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141. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
     November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core … Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. … The authors describe how they redesigned morbidity and mortality (M&M) conferences at their hospital … Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. … December 8, 2016 Morbidity and mortality conference in emergency medicine residencies

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73912/psn-pdf
     October 06, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … https://psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and … This issue brief explores the role of diagnostic error in maternal morbidity and mortality, the preventability … https://psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after … https://psnet.ahrq.gov/primer/maternal-safety https://psnet.ahrq.gov/issue/how-reduce-maternal-mortality-rates-united-states

143. Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study
     October 11, 2023 - Study Perspectives on perioperative team-based morbidity and mortality conferences … Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. … Team-based morbidity and mortality conferences (TBMMs) involve multidisciplinary or interdisciplinary … Perspectives on Perioperative Team-Based Morbidity and Mortality Conferences: A Mixed Methods Study. … May 26, 2021 Independent Mortality Review of Cardiac Surgery at St George’s University

144. Association between end-of-rotation resident transition in care and mortality among hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
     August 15, 2018 - Study Association between end-of-rotation resident transition in care and mortality … Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients … Investigators found a striking increase in in-hospital mortality among patients whose hospitalization … The accompanying editorial notes that some of the mortality increase may be accounted for by the fact … rates after hospital discharge.

145. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet
     psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
     March 27, 2024 - Commentary Redesigning a morbidity and mortality program in a university-affiliated … Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department … Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department … August 17, 2022 The morbidity and mortality conference: opportunities for enhancing patient … March 2, 2016 Psychiatry morbidity and mortality rounds: implementation and impact.

146. Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet
     psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
     November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture … Reframing the morbidity and mortality conference: the impact of a just culture. … Morbidity and mortality (M&M) conferences have long been part of medical learning. … Reframing the morbidity and mortality conference: the impact of a just culture. … July 5, 2017 Medical morbidity and mortality conferences: past, present and future.

147. Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
     July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary … Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement … This systematic review identified 19 studies about efforts to enhance morbidity and mortality conferences … They recommend further study into the educational outcomes of safety-focused morbidity and mortality … Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement

148. Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
     January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize … Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement … Morbidity and mortality (M&M) conferences were developed to enable clinicians to discuss and learn from … Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement … September 24, 2017 The role of morbidity and mortality rounds in medical education: a

149. The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
     March 17, 2021 - Commentary The morbidity and mortality conference: opportunities for enhancing patient … The morbidity and mortality conference: opportunities for enhancing patient safety. … Morbidity and mortality conferences (MMC) serve as a way for health care teams to discuss adverse events … The morbidity and mortality conference: opportunities for enhancing patient safety. … June 28, 2023 Using morbidity and mortality conferences to drive quality improvement

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846155/psn-pdf
     March 15, 2023 - Reduction in omission events after implementing a rapid response system: a mortality review in a department … Reduction in omission events after implementing a Rapid Response System: a mortality review in a department … https://psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system- mortality-review … Overall the RSS was associated with a reduction of in-hospital and 30-day mortality rates. … https://psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review

151. Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. | PSNet
     psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety
     March 18, 2020 - Study Characteristics of morbidity and mortality conferences associated with the … Characteristics of morbidity and mortality conferences associated with the implementation of patient … Morbidity and mortality (M&M) conferences are a classic patient safety education and feedback strategy … Characteristics of morbidity and mortality conferences associated with the implementation of patient … January 18, 2013 Impact of morbidity and mortality conferences on analysis of mortality

152. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. | PSNet
     psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
     December 02, 2014 - Classic Effect of a rapid response team on hospital-wide mortality … Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's … Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's … rate after implementation of a commercially sold computerized physician order entry system. … June 21, 2015 Nursing mortality and morbidity and journal club cycles: paving the way

153. Health literacy and mortality among elderly persons. | PSNet
     psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons
     April 24, 2018 - Study Health literacy and mortality among elderly persons. … Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9. … This prospective cohort study found increased mortality among elderly persons with poor health literacy … Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9.

154. Surgeon age and operative mortality in the United States. | PSNet
     psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
     August 02, 2015 - Study Surgeon age and operative mortality in the United States. … Surgeon Age and Operative Mortality in the United States. Transactions of the .. … operative risk and conclude that, in general, surgeon age was not an important risk factor for patient mortality … Surgeon Age and Operative Mortality in the United States. Transactions of the .. … August 20, 2018 Variation in hospital mortality associated with inpatient surgery.

155. Rapid response team implementation and in-hospital mortality. | PSNet
     psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
     December 03, 2014 - Study Rapid response team implementation and in-hospital mortality. … Rapid response team implementation and in-hospital mortality*. … This before-and-after analysis revealed a decline in inpatient mortality following implementation of … rapid response teams , but due to the overall trend of decreasing hospital mortality the authors could … Rapid response team implementation and in-hospital mortality*.

156. Using snowball sampling method with nurses to understand medication administration errors. | PSNet
     psnet.ahrq.gov/issue/using-snowball-sampling-method-nurses-understand-medication-administration-errors
     August 02, 2011 - April 22, 2017 Ranking hospitals based on preventable hospital death rates: a systematic … review with implications for both direct measurement and indirect measurement through standardized mortality … rates. … April 3, 2019 Weekend specialist intensity and admission mortality in acute hospital

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37902/psn-pdf
     July 09, 2008 - between preventability of death after coronary artery bypass graft surgery and all-cause risk- adjusted mortality … rates. … between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality … rates. … rates.

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850678/psn-pdf
     June 14, 2023 - Key results from implementation of the AAM program include lower mortality within 30 days of an alert … reduction of intensive care unit (ICU) admissions, decreased hospital length of stay, lower 30-day mortality … rates for patients transferred from medical, surgical, and telemetry units to the ICU were significantly … higher than mortality rates of patients who were directly admitted to the ICU from the emergency department … rate within 30 days after an alert for the intervention cohort—two KNPC hospitals participating in

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851910/psn-pdf
     August 02, 2023 - Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … Relationship between in-hospital adverse events and hospital performance on 30-Day all-cause mortality … rates are indicators of hospital safety. … Results suggest patients with heart failure admitted to hospitals with high rates of 30-day all-cause mortality … psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48015/psn-pdf
     June 15, 2019 - Knowledge retention after simulated crisis: importance of independent practice and simulated mortality … Knowledge retention after simulated crisis: importance of independent practice and simulated mortality … of those practicing independently and half of those working with an attending experienced simulated mortality … Residents who had practiced independently and experienced simulated mortality in the initial hyperkalemia … scenario achieved the lowest mortality rate compared to the other groups during the follow-up simulation