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psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
March 14, 2016 - the Same Author(s)
Interdisciplinary Quality Improvement Conference: using a revised morbidity … Engaging pediatric resident physicians in quality improvement through resident-led morbidity … March 2, 2016
Preventable morbidity at a mature trauma center. … 2014
Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity … June 14, 2011
Learning from defects to enhance morbidity and mortality conferences.
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psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
October 19, 2022 - April 24, 2018
Defining a high-quality and effective morbidity and mortality conference … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … February 15, 2023
Using potentially preventable severe maternal morbidity to monitor … Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity
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psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us
November 15, 2011 - Preventable maternal morbidity is an ongoing challenge in the United States. … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … Using the ecological systems theory to understand black/white disparities in maternal morbidity
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psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
August 26, 2020 - Using the ecological systems theory to understand black/white disparities in maternal morbidity … July 26, 2010
Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity. … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity
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psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - A surgical safety checklist to reduce morbidity and
mortality in a global population. … A surgical safety checklist to reduce morbidity and mortality in a
global population. … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
March 10, 2021 - Study
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in
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psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
February 12, 2020 - Study
Starting elective cardiac surgery after 3 pm does not impact patient morbidity … Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital … Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - In this case, there was a potentially preventable etiology of severe maternal morbidity that might have … It is very problematic that race and ethnic disparities are reflected in maternal deaths and morbidity … More than 65% of maternal deaths and morbidity are preventable. … Racial and ethnic disparities in maternal morbidity and obstetric care. … Use of Maternal Early Warning Trigger tool reduces maternal morbidity.
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - In this case, there was a potentially
preventable etiology of severe maternal morbidity that might have … Take-Home Points
Maternal deaths and severe maternal morbidity remain major challenges in the United … It is very problematic that
race and ethnic disparities are reflected in maternal deaths and morbidity … More than 65% of maternal deaths and morbidity are preventable. … Racial and ethnic disparities in maternal morbidity and
obstetric care.Obstet Gynecol. 2015;125(6):1460
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psnet.ahrq.gov/node/33946/psn-pdf
July 26, 2010 - AHRQ WebM&M: Morbidity & Mortality Rounds on the
Web. … https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
The Agency for Healthcare Research … https://psnet.ahrq.gov/issue/ahrq-webmm-morbidity-mortality-rounds-web
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … February 15, 2023
Using potentially preventable severe maternal morbidity to monitor … 2022
Distinguishing high-performing from low-performing hospitals for severe maternal morbidity … Using the ecological systems theory to understand black/white disparities in maternal morbidity
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psnet.ahrq.gov/issue/post-discharge-adverse-events-among-african-american-and-caucasian-patients-urban-community
January 18, 2023 - September 7, 2022
Preventable morbidity and mortality among non-trauma emergency surgery … Using the ecological systems theory to understand black/white disparities in maternal morbidity … Resources
Listen to the whispers before they become screams: addressing Black maternal morbidity … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
December 15, 2021 - December 15, 2021
Using potentially preventable severe maternal morbidity to monitor … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … 2020
Distinguishing high-performing from low-performing hospitals for severe maternal morbidity … May 19, 2021
Racial/ethnic inequities in pregnancy-related morbidity and mortality.
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psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients-80-years-or-older-randomized
October 28, 2020 - Study
A comprehensive pharmacist intervention to reduce morbidity in patients 80 … A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized … A comprehensive pharmacist intervention to reduce morbidity in patients 80 years or older: a randomized
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psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
September 23, 2020 - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … 2022
Distinguishing high-performing from low-performing hospitals for severe maternal morbidity … May 24, 2023
Using potentially preventable severe maternal morbidity to monitor hospital … Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - missed opportunities for health and
wellness, as well as preventable mortality and severe maternal morbidity … These measures primarily include assessment of maternal mortality and morbidity,
including outcomes … Severe Maternal Morbidity. Reproductive Health. Centers for Disease Control and Prevention. … https://www.cdc.gov/reproductivehealth/maternalinfanthealth/smm/severe-morbidity-ICD.htm
4. … Social determinants of pregnancy-related mortality and
morbidity in the United States: a systematic
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psnet.ahrq.gov/node/44423/psn-pdf
January 22, 2016 - Resident supervision and patient safety: do different
levels of resident supervision affect the rate of morbidity … Resident Supervision and Patient Safety: Do Different Levels of
Resident Supervision Affect the Rate of Morbidity … Furthermore, there was no evidence
of a "July Effect," as the number of morbidity and mortality cases
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psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - protocols and built-in alerts to help to
address staggering racial and ethnic disparities in maternal morbidity … and require immediate action to reduce maternal morbidity
and mortality … Maternal mortality and morbidity in the United States: where are we now?. … Reduction of severe maternal morbidity from hemorrhage using a state perinatal quality collaborative. … Use of Maternal Early Warning Trigger tool reduces maternal morbidity.
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psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
March 16, 2022 - obstetrical quality ; however, these measures do not account for preexisting maternal and neonatal morbidities … delivery rates adjusted for preexisting high-risk maternal factors as well as maternal and neonatal morbidities … 2022
Distinguishing high-performing from low-performing hospitals for severe maternal morbidity … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … January 19, 2022
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality
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psnet.ahrq.gov/training-education
October 01, 2025 - In this section, you will have the opportunity to read WebM&M (Morbidity & Mortality) Spotlight Cases … View All Spotlight Cases
WebM&M Case Studies
WebM&M (Morbidity