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241. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. | PSNet
     psnet.ahrq.gov/issue/impact-adverse-events-prescribing-warfarin-patients-atrial-fibrillation-matched-pair-analysis
     August 15, 2018 - rates after hospital discharge. … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … August 2, 2023 Association between hospital performance on patient safety and 30-day mortality … July 1, 2016 Safety culture and mortality after acute myocardial infarction: a study … June 22, 2022 Variability in the measurement of hospital-wide mortality rates.

242. 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.

243. 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

244. Rating the raters: the inconsistent quality of health care performance measurement. | PSNet
     psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
     March 27, 2018 - Download Citation Related Resources From the Same Author(s) Safety culture and mortality … March 27, 2018 Variability in the measurement of hospital-wide mortality rates. … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … August 2, 2023 Association between hospital performance on patient safety and 30-day mortality … June 22, 2022 Association of changing hospital readmission rates with mortality rates

245. 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

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47999/psn-pdf
     May 15, 2019 - issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery Maternal morbidity and mortality … /lost-mothers-maternal-care-and-preventable-deaths https://psnet.ahrq.gov/issue/how-reduce-maternal-mortality-rates-united-states

247. 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

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47484/psn-pdf
     March 20, 2019 - These findings may explain lower mortality rates at hospitals with a higher proportion of baccalaureate-trained … https://psnet.ahrq.gov/issue/nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient … https://psnet.ahrq.gov/issue/nursing-skill-mix-european-hospitals-cross-sectional-study-association-mortality-patient

249. 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.

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35237/psn-pdf
     November 29, 2009 - 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

251. Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension. | PSNet
     psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-respiratory
     February 13, 2008 - that patients receiving a medical emergency team (MET) assessment tended to be elderly and had a mortality … rate exceeding 35%, with the highest rates in those where the MET response was delayed. … 2019 Reasons for repeat rapid response team calls, and associations with in-hospital mortality

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46083/psn-pdf
     April 26, 2017 - entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality … entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality … meta-analysis, investigators found an 85% decrease in prescribing errors and a 12% reduction in ICU mortality … rates in critical care units that converted from paper orders to commercially available computerized

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864850/psn-pdf
     March 20, 2024 - In unadjusted analysis, there were no significant differences in mortality between patients who were … However, in adjusted analysis, included patients had lower mortality rates.

254. 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

255. 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

256. The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study. | PSNet
     psnet.ahrq.gov/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and
     November 03, 2008 - patient, have now been well studied, including studies examining their impact on cardiac arrests , mortality … 2019 Reasons for repeat rapid response team calls, and associations with in-hospital mortality … May 25, 2011 Hospital-wide code rates and mortality before and after implementation of … June 2, 2010 Changing cardiac arrest and hospital mortality rates through a medical emergency

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854385/psn-pdf
     October 11, 2023 - Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. … Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. … https://psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic- … review-literature Morbidity and mortality conferences offer important opportunities for healthcare … ://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863222/psn-pdf
     February 28, 2024 - Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional … Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional … https://psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it … - lead-improved Morbidity and mortality (M&M) conferences remain an important opportunity for patient … https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future https

259. A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital. | PSNet
     psnet.ahrq.gov/issue/survey-nurses-beliefs-about-medical-emergency-team-system-canadian-tertiary-hospital
     January 04, 2012 - July 2, 2008 Association between hospital performance on patient safety and 30-day mortality … Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality … January 3, 2017 Reduction in hospital mortality over time in a hospital without a pediatric … February 15, 2011 Hospital-wide code rates and mortality before and after implementation … February 1, 2011 Changing cardiac arrest and hospital mortality rates through a medical

260. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-420
     November 29, 2023 - rates. … reporting, suggesting more frequent data collection can reduce perioperative mortality. … Nosocomial infection rates were low across both time frames, but 30-day mortality was higher (compared … rates between patients with or without nosocomial infections. … rates.