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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35176/psn-pdf
    June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. … Mapping changes in surgical mortality over 9 years by peer review audit. … https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit This … These included reduced mortality after elective procedures, fewer adverse events attributed to deaths … https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-review-audit

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40820/psn-pdf
    October 05, 2011 - Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. … Influence of house-staff experience on teaching-hospital mortality: the "July phenomenon" revisited. … https://psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon … https://psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited … https://psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45656/psn-pdf
    August 01, 2017 - Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. … Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. … https://psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain … of long-acting opioids in patients with chronic noncancer pain was associated with greater risk of mortality … https://psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - issue/development-icu-safety-reporting-system https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33577/psn-pdf
    September 15, 2024 - those with no overnight responsibilities), and another population- based study found no differences in mortality

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45571/psn-pdf
    January 18, 2017 - How communication among members of the health care team affects maternal morbidity and mortality. … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. … psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal- morbidity-and-mortality … psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality … psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44952/psn-pdf
    March 02, 2016 - Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality … Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality … engaging-pediatric-resident-physicians-quality-improvement-through-resident- led-morbidity-and Morbidity and mortality … The results demonstrate the benefits of widespread implementation of system-based morbidity and mortality … engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44956/psn-pdf
    March 09, 2016 - Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome … Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome … https://psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress … https://psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome … https://psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47577/psn-pdf
    January 16, 2019 - Reversing the rise in maternal mortality. January 16, 2019 Kozhimannil KB. … Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. … https://psnet.ahrq.gov/issue/reversing-rise-maternal-mortality Maternal harm is a sentinel event that … In this commentary, the author relates her family history of maternal morbidity and mortality and advocates … https://psnet.ahrq.gov/issue/reversing-rise-maternal-mortality https://psnet.ahrq.gov/perspective/maternal-safety

  10. Crossed Coverage | PSNet

    psnet.ahrq.gov/web-mm/crossed-coverage
    September 01, 2015 - Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay … Implementation of resident work hour restrictions is associated with a reduction in mortality

  11. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
    May 01, 2005 - Failure to Consider Hindsight Bias Patient classified as low risk for adverse outcomes (0.1%-0.4% mortality

  12. Identifying risk factors for medical injury. | PSNet

    psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
    April 12, 2011 - RIS Download Citation Related Resources From the Same Author(s) Excess … mortality caused by medical injury. … June 15, 2011 Unexpected increased mortality after implementation of a commercially sold

  13. The Role of Health Literacy in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
    March 22, 2009 - medical condition, adherence to medical instructions, self-management skills, health status, and greater mortality … Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167:1503-1509. … UCSF study that showed that inadequate literacy skills are associated with a doubling of the risk of mortality

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - ED crowding has led to a dose-response increase in all-cause 30-day mortality and one preventable death … For example, patients who are directly admitted for treatment of sepsis were found to have increased mortality … Association between delays to patient admission from the emergency department and all-cause 30-day mortality

  15. Preventable Rash | PSNet

    psnet.ahrq.gov/web-mm/preventable-rash
    October 01, 2012 - Preventable Rash Citation Text: McLean C. Preventable Rash. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836941/psn-pdf
    April 27, 2022 - discharged to home health, but at lower cost of care with no differences in functional outcomes or mortality … have shown medication problems and adverse drug events, and provided little information on patient mortality … An older meta-analysis of 61 randomized control trials reported there was decreased mortality, lower

  17. Check the Bags | PSNet

    psnet.ahrq.gov/web-mm/check-bags
    January 03, 2017 - The clinical impact of staffing shortages on increased mortality and ‘failure-to-rescue’ have been noted … The tradition of morbidity and mortality conferences, used commonly by physicians, has not been adopted … Participation of nurses as well as physicians in morbidity and mortality conferences. … Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. … Retrospective analysis of mortalities associated with medication errors.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - rates.(14) However, building an optimal safety culture is challenging: no single intervention can address … Although surgical safety checklists have been shown to reduce morbidity and mortality, they must be … A surgical safety checklist to reduce morbidity and mortality in a global population. … among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina.

  19. Vital signs: changes in opioid prescribing in the United States, 2006-2015. | PSNet

    psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
    June 10, 2020 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death … rates.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37729/psn-pdf
    June 12, 2008 - While most hospitals have implemented an MET, death rates from cardiac arrest appeared to decrease over … introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial https://psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
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