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181. Despite Clues, Failed to Rescue | PSNet
     psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
     August 02, 2015 - factors (e.g., age, comorbidities, etc.) than by hospital factors, while failure-to-rescue rates (i.e., case-fatality … rates in patients with a major complication) were predominantly determined by the latter. … Failure-to-rescue rates were 12.5% at low mortality hospitals versus 21.4% at high mortality hospitals … Variation in hospital mortality associated with inpatient surgery. … An analysis of risk factors and hospital mortality rates. JAMA. 1990;264:2768-2774.

182. Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and
     November 16, 2022 - Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality … Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality … Morbidity and mortality conferences are a time-tested educational strategy for patient safety. … The results demonstrate the benefits of widespread implementation of system-based morbidity and mortality … December 9, 2015 A systems approach to morbidity and mortality conference.

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35403/psn-pdf
     February 18, 2011 - Mortality among patients admitted to hospitals on weekends as compared with weekdays. … Mortality among patients admitted to hospitals on weekends as compared with weekdays. … https://psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays … rates differed on weekends when staffing levels tend to be lower. … Of the 100 most frequent causes of death, 23 were associated with higher mortality when those patients

184. Expanding what we know about off-peak mortality in hospitals. | PSNet
     psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
     July 09, 2008 - Study Expanding what we know about off-peak mortality in hospitals. … Expanding what we know about off-peak mortality in hospitals. … Expanding what we know about off-peak mortality in hospitals. … rates. … of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality

185. Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. | PSNet
     psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
     July 19, 2019 - Emerging Classic Nurse Staffing Levels, Missed Vital Signs and Mortality … Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational … correlations between low staffing, missed vital sign observation, length of stay, and likelihood of mortality … Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational … Nursing skill mix in European hospitals: cross-sectional study of the association with mortality

186. Maternal Safety | PSNet
     psnet.ahrq.gov/primer/maternal-safety
     January 10, 2024 - rate that has been rising dramatically for several years, 4 from 17.4 per 100,000 live births in 2018 … Table 1: Number of live births, maternal deaths, and maternal mortality rates, by race and Hispanic … Health E-Stats: Maternal Mortality Rates in the United States, 2021. … rates are deaths per 100,000 live births. 2 Includes deaths for race and Hispanic-origin groups not … Health E-Stats: Maternal Mortality Rates in the United States, 2021.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50741/psn-pdf
     December 18, 2019 - Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality … Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality … Appropriate Prescriptions for Japanese (STOPP-J), to determine the impact of PIMs on hospitalization and mortality … rates. … PIMs categorized by STOPP-J were associated with hospitalization and mortality, whereas Beers Criteria

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39437/psn-pdf
     March 03, 2011 - Using care bundles to reduce in-hospital mortality: quantitative survey. … Using care bundles to reduce in-hospital mortality: quantitative survey. … https://psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey In this … rates. … https://psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey https:/

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46296/psn-pdf
     September 24, 2017 - among operating room personnel from survey data is associated with all- cause 30-day postoperative death … rate in South Carolina. … Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death … Rate in South Carolina. … program to implement the Surgical Safety Checklist, which resulted in a significant improvement in mortality

190. 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.

191. 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

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46339/psn-pdf
     August 20, 2018 - Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality … Association of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality … psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation- readmission-and-mortality … In this cohort, researchers also observed increases in 30-day and 1-year risk-adjusted mortality. … wisdom-and-justice-not-paying-preventable-complications https://psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34871/psn-pdf
     February 09, 2011 - Educational levels of hospital nurses and surgical patient mortality. … Educational levels of hospital nurses and surgical patient mortality. … https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality This … Results showed lower mortality rates in hospitals with higher levels of nursing education after adjustment … https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38603/psn-pdf
     September 29, 2009 - The association between transfer of emergency department boarders to inpatient hallways and mortality … The association between transfer of emergency department boarders to inpatient hallways and mortality … psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient- hallways-and-mortality … retrospective study found that patients who were transferred to hallways did not have an increased mortality … rate compared with patients admitted directly to inpatient beds, although it should be noted that only

195. 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

196. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. | PSNet
     psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
     April 04, 2011 - Failure-to-rescue is considered a potential contributing factor in the wide variations in surgical mortality … rates . … This review explored the evidence regarding the surgical mortality of older patients and found system … Citation Related Resources From the Same Author(s) Variation in hospital mortality … April 21, 2015 Surgeon age and operative mortality in the United States.

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37407/psn-pdf
     September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. … https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada This report … describes a new metric used to analyze mortality rates in Canadian health care and also includes region-specific … https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada

198. 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?

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42471/psn-pdf
     November 26, 2014 - Teaching hospital five-year mortality trends in the wake of duty hour reforms. … Teaching hospital five-year mortality trends in the wake of duty hour reforms. … https://psnet.ahrq.gov/issue/teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms Although … These concerns were allayed by prior studies that found no increase in mortality at teaching hospitals … rates at teaching hospitals compared with less teaching- intensive hospitals.

200. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. | PSNet
     psnet.ahrq.gov/issue/four-years-experience-hospitalist-led-medical-emergency-team-interrupted-time-series
     October 03, 2011 - However, there was no associated improvement in overall inpatient mortality rates. … April 13, 2011 Hospital-wide code rates and mortality before and after implementation … March 5, 2010 Changing cardiac arrest and hospital mortality rates through a medical