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221. 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.

222. 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

223. 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

224. Morbidity and mortality: delays in my patient’s cancer care. | PSNet
     psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
     July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. … Morbidity and mortality: delays in my patient’s cancer care. … Morbidity and mortality: delays in my patient’s cancer care.

225. 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

226. 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.

227. National trends in hospital-acquired preventable adverse events after major cancer surgery in the USA. | PSNet
     psnet.ahrq.gov/issue/national-trends-hospital-acquired-preventable-adverse-events-after-major-cancer-surgery-usa
     September 12, 2016 - potentially avoidable adverse events after major cancer surgery has increased over the past decade, overall mortality … rates declined. … studies that had found similar complication rates across hospitals and had suggested that the higher mortality … Download Citation Related Resources From the Same Author(s) Preventable mortality … October 19, 2022 Overnight stay in the emergency department and mortality in older patients

228. 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

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866395/psn-pdf
     July 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.

230. Relationship between operating room teamwork, contextual factors, and safety checklist performance. | PSNet
     psnet.ahrq.gov/issue/relationship-between-operating-room-teamwork-contextual-factors-and-safety-checklist
     September 24, 2017 - Although checklists have been shown to improve safety and surgical mortality , they can be difficult … practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina. … May 11, 2016 Mortality trends after a voluntary checklist-based surgical safety collaborative … September 23, 2020 A surgical safety checklist to reduce morbidity and mortality in a

231. Patient safety and the problem of many hands. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
     June 16, 2021 - View More Related Resources Ranking hospitals based on preventable hospital death … rates: a systematic review with implications for both direct measurement and indirect measurement through … standardized mortality rates. … September 9, 2015 Ranking hospitals on avoidable death rates derived from retrospective

232. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
     psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
     March 01, 2004 - 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 … rate less than 0.5%, based on 1997 data from the National Inpatient Sample Excludes patients … rate among patients who develop potentially life-threatening complications while in hospital

233. 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.

234. 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

235. Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. | PSNet
     psnet.ahrq.gov/issue/effects-resident-duty-hour-reform-surgical-and-procedural-patient-safety-indicators-among
     November 26, 2014 - Prior studies found no changes in mortality rates , self-reported errors , or trainee case volume … Citation Related Resources From the Same Author(s) Teaching hospital five-year mortality … April 17, 2013 Mortality among patients in VA hospitals in the first 2 years following … September 12, 2016 Association of the 2011 ACGME resident duty hour reforms with mortality

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46704/psn-pdf
     December 04, 2018 - psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and- opportunities Mortality … This study reports the results of a mortality review survey in hospital medicine and intensive care … The authors conclude that frontline care team surveys can augment existing hospital mortality review … surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates … second-victims-support-clinicians-involved-errors-and-adverse-events https://psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33854/psn-pdf
     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.

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43197/psn-pdf
     August 12, 2014 - observational-study-associations-between-nurse-reported-hospital- characteristics-and The relationship between lower nurse-to-patient ratios and inpatient mortality … perceptions of adequate staffing and quality in inpatient settings were associated with improved 30-day mortality … rates, underscoring the importance of the nursing perspective in patient safety. … observational-study-associations-between-nurse-reported-hospital-characteristics-and https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction … https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality https://psnet.ahrq.gov/

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40145/psn-pdf
     November 14, 2011 - mainly focus on the perioperative period, other studies have found wide variations in postoperative mortality … rates across hospitals. … comprehensive surgical care pathway has been shown to decrease both complications and postoperative mortality … psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population … https://psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery https://psnet.ahrq.gov

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44756/psn-pdf
     September 12, 2016 - 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 … escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study https://psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery … https://psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery https://psnet.ahrq.gov