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  1. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.221_slideshow.ppt
    July 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Weighing in on Surgical Safety * * Source and Credits This presentation is based on the July 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jay B. Brodsky, MD, Stanford University Medical Cente…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865466/psn-pdf
    March 27, 2024 - Utilization Project of the Agency for Healthcare Research and Quality (AHRQ) compared severe maternal morbidity … They found incarceration inequality was not related to severe maternal morbidity, but racialized economic … or spatial concentrations of racial and economic privilege or disadvantage, was related to maternal morbidity … likelihood to recommend cesarean section during labor, an invasive procedure associated with more morbidity … Maternal and neonatal morbidity and mortality rate in caesarean section and vaginal delivery.
  3. psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences
    May 30, 2018 - January 21, 2015 Preventable morbidity and mortality among non-trauma emergency surgery … November 24, 2021 Racial/ethnic inequities in pregnancy-related morbidity and mortality
  4. psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
    July 26, 2017 - December 14, 2016 Interdisciplinary Quality Improvement Conference: using a revised morbidity … August 21, 2021 Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening
  5. psnet.ahrq.gov/issue/effectiveness-communication-interventions-obstetrics-systematic-review
    April 13, 2022 - , 2023 Listen to the whispers before they become screams: addressing Black maternal morbidity … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity
  6. psnet.ahrq.gov/issue/diagnostic-error-among-vulnerable-populations-presenting-emergency-department-cardiovascular
    March 16, 2022 - Delayed rapid response team activation is associated with increased hospital mortality, morbidity … associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity
  7. psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent
    May 18, 2022 - March 17, 2021 A surgical safety checklist to reduce morbidity and mortality in a global … May 27, 2010 Changes in safety attitude and relationship to decreased postoperative morbidity
  8. psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
    September 06, 2023 - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity … Using the ecological systems theory to understand black/white disparities in maternal morbidity
  9. psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety
    February 02, 2022 - February 13, 2019 Changes in safety attitude and relationship to decreased postoperative morbidity … 2014 Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity
  10. psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
    March 01, 2023 - Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity … 2023 Distinguishing high-performing from low-performing hospitals for severe maternal morbidity
  11. psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
    March 29, 2012 - organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity … 28, 2013 View More Related Resources Perioperative team-based morbidity
  12. psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
    January 03, 2017 - January 3, 2017 The morbidity and mortality conference: opportunities for enhancing patient … June 13, 2018 How communication among members of the health care team affects maternal morbidity
  13. psnet.ahrq.gov/issue/team-training-medical-students-21st-century-would-flexner-approve
    November 21, 2012 - Author(s) Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity … May 8, 2017 A health system–wide initiative to decrease opioid-related morbidity and
  14. psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
    September 02, 2015 - September 8, 2021 A descriptive study of morbidity and mortality conferences and their … conformity to medical incident analysis models: results of the morbidity and mortality conference improvement
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33657/psn-pdf
    September 01, 2007 - iconic gathering that so readily evokes the surgical "days of the giants": the traditional surgical morbidity … a patient safety curriculum generated from a reconfigured morbidity and mortality conference. … created a pressing need to reconsider the benefits of a well-run, well-moderated, and well- attended morbidity … We should not have morbidity and mortality conferences. We should have Matrix Conferences.
  16. psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
    January 06, 2016 - January 2, 2017 A descriptive study of morbidity and mortality conferences and their … conformity to medical incident analysis models: results of the morbidity and mortality conference improvement
  17. psnet.ahrq.gov/issue/80-hour-work-guidelines-and-resident-survey-perceptions-quality
    June 18, 2008 - Download Citation Related Resources From the Same Author(s) A morbidity … January 28, 2009 A report card system using error profile analysis and concurrent morbidity
  18. psnet.ahrq.gov/issue/development-and-pilot-evaluation-preoperative-briefing-protocol-cardiovascular-surgery
    September 27, 2016 - October 7, 2013 Starting elective cardiac surgery after 3 pm does not impact patient morbidity … April 6, 2011 A surgical safety checklist to reduce morbidity and mortality in a global
  19. psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
    August 19, 2015 - December 6, 2023 Routine multidisciplinary review of severe maternal morbidity is associated … with a reduction in preventable cases of severe maternal morbidity.
  20. psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major
    August 11, 2010 - August 13, 2013 A surgical safety checklist to reduce morbidity and mortality in a global … November 2, 2010 A report card system using error profile analysis and concurrent morbidity

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