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201. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care
     April 06, 2016 - Study The morbidity and mortality conference as an adverse event surveillance tool … The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive … The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive … April 6, 2016 The morbidity and mortality conference in PICUs in the United States: a … October 13, 2010 Impact of morbidity and mortality conferences on analysis of mortality

202. The role of morbidity and mortality rounds in medical education: a scoping review. | PSNet
     psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
     July 03, 2016 - Review The role of morbidity and mortality rounds in medical education: a scoping … The role of morbidity and mortality rounds in medical education: a scoping review. … Morbidity and mortality rounds have evolved to incorporate patient safety concepts. … This review examined how morbidity and mortality rounds have been designed and used. … The role of morbidity and mortality rounds in medical education: a scoping review.

203. 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.

204. The morbidity and mortality conference in PICUs in the United States: a national survey. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-picus-united-states-national-survey
     October 20, 2014 - Study The morbidity and mortality conference in PICUs in the United States: a national … The morbidity and mortality conference in PICUs in the United States: a national survey. … The morbidity and mortality conference in PICUs in the United States: a national survey. … October 20, 2014 Transforming the morbidity and mortality conference to promote safety … October 13, 2010 Impact of morbidity and mortality conferences on analysis of mortality

205. The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
     December 16, 2009 - Study The morbidity and mortality conference in pediatric intensive care as a means … The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety … Interdisciplinary morbidity and mortality conferences were an effective way to identify system failures … The study analyzed 48 morbidity and mortality conferences over a 5-year period and gives examples of … October 13, 2010 Impact of morbidity and mortality conferences on analysis of mortality

206. 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

207. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. | PSNet
     psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
     May 14, 2008 - Investigators determined that an 8:1 ratio created the least expense but was also associated with the highest mortality … rates. … While decreasing the ratio incrementally to 4:1 improved mortality rates, it became more costly and progressively … March 5, 2010 Hospital nurse staffing and patient mortality, emotional exhaustion, and

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44881/psn-pdf
     August 16, 2017 - For instance, the initial studies by the World Health Organization showed remarkable improvements in mortality … introduction of a surgical safety checklist at a single academic Italian hospital, measuring 90-day all-cause mortality … , length of stay, and 30- day readmission rates, in addition to 30-day mortality rates. … Following checklist implementation, 90-day mortality significantly decreased, 30-day all-cause mortality … psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population

209. 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.

210. African American COVID-19 mortality: a sentinel event. | PSNet
     psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
     November 16, 2022 - Commentary Emerging Classic African American COVID-19 mortality … African American COVID-19 mortality: a sentinel event. … African American COVID-19 mortality: a sentinel event.

211. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
     psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
     May 08, 2019 - rates.( 14 ) However, building an optimal safety culture is challenging: no single intervention can … practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina. … practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina.

212. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. | PSNet
     psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
     October 17, 2012 - Opioid safety is currently the nation's most pressing public health issue, with death rates from opioid … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … rates. … January 23, 2019 The burden of opioid-related mortality in the United States. … August 16, 2017 Prescription of long-acting opioids and mortality in patients with chronic

213. Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. | PSNet
     psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-mortality-english-national-health-service-retrospective
     December 12, 2014 - Study Nurse staffing and inpatient mortality in the English National Health Service … Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal … Researchers identified higher inpatient mortality with higher nurse staffing and seniority levels ( … i.e., more registered nurses [RNs]) but no changes in mortality related to health care support workers … June 2, 2021 Nurse staffing, nursing assistants and hospital mortality: retrospective

214. Defining a high-quality and effective morbidity and mortality conference: a systematic review. | PSNet
     psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
     September 30, 2012 - Review Defining a high-quality and effective morbidity and mortality conference: … Defining a high-quality and effective morbidity and mortality conference: a systematic review. … Morbidity and Mortality Conferences (MMC) have a long history in medical education and error analysis … Defining a high-quality and effective morbidity and mortality conference: a systematic review. … December 9, 2015 A systems approach to morbidity and mortality conference.

215. Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet
     psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
     April 17, 2024 - Mortality reviews, in which all cases of in-hospital death are discussed in structured format, can … This study reports the results of a mortality review survey in hospital medicine and intensive care units … The authors conclude that frontline care team surveys can augment existing hospital mortality review … May 31, 2017 Medical morbidity and mortality conferences: past, present and future. … April 13, 2017 Transforming the morbidity and mortality conference to promote safety

216. Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
     October 19, 2022 - This systematic review compared military mortality reviews to nonmilitary studies of pre- or in-hospital … mortality reviews. … December 3, 2018 Effects of efforts to optimise morbidity and mortality rounds to serve … May 31, 2017 Medical morbidity and mortality conferences: past, present and future. … April 13, 2017 Transforming the morbidity and mortality conference to promote safety

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49550/psn-pdf
     December 01, 2007 - rate in the United States of approximately 1 in 10,000, any death is unexpected.(3) Though less emotionally … Differences in mortality after fracture of hip: the east Anglian audit. BMJ. 1995;310:904-908. … DRGs Mortality rate for admitting diagnoses or procedures with low risk for death Patients with … disposition of "deceased" per 100 patients with discharges in DRGs associated with mortality rate less … rate among patients who develop potentially life-threatening complications while in hospital All

218. Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. | PSNet
     psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
     April 24, 2018 - Commentary Leveraging a redesigned morbidity and mortality conference that incorporates … Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educational … Mortality and morbidity (M&M) conferences are an established learning strategy. … Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educational … May 31, 2017 Medical morbidity and mortality conferences: past, present and future.

219. Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
     December 12, 2014 - Study Classic Post-operative mortality, missed care and … Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. … Research has shown that higher nurse staffing levels are associated with lower inpatient mortality … Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. … January 4, 2015 Hospital nurse staffing and patient mortality, nurse burnout, and job

220. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet
     psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
     November 12, 2014 - Classic Avoidability of hospital deaths and association with hospital-wide mortality … Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case … A commonly used measure of hospital quality is all-cause mortality. … differences from expected mortality, are associated with avoidable deaths , defined as those deaths … A previous AHRQ WebM&M interview explored the development of hospital standardized mortality ratios