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PSNet: Patient Safety Network

Deaths in Acute Hospitals: Caring to the End?

Cooper H; Findlay G; Goodwin APL; Gough MJ; Lucas SB; Mason DG; Mason M; Martin IC; Stewart JAD; Wilkinson K. National Confidential Enquiry into Patient Outcome and Death; NCEPOD.

This United Kingdom report analyzed more than 2000 cases of in-hospital patient deaths and found weaknesses in care coordination, communication across teams, and senior-level clinician oversight.