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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
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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/issue/codifying-knowledge-improve-patient-safety-qualitative-study-practice-based-interventions
January 29, 2014 - This qualitative study used morbidity and mortality conferences and medication safety scorecards to explore … June 12, 2019
Mortality and morbidity meetings: an untapped resource for improving the … November 13, 2013
Mortality and morbidity meetings: an untapped resource for improving
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - Abnormal vital signs with clinical changes in the obstetric population can suggest significant morbidity … and as such, 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/node/33608/psn-pdf
February 01, 2024 - substantial disparities by racial or ethnic group or socioeconomic circumstances in
pregnancy-related morbidity … ;6 for every maternal death, there are 70 cases of severe maternal morbidity
(including unexpected outcomes … In a study of the relationship between hospital
birth volume and progression of severe maternal morbidity … Reducing disparities in severe maternal morbidity and mortality. … Hospital delivery volume, severe obstetrical morbidity, and
failure to rescue.
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psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care
August 21, 2024 - Reducing maternal morbidity and mortality is a critical patient safety priority . … 2022
Distinguishing high-performing from low-performing hospitals for severe maternal morbidity
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psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology
May 01, 2019 - Reducing maternal morbidity and mortality is a global patient safety goal. … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity
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psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - , 2023
Listen to the whispers before they become screams: addressing Black maternal morbidity … July 7, 2021
Racial/ethnic inequities in pregnancy-related morbidity and mortality. … Using the ecological systems theory to understand black/white disparities in maternal morbidity
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psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta
December 08, 2021 - In contrast to a recent study that showed no change in postoperative morbidity and mortality following … 2014
Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity
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psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
March 17, 2021 - improve patient safety, including reductions in catheter-related bloodstream infections and surgical morbidity … World Health Organization Safe Childbirth Checklist (SCC) which aims to prevent maternal and neonatal morbidity
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psnet.ahrq.gov/issue/decreased-incidence-cesarean-surgical-site-infection-rate-hospital-wide-perioperative-bundle
September 08, 2021 - Cesarean delivery can contribute to increased maternal morbidity . … November 3, 2021
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality
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psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care
March 10, 2021 - In this retrospective study, researchers evaluated safety incidents reported using the Psychiatry Morbidity … March 13, 2024
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases
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psnet.ahrq.gov/issue/psychometric-properties-perinatal-missed-care-survey-and-missed-care-during-labor-and-birth
April 12, 2023 - , 2023
Listen to the whispers before they become screams: addressing Black maternal morbidity … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … November 10, 2021
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality
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psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
November 10, 2021 - November 10, 2021
Miscarriage treatment-related morbidities and adverse events in hospitals … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … August 10, 2022
Association of provider specialty with abortion-related morbidity and … Using the ecological systems theory to understand black/white disparities in maternal morbidity
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psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge
July 28, 2021 - Resources
Listen to the whispers before they become screams: addressing Black maternal morbidity … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … June 1, 2022
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - The rate of severe maternal morbidity (e.g., massive blood transfusion, eclampsia, hysterectomy, heart … The burden of maternal morbidity and mortality is especially high in the African American community: … has the longest track record with safety bundle implementation and has seen reductions in maternal morbidity … Safety bundles are an important step in addressing preventable maternal death and morbidity and health … Using the ecological systems theory to understand black/white disparities in maternal morbidity
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - ; 6 for every maternal death, there are 70 cases of severe maternal morbidity (including unexpected … In a study of the relationship between hospital birth volume and progression of severe maternal morbidity … Reducing disparities in severe maternal morbidity and mortality. … Hospital delivery volume, severe obstetrical morbidity, and failure to rescue. … December 6, 2023
Trends in maternal mortality and severe maternal morbidity during delivery-related
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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
April 12, 2023 - The majority of the diagnostic errors resulted in some form of clinical impact, including short-term morbidity … February 9, 2022
Effects of night surgery on postoperative mortality and morbidity: a
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psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
March 29, 2023 - birthing people of color experience disproportionately high rates of mortality and severe maternal morbidity … Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity
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psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
February 12, 2020 - infections and other postoperative healthcare-acquired infections (HAIs) can lead to significant patient morbidity … September 23, 2020
Interdisciplinary Quality Improvement Conference: using a revised morbidity