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161. 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

162. Discussion of medical errors in morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
     August 04, 2015 - Classic Discussion of medical errors in morbidity and mortality … Discussion of medical errors in morbidity and mortality conferences. … Traditional morbidity and mortality conferences were designed to focus on educational opportunities to … Discussion of medical errors in morbidity and mortality conferences. … January 4, 2012 A descriptive study of morbidity and mortality conferences and their

163. Using patient safety indicators to estimate the impact of potential adverse events on outcomes. | PSNet
     psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes
     July 14, 2009 - Using the AHRQ Patient Safety Indicators  (PSIs), this study found excess mortality, length of stay, … While variability existed across the nine PSIs analyzed, the two associated with greatest excess mortality

164. Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis | PSNet
     psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
     February 26, 2025 - initiative was associated with increased compliance with sepsis bundles and a decrease in hospital mortality … Innovation Patient Safety Focus The innovation focused on reducing mortality by improving response … This patient group generally comprises around 6% of hospitalized adults. 1 , 2 , 3 The mortality rate … This approach was associated with increased compliance with the sepsis bundles and reduced mortality. … rate for 11,699 patients diagnosed with sepsis, severe sepsis, or septic shock in four implementing

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45758/psn-pdf
     July 21, 2017 - Arrival by ambulance explains variation in mortality by time of admission: retrospective study of admissions … Arrival by ambulance explains variation in mortality by time of admission: retrospective study of admissions … https://psnet.ahrq.gov/issue/arrival-ambulance-explains-variation-mortality-time-admission-retrospective … Using administrative data and standard risk adjustment, mortality rates were higher for patients arriving … Risk-adjusted mortality rates were also found to increase for patients arriving over the weekend from

166. 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

167. Rescue Improvement Conference Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
     September 23, 2024 - For patients with major complications, the mortality rate in some hospitals was double the mortality … rate in other hospitals. 4 The RIC was developed to combat failure to rescue and close the mortality … Implementation of a structured hospital-wide morbidity and mortality rounds model. … Enhancing the quality of morbidity and mortality rounds: the Ottawa M&M Model. … Variation in hospital mortality associated with inpatient surgery.

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40963/psn-pdf
     November 30, 2011 - Association between Leapfrog safe practices score and hospital mortality in major surgery. … Association between Leapfrog safe practices score and hospital mortality in major surgery. … https://psnet.ahrq.gov/issue/association-between-leapfrog-safe-practices-score-and-hospital-mortality … rates. … Furthermore, CPOE and ICU physician staffing were also not associated with mortality rates.

169. 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

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45330/psn-pdf
     August 03, 2016 - Association between hospital performance on patient safety and 30-day mortality and unplanned readmission … Day Mortality and Unplanned Readmission for Medicare Fee?for? … Experts have also raised concerns about the use of in-hospital mortality as a quality measure. … rates among patients with acute myocardial infarctions. … of care, the authors conclude that readmission and mortality rates do in fact reflect the quality of

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47150/psn-pdf
     November 21, 2018 - hospital mortality in England: an interrupted time series analysis. … Inpatient mortality represents one measure of hospital quality. … Surveillance System (a national hospital mortality surveillance system that generates monthly mortality … On average, mortality risk decreased after a trust received a mortality alert. … psnet.ahrq.gov/issue/hospital-compare https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates

172. Learning from defects to enhance morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
     May 20, 2009 - Commentary Learning from defects to enhance morbidity and mortality conferences. … Learning from defects to enhance morbidity and mortality conferences. … Learning from defects to enhance morbidity and mortality conferences. … March 2, 2016 Morbidity and mortality conference in emergency medicine residencies and … December 9, 2015 A systems approach to morbidity and mortality conference.

173. The burden of opioid-related mortality in the United States. | PSNet
     psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
     June 02, 2021 - Study Classic The burden of opioid-related mortality in … The burden of opioid-related mortality in the United States. … The burden of opioid-related mortality in the United States. … July 22, 2020 Association between handover of anesthesiology care and 1-year mortality … August 16, 2017 Prescription of long-acting opioids and mortality in patients with chronic

174. Introduction of surgical safety checklists in Ontario, Canada. | PSNet
     psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
     June 21, 2016 - This study examined changes in operative mortality, risk of surgical complications, length of stay, and … previous observational studies that demonstrated significant improvements in surgical morbidity and mortality … The risk of surgical complications and mortality prior to checklist implementation was comparable to … January 23, 2019 Mortality rate after nonelective hospital admission. … November 6, 2015 View More Related Resources Reducing surgical mortality

175. Implementation of a structured hospital-wide morbidity and mortality rounds model. | PSNet
     psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model
     January 20, 2015 - Study Implementation of a structured hospital-wide morbidity and mortality rounds … Implementation of a structured hospital-wide morbidity and mortality rounds model. … Morbidity and mortality conferences are a longstanding patient safety activity. … Implementation of a structured hospital-wide morbidity and mortality rounds model. … December 19, 2017 The role of morbidity and mortality rounds in medical education: a

176. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
     March 01, 2018 - These results support a causal pathway connecting nurse staffing and mortality. … In many countries, hospital mortality rates are used to assess hospital performance. … In England, high mortality rates led to the detection of serious care failings at the Mid Staffordshire … rates, considerable time had passed, meaning that problems were allowed to persist for years. … Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.

177. Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. | PSNet
     psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
     September 21, 2016 - Review Incorporating metacognition into morbidity and mortality rounds: the next … Incorporating metacognition into morbidity and mortality rounds: The next frontier in quality improvement … May 31, 2017 Medical morbidity and mortality conferences: past, present and future. … April 13, 2017 Characteristics of morbidity and mortality conferences associated with … July 3, 2016 The morbidity and mortality meeting: time for a different approach?

178. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. | PSNet
     psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
     December 29, 2014 - Health Organization study of a safe surgery checklist , which achieved significant reductions in mortality … December 29, 2014 A surgical safety checklist to reduce morbidity and mortality in a … May 27, 2010 Mortality trends after a voluntary checklist-based surgical safety collaborative … practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina.

179. Rapid response systems. | PSNet
     psnet.ahrq.gov/issue/rapid-response-systems
     September 30, 2010 - resources and educational programs required to support implementation, and associated improvements in mortality … rates following deployment. … September 30, 2010 Cardiopulmonary arrest and mortality trends, and their association … 2019 Reasons for repeat rapid response team calls, and associations with in-hospital mortality

180. 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