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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36372/psn-pdf
     February 24, 2011 - Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. … Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core- competencies … The authors describe how they redesigned morbidity and mortality (M&M) conferences at their hospital … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40727/psn-pdf
     October 21, 2011 - Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. … Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety. … https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve … reports on Kaiser Permanente's use of systems analysis approaches to review all cases of inpatient mortality … https://psnet.ahrq.gov/issue/saving-lives-studying-deaths-using-standardized-mortality-reviews-improve-inpatient-safety

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38541/psn-pdf
     May 21, 2009 - The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers … staffing on postoperative general wards—but not in the intensive care unit—was associated with reduced mortality … https://psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37822/psn-pdf
     June 18, 2008 - A morbidity and mortality conference-based classification system for adverse events: surgical outcome … A morbidity and mortality conference-based classification system for adverse events: surgical outcome … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse- … events-surgical Surgical adverse events were identified at morbidity and mortality conferences over … https://psnet.ahrq.gov/issue/morbidity-and-mortality-conference-based-classification-system-adverse-events-surgical

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36830/psn-pdf
     March 28, 2011 - Making use of mortality data to improve quality and safety in general practice: a review of current … Making use of mortality data to improve quality and safety in general practice: a review of current … https://psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review … - current The investigators analyzed the literature and found that mortality data are not systematically … https://psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34112/psn-pdf
     February 09, 2011 - Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization … https://psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during … and Bates et al), the authors here share specific estimates for excess length of stay, charges, and mortality … resulted in more than 9.5 extra hospital days, nearly $40,000 in excess charges, and 4.3% attributable mortality

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45839/psn-pdf
     February 07, 2018 - Mortality trends after a voluntary checklist-based surgical safety collaborative. … Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. … https://psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative … Checklists have been shown to reduce surgical morbidity and mortality in randomized trials, but results … https://psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40203/psn-pdf
     February 09, 2011 - Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity- and-mortality … These changes did correlate with the degree of improvement in postoperative morbidity and mortality. … psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40373/psn-pdf
     December 21, 2014 - Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma … Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma … https://psnet.ahrq.gov/issue/increases-mortality-length-stay-and-cost-associated-hospital-acquired- … https://psnet.ahrq.gov/issue/increases-mortality-length-stay-and-cost-associated-hospital-acquired-infections-trauma … https://psnet.ahrq.gov/issue/increases-mortality-length-stay-and-cost-associated-hospital-acquired-infections-trauma

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36190/psn-pdf
     May 27, 2011 - Lessons from "unexpected increased mortality after implementation of a commercially sold computerized … Lessons from "Unexpected increased mortality after implementation of a commercially sold computerized … https://psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially … https://psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized … https://psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49843/psn-pdf
     October 01, 2018 - 100 mm Hg) as a screening tool based on ease of measurement and strong association with mortality in … rates, which may have been related to delays in appropriate therapy secondary to an incorrect working … rates.(21,22) However, given the before–after study design employed in these studies, along with the … rates. … Time to treatment and mortality during mandated emergency care for sepsis.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43473/psn-pdf
     August 27, 2014 - Rapid response team implementation and in-hospital mortality. … Rapid response team implementation and in-hospital mortality*. … https://psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality This before-and-after … analysis revealed a decline in inpatient mortality following implementation of rapid response teams … , but due to the overall trend of decreasing hospital mortality the authors could not definitively attribute

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38288/psn-pdf
     February 03, 2011 - Hospital-wide code rates and mortality before and after implementation of a rapid response team. … Hospital-wide code rates and mortality before and after implementation of a rapid response team. … https://psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid- … response team consisting of ICU nurses and respiratory therapists with physician backup failed to affect mortality … https://psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43859/psn-pdf
     May 28, 2015 - Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. … Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. … https://psnet.ahrq.gov/issue/point-prevalence-surgical-checklist-use-europe-relationship-hospital-mortality … The use of surgical checklists was associated with lower hospital mortality, even after adjusting for … https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47609/psn-pdf
     December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational … Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational … https://psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective … correlations between low staffing, missed vital sign observation, length of stay, and likelihood of mortality … https://psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43776/psn-pdf
     March 17, 2015 - Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. … Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. … https://psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort … https://psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study … https://psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44449/psn-pdf
     January 22, 2016 - Do patient safety indicators explain increased weekend mortality? … Do patient safety indicators explain increased weekend mortality? … https://psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality This study … events captured by Patient Safety Indicators (PSIs) explain the " weekend effect" of higher hospital mortality … https://psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality https:/

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45759/psn-pdf
     July 11, 2017 - Association between end-of-rotation resident transition in care and mortality among hospitalized patients … Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients … https://psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality- … Investigators found a striking increase in in-hospital mortality among patients whose hospitalization … The editorial authors advocate for more research into the mechanisms of this mortality increase and

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37363/psn-pdf
     February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children … Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's … https://psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu … This study demonstrated significant reductions in hospital- wide mortality and code rates after implementation … https://psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45483/psn-pdf
     March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort … Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: … https://psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national … this study, researchers sought to assess whether a correct initial diagnosis had an impact on the mortality … almost a third of patients were initially misdiagnosed and that this was associated with increased mortality