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8081. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
      January 01, 2017 - conditions.2,3 ARDS has been shown to be underrecognized, undertreated, and associated with a high mortality … rate, indicating there exists the potential for improvement in management of these patients.3 Even … Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome … Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and … Learning from defects to enhance morbidity and mortality conferences.

8082. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
      May 01, 2004 - surfaced in response to the development of the PSIs.35 A recent publication linking PSIs with increased mortality … Death in low mortality DRGs Discharges with disposition of “deceased” Patients in DRGs with less … than 0.5% mortality rate, based on NIS 1997 data. … For example, for death in low-mortality DRGs among males age 65–74 years, the VA rate is 4.28 per … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

8083. 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.

8084. 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

8085. 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

8086. 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/

8087. 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://

8088. 50-State Environmental Scan of State Publications Documenting Racial and Ethnic Disparities in Health Status and Health Care
      hcup-us.ahrq.gov/reports/race/50_state_r_e_rpt.jsp
      July 01, 2016 - , Heart Disease, Infant Mortality, Stroke Mortality, HIV/AIDS Prevalence, Diabetes Prevalence, Diabetes … Cardiovascular Disease, Pulmonary Disease, Diabetes, Heart Disease, Homicide, Motor Vehicle Injury Death … Rate, Suicide, Pregnancy Rate, Prenatal Care, Live Births, General Health, Access to Health Care Both … Death, HIV/AIDS Both Legislation Department of Health and Environmental Control State Census, Death … Rate, Morbidity Geographic (State) African American, American Indian/Alaska Native, Asian, Hispanic

8089. Final Progress Report: Reducing Diagnostic Error to Improve Patient Safety in COPD and Asthma (REDEFINE Study) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/joo-report.pdf
      January 01, 2025 - DE leads to lost opportunities to identify other chronic conditions, avoidable morbidity and mortality … respiratory pharmacotherapy, which can pose serious risks, including pneumonia, cardiovascular events, and mortality … It is reported that African Americans are considered to have increasing COPD mortality and are disproportionately … affected by asthma death rates.57-60 However, as spirometry is not routinely performed and DE is prevalent

8090. 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

8091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49482/psn-pdf
      May 01, 2005 - trimester or during the first stage of labor.(8) It should be noted, though, that maternal and fetal mortality … Aortic dissection is a rare complication of pregnancy but carries substantial risk of morbidity and mortality

8092. Rapid Response for Perinatal Safety: Rapid Response Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
      July 01, 2023 - Have a process in place to review severe maternal or neonatal morbidity and mortality events, regardless … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality

8093. Getting the Diagnosis Both Right and Wrong | PSNet
      psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
      May 29, 2024 - A formal case review was conducted and the case was discussed at the departmental Morbidity and Mortality … accomplished through systematized discharge summary routing between providers, discussion at Morbidity and Mortality

8094. PCA3 Testing in the Diagnosis and Management of Prostate Cancer: Future Research Needs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-antigen-3-gene_research.pdf
      April 01, 2013 - improved decisionmaking about biopsy), and long-term health outcomes (clinical utility), including mortality … improved decisionmaking about biopsy), and long-term health outcomes (clinical utility), including mortality … improved decisionmaking about biopsy), and long-term health outcomes (clinical utility), including mortality … Long- term outcomes, including morbidity, mortality and quality of life followed over 10 to 20 years … In addition, no studies were identified that addressed long-term outcomes (e.g., mortality, morbidity

8095. Treatments for Acute Pain: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-protocol-acute-pain-treatments.pdf
      August 08, 2019 - Objectives for the Systematic Review Pain is nearly universal, contributing substantially to morbidity, mortality … Overdose Death Rates. 2019. … https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates. … lancet/PIIS0140-6736(19)30352-6.pdf https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates

8096. 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

8097. 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

8098. 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

8099. #14 SUBSTANCE ABUSE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1412.pdf
      December 01, 2014 - been a proven treatment for reversing opioid overdose, used for more than 40 years, opioid overdose mortality … rates continue to rise. … intervention addresses a significant unmet need and might be able to reduce opioid overdose–related mortality

8100. CER 205 Disposition of Comments for Physiologic Predictors of Severe Injury: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-205-predictors-trauma-care-disposition-comments.pdf
      April 01, 2018 - It does not directly asses the relationship with mortality and so I am not sure how the sensitivity … includes death, operative intervention and blood transfusion) as compared to studies which only address mortality … of this section as well as reference to the included study that evaluated it ability to predict mortality