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361. Scaling safety: the South Carolina Surgical Safety Checklist experience. | PSNet
     psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience
     February 07, 2018 - RIS Download Citation Related Resources From the Same Author(s) Mortality … practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina. … July 25, 2011 A surgical safety checklist to reduce morbidity and mortality in a global … February 20, 2012 A surgical safety checklist to reduce morbidity and mortality in a

362. Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. | PSNet
     psnet.ahrq.gov/issue/sustainability-and-long-term-effectiveness-who-surgical-safety-checklist-combined-pulse
     May 27, 2010 - Resources From the Same Author(s) A surgical safety checklist to reduce morbidity and mortality … 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. … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality

363. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet
     psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
     May 26, 2016 - May 11, 2019 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. … February 20, 2013 Scottish Audit of Surgical Mortality. … December 1, 2010 Mapping changes in surgical mortality over 9 years by peer review audit

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46012/psn-pdf
     December 21, 2017 - Mortality risks associated with emergency admissions during weekends and public holidays: an analysis … Mortality risks associated with emergency admissions during weekends and public holidays: an analysis … This retrospective study examined whether mortality for emergency admissions at four hospitals in the … Investigators found higher mortality associated with being admitted to the hospital during weekends … None of these workload measures was associated with mortality.

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43653/psn-pdf
     January 01, 2015 - Evaluating inpatient mortality: a new electronic review process that gathers information from front-line … Evaluating inpatient mortality: a new electronic review process that gathers information from front-line … efforts to characterize patient safety included the review of individual cases of patient deaths; mortality … This work suggests that directly engaging with clinicians about inpatient mortality yields useful patient … /issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety https

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37167/psn-pdf
     February 03, 2011 - Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform … Mortality among patients in VA hospitals in the first 2 years following ACGME resident duty hour reform … https://psnet.ahrq.gov/issue/mortality-among-patients-va-hospitals-first-2-years-following-acgme-resident … Mortality decreased significantly for four common medical diagnoses (but not surgical diagnoses) by … the authors' companion study of Medicare patients cared for at teaching hospitals did not find any mortality

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44946/psn-pdf
     February 01, 2017 - Quality gaps identified through mortality review. … Quality gaps identified through mortality review. … https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatient mortality represents … https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review https://psnet.ahrq.gov/ … perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program https://psnet.ahrq.gov/

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46672/psn-pdf
     January 30, 2018 - Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical … Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical … put forth by the National Health Service in England is associated with the degree to which weekend mortality … This finding suggests that adoption of these standards is unlikely to reduce mortality among patients … https://psnet.ahrq.gov/issue/weekend-mortality-emergency-admissions-large-multicentre-study https://

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39233/psn-pdf
     August 02, 2013 - systematic review and meta-analysis found no definitive evidence that the teams improved in-hospital mortality … Although RRS usage was associated with decreased cardiac arrest rates on general wards, overall mortality … rates did not improve, and the review noted significant problems with the methodological quality of

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39086/psn-pdf
     May 24, 2015 - Psychiatry morbidity and mortality rounds: implementation and impact. … Psychiatry morbidity and mortality rounds: implementation and impact. … of adverse events in morbidity and mortality (M&M) conferences serves as an important tool for both … https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact https … /issue/ahrq-webmm-morbidity-mortality-rounds-web https://psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41425/psn-pdf
     June 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety … Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety … https://psnet.ahrq.gov/issue/mortality-and-morbidity-meetings-untapped-resource-improving-governance- … patient-safety This study found that morbidity and mortality meetings are underutilized as a tool … /issue/systems-approach-morbidity-and-mortality-conference https://psnet.ahrq.gov/primer/culture-safety

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44888/psn-pdf
     April 06, 2016 - Transforming the morbidity and mortality conference to promote safety and quality in a PICU. … Transforming the morbidity and mortality conference to promote safety and quality in a PICU. … https://psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality … - picu Traditional morbidity and mortality conferences were designed to focus on educational opportunities … In this study, introducing a structured systems-oriented morbidity and mortality conference in a pediatric

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39709/psn-pdf
     September 20, 2011 - A systems approach to morbidity and mortality conference. … A systems approach to morbidity and mortality conference. … https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference Morbidity and Mortality … https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference https://psnet.ahrq.gov … ://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44637/psn-pdf
     January 22, 2016 - The morbidity and mortality conference in pediatric intensive care as a means for improving patient … The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving … The study analyzed 48 morbidity and mortality conferences over a 5-year period and gives examples of … https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44891/psn-pdf
     July 03, 2016 - Characteristics of morbidity and mortality conferences associated with the implementation of patient … Characteristics of morbidity and mortality conferences associated with the implementation of patient … Morbidity and mortality (M&M) conferences are a classic patient safety education and feedback strategy … https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences https://psnet.ahrq.gov … /issue/systems-approach-morbidity-and-mortality-conference

376. The tipping point: the relationship between volume and patient harm. | PSNet
     psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
     September 10, 2014 - December 29, 2014 Do variations in hospital mortality patterns after weekend admission … December 7, 2011 Mortality rate after nonelective hospital admission. … The association between transfer of emergency department boarders to inpatient hallways and mortality

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45882/psn-pdf
     June 28, 2017 - that admit a lower proportion of emergency department patients to the inpatient setting had a higher mortality … rate among discharged patients, even after adjusting for patient characteristics. … prior studies relating patient outcomes to volume, higher-volume emergency departments had lower 7-day mortality

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33830/psn-pdf
     March 22, 2016 - Although there is no doubt that quantifying the magnitude of preventable harm galvanized the field, the mortality … It is problematic to extrapolate from such small numbers of deaths to an estimate of inpatient mortality … method for identifying preventable deaths is reviewing deaths in patients with diagnoses for which mortality … Death Rate in Low-Mortality Diagnosis Related Groups is an AHRQ Patient Safety Indicator and is appropriate … as part of trigger tool-based reviews to identify broader safety issues or as part of morbidity and mortality

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38697/psn-pdf
     June 10, 2009 - A report card system using error profile analysis and concurrent morbidity and mortality review: surgical … A report card system using error profile analysis and concurrent morbidity and mortality review: surgical … psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and- mortality-review … Part I of this study analyzed events from morbidity and mortality conferences. … https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43413/psn-pdf
     October 20, 2014 - 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 … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric … https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences https://psnet.ahrq.gov … /issue/discussion-medical-errors-morbidity-and-mortality-conferences https://psnet.ahrq.gov/glossary-