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341. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
     March 11, 2005 - Modeled on hospital morbidity and mortality conferences, five cases are posted each month to illustrate … tradition of discussing complications of care and medical errors in a forum known as the morbidity and mortality … in February 2001, to “develop, implement, maintain, and assess a national Web-based morbidity and mortality … Discussion of medical errors in morbidity and mortality conferences. … Morbidity and mortality conference: a survey of academic internal medicine departments.

342. Confidential Performance Feedback and Organizational Capacity Building to Improve Hospital Patient Safety: Results of a Randomized Trial (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
     March 14, 2008 - Risk adjustment factors included patient age, sex, severity of illness, risk of mortality, primary payer … The severity of illness and risk of mortality scores were based on the APR-DRG (All Patient Refined-Diagnosis … possible differences in patient mix among hospitals, we adjusted for severity of illness and risk of mortality … the likelihood of injury.13 The assignment of a patient discharge to an illness severity or risk of mortality … Moderate 46.2 46.8 46.1 46.3 3, Major 17.3 16.3 18.7 17.4 4, Extreme 3.0 2.0 2.8 2.7 Risk of mortality

343. Acute Care Learning Laboratory—Reducing Threats to Diagnostic Fidelity in Critical Illness | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/acute-care-threats-long-desc.html
     February 01, 2024 - detection of patient deterioration in acute care settings was not significantly associated with improved mortality … The impact of health information technology for early detection of patient deterioration on mortality

344. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - relationship, since many factors—such as duration of mechanical ventilation, length of stay in the PICU, and mortality … rates—affect global measures. … Congenital heart disease operative mortality. … heart disease cared for at our institution, the last several years have seen a gradual decline in mortality … Unexpected increased mortality after implementation of a commercially sold computerized physician order

345. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
     January 01, 2000 - with UAP are mistakenly sent home each year in the United States, which nearly doubles the expected mortality … rates.6 In light of this, it is not unexpected that cases of ACS missed by ED personnel represent … An hour’s delay, which is common, can halve the mortality benefit7, 8—yet many AMI patients are not … The issues identified by the ED directors were addressed with staff during monthly Morbidity and Mortality … A time- insensitive predictive instrument for acute myocardial infarction mortality: A multicenter study

346. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=475
     January 01, 2024 - Safety (231) Men's Health (54) Methicillin-Resistant Staphylococcus aureus (MRSA) (73) Mortality … It concluded that there was weak evidence showing differences for all-cause mortality in subgroups of … Also, evidence was indeterminate for all-cause mortality in the other subgroups and for SCD. … Keywords: Medical Devices, Comparative Effectiveness, Prevention, Mortality Blecker S , Agarwal

347. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/index.html
     May 01, 2016 - increased infection risk and are associated with longer hospital stays and increased morbidity and mortality

348. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
     May 01, 2003 - Traditional physician adverse event reporting behavior Physicians traditionally use a Morbidity & Mortality … Discussion of medical errors in morbidity and mortality conferences. … Using prospective outcomes data to improve morbidity and mortality conferences. … patients using an outcomes based strategy: comparison with complications presented at morbidity and mortality

349. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit Handbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_imptoolkit.pdf
     January 01, 2018 - diagnosis, the CURB-65 severity score ranges between 0 and 5, with higher scores representing increased mortality … hospital admission.15 Once the score is calculated, the outputs of the tool include an estimate of 30-day mortality … related to the guidelines supporting the CURB/CRB-65 tool for assessing ■ Tool 4b: Primary 30-day mortality … Agree with recommendation Disagree with recommendation Acknowledge Reason Recommendation: Home (30d mortality

350. Health Living: Adult Women | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl3.html
     September 01, 2015 - Affordability Communication and Care Coordination Effective Treatment of Leading Causes of Morbidity and Mortality … Healthy Living: Infant Mortality Healthy Living: HPV Vaccine Among Adolescent Females Health

351. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - • Standardized mortality reviews.

352. Chartbook on Hispanic Health Care: Slide Presentation—Part 4 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
     March 01, 2020 - Cancer —reducing breast cancer and cervical cancer mortality. … Diabetes —reducing both the mortality rate of diabetes and the need for hosp.italization. … Injury Prevention —reducing mortality from motor vehicle crashes as well as childhood mortality from … Maternal, Infant, and Child Health —reducing infant mortality due to congenital defects, improving prenatal … Mental Health —reducing suicide mortality. Oral Health —improving access to oral health care.

353. 57-Senior-Executives-Facilitator (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
     June 01, 2023 - Our all-cause inpatient mortality rate is [rate].

354. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pptx
     January 01, 2014 - to primary care or basic health care services Cancer – reducing breast cancer and cervical cancer mortality … Diabetes – reducing both the mortality rate of diabetes and the need for hospitalization Environmental … from motor vehicle crashes as well as childhood mortality from injuries Maternal, Infant, and Child … Health – reducing infant mortality due to congenital defects, improving prenatal care, and reducing teenage … pregnancy rates Mental Health – reducing suicide mortality Oral Health – improving access to oral health

355. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
     July 01, 2023 - process with these three components (perioperative briefing, timeout, and signout) reduces surgical mortality … Have a process in place to review severe maternal or neonatal morbidity and mortality events.   … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality … A surgical safety checklist to reduce morbidity and mortality in a global population.

356. Improving Clinical Performance and Safety Culture Through TeamSTEPPS Implementation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
     January 01, 2016 - #› Results Other implementation projects have focused on: Sepsis and Septic Shock bundle use and mortality … rates Initial measures look promising but not enough time to establish sustainment Pain management

357. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
     October 01, 2016 - difficile infections, the emergence of multi-drug resistant organisms, antibiotic failure, increased mortality

358. AHRQ Views Blog: Seeking Input on a Strategic Framework for Patient-Centered Outcomes Research Trust Fund Investments | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/804.html
     March 01, 2022 - Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac … in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality

359. AHRQ’s National Advisory Council Identifies Priority Areas for Quality Improvement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/844.html
     December 01, 2022 - in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality … A pragmatic method for measuring inpatient complications and complication-specific mortality.

360. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
     January 01, 2024 - PURPOSE Trauma is a major public health burden; it is the fifth most common cause of mortality overall … Certain exclusion criteria were selected to try to identify those patients with near 100% mortality … Patterns of errors contributing to trauma mortality: Lessons learned from 2594 deaths. Ann. Surg. … A national evaluation of the effect of trauma-center care on mortality. N. Engl. J. Med. … Association Between Implementation of a Medical Team Training Program and Surgical Mortality.