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5821. COVID-19: Team and Human Factors to Improve Safety | PSNet
      psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
      September 15, 2024 - Background The rapid transmission of COVID-19 has resulted in an international pandemic with the cumulative death … rate expected to further escalate in the months to come. … WebM&M Cases Blind Spot June 1, 2005 Mortality … practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death … rate in South Carolina.

5822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49759/psn-pdf
      May 01, 2016 - approximately 30% of falls result in injury.(5) Common fall-related injuries associated with morbidity and mortality … event that occurs in 3%–14% of sedated patients and is associated with significantly high rates of mortality

5823. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
      January 01, 2024 - (AVR) with coronary artery bypass grafting (CABG) is an extended operation associated with higher mortality … Differences in mortality and use of revascularization in black and white patients with acute MI admitted

5824. In Conversation With…David C. Classen, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
      May 01, 2012 - LDS Hospital shows that if you experience an inpatient adverse drug event, you increase not only your mortality … Clearly there have been improvements because we have reduced hospital mortality rates in the past decade … Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277:301-306.

5825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865429/psn-pdf
      April 24, 2024 - aortic valve replacement (AVR) with coronary artery bypass grafting (CABG) is associated with higher mortality … Differences in mortality and use of revascularization in black and white patients with acute MI admitted

5826. "Do You Want Everything Done?": Clarifying Code Status | PSNet
      psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
      March 27, 2024 - Tracking of quality measures with respect to mortality can have a unnerving effect on a clinician’s willingness … Resources Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality

5827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49690/psn-pdf
      September 01, 2013 - The Pains of Chronic Opioid Usage September 1, 2013 Manchikanti L, Hirsch JA. The Pains of Chronic Opioid Usage. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage Case Objectives Describe the appropriate initial assessment of patients with chronic non-cancer pain. List the most comm…

5828. AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
      August 31, 2020 - Assessment of racial/ethnic disparities in hospitalization and mortality in patients with COVID-19 in

5829. Routine Goes Awry | PSNet
      psnet.ahrq.gov/web-mm/routine-goes-awry
      September 23, 2020 - severe SDB documented by preoperative sleep study.( 1,6 ) Though death is rare from the procedure, mortality … rates from tonsillectomy are quoted at a rate of 1 in 16,000 to 1 in 35,000 procedures.( 1 ) Other

5830. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical … Error Analysis (54) Failure Mode Effects Analysis (6) Morbidity and Mortality

5831. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
      psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
      July 23, 2024 - the proportion of healthcare-associated infections that are reasonably preventable and the related mortality … Morbidity & Mortality Rounds on the Web: Case Studies. Patient Safety Network. December 1, 2012.

5832. Double Dose at Transfer | PSNet
      psnet.ahrq.gov/web-mm/double-dose-transfer
      November 01, 2012 - Points Preventable medication errors remain a relatively common cause of significant morbidity and mortality

5833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50931/psn-pdf
      February 26, 2020 - is critical because recognition within 24 hours has been associated with a nearly 50% reduction in mortality

5834. Relationships Between Physician Professional Satisfaction and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
      September 29, 2017 - November 1, 2015 Perspective Where Does Risk-Adjusted Mortality

5835. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
      August 01, 2009 - Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction, JAMA. 2002;288

5836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33747/psn-pdf
      March 01, 2013 - in the context of actual patient care).(3,6) For direct patient effects (e.g., major complications, mortality

5837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33815/psn-pdf
      September 01, 2016 - reviews published between 2003 and 2013 demonstrated that heart failure telemonitoring reduced all-cause mortality

5838. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
      May 01, 2004 - 80-110 Traditional insulin therapy IV insulin reserved for BG > 215 mg/dL Decreased morbidity and mortality

5839. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
      February 01, 2012 - Unexpected increased mortality after implementation of a commercially sold computerized physician order

5840. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
      July 01, 2006 - Risks During Patient Transport Increased risk of morbidity and mortality during intrahospital transport