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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
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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…
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Perioperative team-based morbidity
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psnet.ahrq.gov/issue/communicating-coordinating-and-cooperating-when-lives-depend-it-tips-teamwork
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psnet.ahrq.gov/issue/team-training-medical-students-21st-century-would-flexner-approve
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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.
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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
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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
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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
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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.
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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