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psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
October 03, 2018 - Study
Deaths following prehospital safety incidents: an analysis of a national database … Deaths following prehospital safety incidents: an analysis of a national database. … This study examined patient deaths related to ambulance safety incidents and found that the majority … Deaths following prehospital safety incidents: an analysis of a national database.
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psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
May 02, 2018 - Newspaper/Magazine Article
Inside the preventable deaths that happened within a prominent … Citation Text:
Inside the preventable deaths that happened within a prominent transplant center. … This report describes the errors that contributed to failed transplants and patient deaths at one liver … Cite
Citation
Citation Text:
Inside the preventable deaths … April 12, 2023
A spike in people dying at home suggests coronavirus deaths in Houston
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psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
June 28, 2017 - Study
Drug and opioid-involved overdose deaths- United States, 2013-2017. … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … The rate of overdose deaths continues to rise, with the largest increase due to synthetic opioids such … Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017. … May 22, 2019
Prevention of prescription opioid misuse and projected overdose deaths in
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … Researchers applied change analysis , a type of root cause analysis , to their review of preventable deaths … Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. … June 17, 2014
Preventable deaths due to problems in care in English acute hospitals:
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - While deaths from PCAs are rare, they can occur and this heightens the importance of developing safe
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hcup-us.ahrq.gov/reports/statbriefs/sb283-COVID-19-PediatricHosptl.pdf
August 23, 2021 - Changes in Pediatric Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic … Agency for Healthcare
Research and Quality
Changes in Pediatric Hospitalizations and In-Hospital Deaths … nearly half (41.2 percent; from 170 to 100 deaths). … 600 deaths) in April–September 2020 versus the average in April–September 2016–2019. … ) to a 23.5
percent decrease for Hispanic pediatric patients (170 to 130 deaths).
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psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
October 05, 2022 - The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … Citation Text:
The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … A 3-year review investigating a series of deaths from a pediatric cardiac unit revealed flaws in the … Citation Text:
The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths … "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths
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psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
March 24, 2021 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths … The researchers audited 9 years of records related to inpatient trauma deaths and found identifiable … Related Resources From the Same Author(s)
Changes in error patterns in unanticipated trauma deaths … during 20 years: in pursuit of zero preventable deaths.
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 … Table of Contents
2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths … Estimated cumulative deaths averted from 2011 through 2013 are approximately 50,000.
Exhibit 5. … Total Annual and Cumulative Deaths Averted (Compared to 2010 Baseline)
Exhibit 6. … , with almost 35,000 of these deaths averted in 2013 alone, is a remarkable achievement.
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psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
March 27, 2019 - Magazine Article
Avoidable sepsis infections send thousands of seniors to gruesome deaths … Citation Text:
Avoidable sepsis infections send thousands of seniors to gruesome deaths. … Citation
Citation Text:
Avoidable sepsis infections send thousands of seniors to gruesome deaths
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - How Abortion Bans Lead to Preventable Deaths. … How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. … How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. … Resources From the Same Author(s)
Report links Georgia's abortion ban to preventable deaths
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psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
April 01, 2020 - Commentary
Overstating inpatient deaths due to medical error erodes trust in healthcare … Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement … Human: Building a Safer Health System estimated that medical errors contributed to 44,000 to 98,000 deaths … studies are overestimated , and that patient safety advocates should shift the focus from estimating deaths … Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement
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psnet.ahrq.gov/issue/hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
May 04, 2022 - Review
Hospitalizations and deaths related to adverse drug events worldwide: systematic … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with … found that hospitalizations related to ADEs ranged from 10 to 383 events per 100,000 people, whereas deaths … Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with … May 4, 2022
Drug-related deaths among inpatients: a meta-analysis.
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psnet.ahrq.gov/issue/how-health-care-systems-let-our-patients-down-systematic-review-suicide-deaths
October 19, 2022 - How health care systems let our patients down: a systematic review into suicide deaths … How health care systems let our patients down: a systematic review into suicide deaths. … This systematic review examined common systems factors affecting suicide deaths in mental health care … Seven themes contributing to suicide deaths were identified: (1) inappropriate or incomplete risk assessment … How health care systems let our patients down: a systematic review into suicide deaths.
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psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
November 17, 2021 - Study
Retrospective analysis of reported suicide deaths and attempts on Veterans … Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses … root cause analysis reports of suicide events in VA hospitals to characterize suicide attempts and deaths … Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses … March 25, 2020
Hemodialysis bleeding events and deaths: an 18-year retrospective analysis
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psnet.ahrq.gov/issue/prevention-prescription-opioid-misuse-and-projected-overdose-deaths-united-states
August 04, 2021 - Classic
Prevention of prescription opioid misuse and projected overdose deaths … Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. … programs and insurance coverage changes will result in only a small absolute decrease in opioid overdose deaths … Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. … February 6, 2019
Drug and opioid-involved overdose deaths- United States, 2013-2017.
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psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
July 12, 2010 - Study
Factors associated with unanticipated day of surgery deaths in Department of … Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals … This study examines contributors to unexpected deaths in low-risk surgical patients, and concludes that … patient and surgical factors were responsible for most deaths. … The utility of examining unexpected deaths was discussed in a recent AHRQ WebM&M commentary .
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psnet.ahrq.gov/issue/rate-preventable-mortality-hospitalized-patients-systematic-review-and-meta-analysis
July 27, 2022 - In this systematic review, the authors aimed to estimate the proportion of inpatient deaths deemed preventable … The authors conclude that a reasonable estimate of preventable deaths in the US may be about 22,000 annually … , but only about 7,150 of these deaths affect patients expected to live more than 3 months (in the absence … studies have overestimated the rate of preventable mortality because the great majority of inpatient deaths … The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - 144.1
deaths per 100,000 population), and COVID-19 (85 deaths per 100,000 population). … Deaths From Ischemic Heart Disease and From Heart Failure
Account for Most Heart Disease Deaths
As … NVSS data indicate that deaths from
ischemic heart disease and heart failure account for most deaths … Hospital deaths from heart failure increased overall from 2019 to 2020 (rising from 25.5 to 53.2
deaths … rise in heart disease deaths.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - 144.1
deaths per 100,000 population), and COVID-19 (85 deaths per 100,000 population). … Deaths From Ischemic Heart Disease and From Heart Failure
Account for Most Heart Disease Deaths
As … NVSS data indicate that deaths from
ischemic heart disease and heart failure account for most deaths … Hospital deaths from heart failure increased overall from 2019 to 2020 (rising from 25.5 to 53.2
deaths … rise in heart disease deaths.