes-and-preventability-sepsis-associated-mortality-us-acute-care
https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis
-
psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
February 15, 2023 - Resources From the Same Author(s)
Mental health conditions leading cause of pregnancy-related deaths … July 17, 2024
Mental health conditions leading cause of pregnancy-related deaths.
-
psnet.ahrq.gov/issue/medication-safety-dashboard
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?
-
psnet.ahrq.gov/issue/patient-safety-1
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?
-
digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
January 01, 2005 - Active Failures
– Operative/Post-Op Complications/Infections
– Events Relating to Medication Errors
– Deaths … Suicides
– Transfusion Related Events
– Correct Tube-Correct Connector-Correct Hole
– Patient Falls
– Deaths … Active
Failures:
•Complications:
–op & post-op
–op & post-op
infections
•Falls
•Transfusion events
•Deaths … infections
decreased significantly
since ’02 to 0.8% in ’05
•No instances of:
–Transfusion
events
–Deaths
-
psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Newspaper/Magazine Article
'No one is coming': hospice patients abandoned at death's door.
Citation Text:
'No one is coming': hospice patients abandoned at death's door. Aleccia J; Bailey M.
Copy Citation
Save
Save to your library
Print
Download PDF
…
-
psnet.ahrq.gov/node/49869/psn-pdf
July 02, 2019 - mortality rate, the maternal mortality rate in the US has continued to steadily
increase: from 7.2 deaths … per 100,000 live births in 1987 to 18 deaths per 100,000 live births in 2014.(1)
Although some common … causes such as hypertension and infection have decreased in frequency, deaths
due to postpartum hemorrhage … A recently published study found that 70% of pregnancy-related deaths from hemorrhage were
preventable … Capacity to Review and Prevent Maternal Deaths. [Available at]
8.
-
hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_11a.jsp
January 01, 2005 - 33.9
Percent of admissions through the emergency department
42.5%
67.7%
In-hospital deaths … 430.089
1.945
Percent admitted through the emergency department
0.7
1.5
In-hospital deaths
-
psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - high risk for adverse drug events, and increases in opioid abuse have led to an
epidemic of overdose deaths … data
sources to determine whether implementing a drug monitoring program decreased opioid overdose deaths