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Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012.

Donaldson LJ, Panesar SS, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010-2012. PLoS Med. 2014;11(6):e1001667. doi:10.1371/journal.pmed.1001667.

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August 27, 2014
Donaldson LJ, Panesar SS, Darzi A. PLoS Med. 2014;11(6):e1001667.

This analysis of incidents involving inpatient mortality reported to the National Health Service in the United Kingdom revealed that the most common events included failure to recognize clinical deterioration, falls, health care–associated infections, perioperative mortality, and handoff problems. These well-recognized safety issues require multiple interventions to address them.

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Donaldson LJ, Panesar SS, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010-2012. PLoS Med. 2014;11(6):e1001667. doi:10.1371/journal.pmed.1001667.

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