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81. Organizational learning in the morbidity and mortality conference. | PSNet
    psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
    June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. … Organizational learning in the morbidity and mortality conference. … Morbidity and mortality (M&M) conferences have evolved from focusing on individual clinicians to system … Organizational learning in the morbidity and mortality conference. … March 18, 2020 A systems approach to morbidity and mortality conference.

82. The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. | PSNet
    psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4
    October 28, 2020 - The association between transfer of emergency department boarders to inpatient hallways and mortality … The association between transfer of emergency department boarders to inpatient hallways and mortality … rate compared with patients admitted directly to inpatient beds, although it should be noted that only … The association between transfer of emergency department boarders to inpatient hallways and mortality … March 23, 2012 Association between waiting times and short term mortality and hospital

83. The Weekend Effect | PSNet
    psnet.ahrq.gov/perspective/weekend-effect
    April 01, 2008 - A 2017 meta-analysis included 97 studies comparing mortality between weekend and weekday admissions … by analyzing daily mortality rates for the 7-day period following weekend admission. … risk for the full 7 days after weekend admission, suggesting that these patients experienced excess … mortality primarily because they were more severely ill at the time of presentation. … rates were increased for patients arriving over the weekend.

84. Quality gaps identified through mortality review. | PSNet
    psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
    November 11, 2015 - Study Quality gaps identified through mortality review. … Quality gaps identified through mortality review. … Inpatient mortality represents a key outcome measure in health care quality and safety. … This study described the implementation of an institution-wide mortality review process, which identified … Quality gaps identified through mortality review.

85. Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. | PSNet
    psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
    May 27, 2020 - Falls are a major source of preventable morbidity and mortality for elderly patients in both the ambulatory … July 10, 2024 Ranking hospitals based on preventable hospital death rates: a systematic … review with implications for both direct measurement and indirect measurement through standardized mortality … rates.

86. Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. | PSNet
    psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
    October 20, 2021 - hospital mortality in England: an interrupted time series analysis. … Inpatient mortality represents one measure of hospital quality. … Surveillance System (a national hospital mortality surveillance system that generates monthly mortality … On average, mortality risk decreased after a trust received a mortality alert. … hospital mortality in England: an interrupted time series analysis.

87. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/impact-commercial-computerized-provider-order-entry-cpoe-and-clinical-decision-support
    August 26, 2020 - 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 … entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838624/psn-pdf
    October 19, 2022 - Association of rapid response teams with hospital mortality in Medicare patients. … Association of rapid response teams with hospital mortality in Medicare patients. … The aim of this study was to compare expected mortality rates with mortality rates following RRT implementation … rates and two showed higher-than-expected mortality, suggesting RRT may not reduce mortality rates … https://psnet.ahrq.gov/issue/effect-rapid-response-team-incidence-hospital-mortality

89. Medical improv: a novel approach to teaching communication and professionalism skills. | PSNet
    psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
    November 25, 2020 - June 26, 2019 Weekend specialist intensity and admission mortality in acute hospital … April 22, 2017 Ranking hospitals based on preventable hospital death rates: a systematic … review with implications for both direct measurement and indirect measurement through standardized mortality … rates.

90. TQIP Mortality Reporting System Case Reports. | PSNet
    psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
    March 23, 2022 - Special or Theme Issue TQIP Mortality Reporting System Case Reports. … Citation Text: TQIP Mortality Reporting System Case Reports. … ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. … Facebook Twitter Linkedin Copy URL May 10, 2023 ACS TQIP Mortality … ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023.

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37484/psn-pdf
    April 01, 2010 - using-patient-safety-indicators-estimate-impact-potential-adverse-events- outcomes Using the AHRQ Patient Safety Indicators (PSIs), this study found excess … mortality, length of stay, and hospital costs in all groups with PSIs in Veterans Health Administration … While variability existed across the nine PSIs analyzed, the two associated with greatest excess mortality … issue/patient-safety-indicators-overview https://psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization

92. The morbidity and mortality meeting: time for a different approach? | PSNet
    psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
    August 30, 2023 - Commentary The morbidity and mortality meeting: time for a different approach? … The morbidity and mortality meeting: time for a different approach? … Mortality and morbidity (M&M) conferences are established mechanisms to investigate care failures. … The morbidity and mortality meeting: time for a different approach? … July 3, 2016 Incorporating metacognition into morbidity and mortality rounds: the next

93. Teaching hospital five-year mortality trends in the wake of duty hour reforms. | PSNet
    psnet.ahrq.gov/issue/teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms
    November 26, 2014 - Study Teaching hospital five-year mortality trends in the wake of duty hour reforms … Teaching hospital five-year mortality trends in the wake of duty hour reforms. … This follow-up study tracked 5-year outcomes among Medicare patients and found no increase in mortality … rates at teaching hospitals compared with less teaching-intensive hospitals. … Teaching hospital five-year mortality trends in the wake of duty hour reforms.

94. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. | PSNet
    psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
    September 13, 2017 - Knowledge retention after simulated crisis: importance of independent practice and simulated mortality … Knowledge retention after simulated crisis: importance of independent practice and simulated mortality … Residents who had practiced independently and experienced simulated mortality in the initial hyperkalemia … scenario achieved the lowest mortality rate compared to the other groups during the follow-up simulation … Knowledge retention after simulated crisis: importance of independent practice and simulated mortality

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44405/psn-pdf
    September 02, 2015 - Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological … Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review

96. Mortality trends after a voluntary checklist-based surgical safety collaborative. | PSNet
    psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
    September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based … Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. … 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.

97. A systematic review of the prevalence and types of adverse events in interfacility critical care transfers by paramedics. | PSNet
    psnet.ahrq.gov/issue/systematic-review-prevalence-and-types-adverse-events-interfacility-critical-care-transfers
    November 25, 2020 - November 25, 2020 Weekend specialist intensity and admission mortality in acute hospital … April 22, 2017 Ranking hospitals based on preventable hospital death rates: a systematic … review with implications for both direct measurement and indirect measurement through standardized mortality … rates.

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837697/psn-pdf
    July 20, 2022 - Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013 … Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013 … https://psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates … In comparing treatable mortality rates at public and for-profit providers, researchers found an additional … https://psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48030/psn-pdf
    May 22, 2019 - A culture of openness is associated with lower mortality rates among 137 English National Health Service … A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service … https://psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english- national-health-service … https://psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service … https://psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service

100. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
     psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
     October 30, 2024 - Key results from implementation of the AAM program include lower mortality within 30 days of an alert … reduction of intensive care unit (ICU) admissions, decreased hospital length of stay, lower 30-day mortality … rates for patients transferred from medical, surgical, and telemetry units to the ICU were significantly … higher than mortality rates of patients who were directly admitted to the ICU from the emergency department … rate within 30 days after an alert for the intervention cohort—two KNPC hospitals participating in the