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psnet.ahrq.gov/node/36372/psn-pdf
February 24, 2011 - Morbidity and mortality conference, grand rounds, and
the ACGME's core competencies. … Morbidity and mortality conference, grand rounds, and the ACGME's core
competencies. … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-
competencies … The authors describe how they redesigned morbidity and mortality (M&M) conferences at their hospital … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
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psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
July 14, 2021 - project used five domains (autopsy reports, root cause analyses (RCAs), voluntary reporting system, morbidity … abdominal pain trigger tool ) and adjudication by a QI team to identify cases of diagnostic error; Morbidity … May 15, 2019
Psychiatry morbidity and mortality rounds: implementation and impact. … May 24, 2015
Preventable morbidity at a mature trauma center.
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psnet.ahrq.gov/node/37822/psn-pdf
June 18, 2008 - A morbidity and mortality conference-based classification
system for adverse events: surgical outcome … A morbidity and mortality conference-based classification system
for adverse events: surgical outcome … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse- … events-surgical
Surgical adverse events were identified at morbidity and mortality conferences over … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical
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psnet.ahrq.gov/node/42670/psn-pdf
January 09, 2014 - Meta-analysis of surgical safety checklist effects on
teamwork, communication, morbidity, mortality, … Meta-analysis of surgical safety checklist effects on teamwork, communication,
morbidity, mortality, … https://psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-
morbidity-mortality … https://psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
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psnet.ahrq.gov/node/40203/psn-pdf
February 09, 2011 - Changes in safety attitude and relationship to decreased
postoperative morbidity and mortality following … Changes in safety attitude and relationship to decreased
postoperative morbidity and mortality following … https://psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity … Saves Lives program generated noteworthy attention when
implementation of a 19-item checklist reduced morbidity … These changes did correlate with the degree of improvement in postoperative
morbidity and mortality.
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psnet.ahrq.gov/node/37304/psn-pdf
January 04, 2012 - Characteristics of patient care management problems
identified in emergency department morbidity and … Characteristics of patient care management problems identified in
emergency department morbidity and … psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-
department-morbidity … psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity … psnet.ahrq.gov/issue/characteristics-patient-care-management-problems-identified-emergency-department-morbidity
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psnet.ahrq.gov/node/37396/psn-pdf
March 28, 2012 - Risk-adjusted morbidity in teaching hospitals correlates
with reported levels of communication and collaboration … Risk-adjusted morbidity in teaching hospitals correlates
with reported levels of communication and collaboration … https://psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels- … surgical patients, and found no clear relationship between perceived safety culture and risk-
adjusted morbidity … However, reduced morbidity correlated with higher ratings of
communication within surgical teams.
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psnet.ahrq.gov/node/43776/psn-pdf
March 17, 2015 - Impact of anesthetic handover on mortality and morbidity
in cardiac surgery: a cohort study. … Impact of anesthetic handover on mortality and morbidity in
cardiac surgery: a cohort study. … https://psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort … teams during cardiovascular procedures
was associated with markedly elevated rates of postoperative morbidity … https://psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
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psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - Obstetric Care Consensus No. 5: Severe Maternal
Morbidity: Screening and Review. … May 9, 2018
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. … https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and- … https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review … https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and-review
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psnet.ahrq.gov/node/44341/psn-pdf
July 22, 2015 - Impact of resident participation on morbidity and
mortality in neurosurgical procedures: an analysis … Impact of resident participation on morbidity and mortality in
neurosurgical procedures: an analysis … https://psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-
procedures-analysis … patient characteristics and comorbidities, there were no significant
differences in postoperative 30-day morbidity … https://psnet.ahrq.gov/issue/impact-resident-participation-morbidity-and-mortality-neurosurgical-procedures-analysis
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psnet.ahrq.gov/node/43527/psn-pdf
September 24, 2014 - The morbidity and mortality conference in PICUs in the
United States: a national survey. … The morbidity and mortality conference in PICUs in the United
States: a national survey. … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-picus-united-states-national-survey … in internal medicine and surgical programs, this survey study found that structure
and processes of morbidity … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-picus-united-states-national-survey
https
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - People of color experience disproportionately higher rates of maternal morbidity and mortality. … Read More
A multidisciplinary model for reviewing severe maternal morbidity … Maternal morbidity has garnered increasing attention as a patient safety issue. … People of color experience disproportionately higher rates of maternal morbidity and mortality. … Maternal morbidity has garnered increasing attention as a patient safety issue.
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psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - Development of an online morbidity, mortality, and near-
miss reporting system to identify patterns … Development of an online morbidity, mortality, and near-miss
reporting system to identify patterns of … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system- … identify-patterns
Morbidity and mortality (M&M) conferences have traditionally been a venue for discussion … https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/837023/psn-pdf
May 04, 2022 - Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity … Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity … examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-
maternal
People of color experience disproportionately higher rates of maternal morbidity … As part of a
larger quality improvement and patient safety initiative to reduce severe maternal morbidity
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psnet.ahrq.gov/node/44595/psn-pdf
January 22, 2016 - Delayed rapid response team activation is associated with
increased hospital mortality, morbidity, and … Delayed Rapid Response Team Activation Is Associated With
Increased Hospital Mortality, Morbidity, and … psnet.ahrq.gov/issue/delayed-rapid-response-team-activation-associated-increased-hospital-
mortality-morbidity-and … This study
showed that delayed activation of rapid response was associated with worse morbidity and … psnet.ahrq.gov/issue/delayed-rapid-response-team-activation-associated-increased-hospital-mortality-morbidity-and
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psnet.ahrq.gov/node/41033/psn-pdf
December 21, 2014 - Association between implementation of a medical team
training program and surgical morbidity. … Association between implementation of a medical team training
program and surgical morbidity. … psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-
surgical-morbidity … This analysis of data from the same
study also found improvements in surgical morbidity and preventable … /psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-morbidity
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psnet.ahrq.gov/node/38988/psn-pdf
October 07, 2009 - Resident duty-hour reform associated with increased
morbidity following hip fracture. … Resident duty-hour reform associated with increased morbidity
following hip fracture. … https://psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip- … fracture
This study analyzed a national database of patients with hip fractures to demonstrate that morbidity … https://psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity … Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity … This commentary describes an innovation built on the mortality and morbidity conference
concept that … psnet.ahrq.gov/issue/disseminating-innovations-health-care
https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
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psnet.ahrq.gov/node/47301/psn-pdf
September 02, 2018 - How common are cognitive errors in cases presented at
emergency medicine resident morbidity and mortality … How common are cognitive errors in cases presented at emergency medicine
resident morbidity and mortality … /psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-
resident-morbidity-and … This retrospective review of cases presented at one hospital's emergency medicine morbidity and mortality … ://psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
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psnet.ahrq.gov/node/852272/psn-pdf
January 01, 2024 - birthing people of color experience disproportionately high rates of
mortality and severe maternal morbidity … investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
https://psnet.ahrq.gov/issue/trends-maternal-mortality-and-severe-maternal-morbidity-during-delivery-related … maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
https://psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united … https://psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united