Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012

LJ Donaldson, SS Panesar, A Darzi - PLoS medicine, 2014 - journals.plos.org
Background Hospital mortality is increasingly being regarded as a key indicator of patient
safety, yet methodologies for assessing mortality are frequently contested and seldom point …

Medical morbidity and mortality conferences: past, present and future

J George - Postgraduate Medical Journal, 2017 - academic.oup.com
Morbidity and mortality conferences (MMCs) have three potential aims—to improve patient
safety by reducing adverse events and preventable deaths, to improve overall quality of care …

Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety?

J Higginson, R Walters, N Fulop - BMJ quality & safety, 2012 - qualitysafety.bmj.com
Introduction National Health Service hospitals and government agencies are increasingly
using mortality rates to monitor the quality of inpatient care. Mortality and Morbidity (M&M) …

Kaiser Permanente's performance improvement system, part 3: multisite improvements in care for patients with sepsis

A Whippy, M Skeath, B Crawford, C Adams… - The Joint Commission …, 2011 - Elsevier
Article-at-a-Glance Background In 2008, Kaiser Permanente Northern California
implemented an initiative to improve sepsis care. Early detection and expedited …

Adverse events are common on the intensive care unit: results from a structured record review

L Nilsson, A Pihl, M Tågsjö… - Acta anaesthesiologica …, 2012 - Wiley Online Library
Background Intensive care is advanced and highly technical, and it is essential that, despite
this, patient care remains safe and of high quality. Adverse events (AEs) are supposed to be …

[HTML][HTML] A realist analysis of hospital patient safety in Wales: applied learning for alternative contexts from a multisite case study

A Herepath, M Kitchener… - Health and Social Care …, 2015 - journalslibrary.nihr.ac.uk
Background Hospital patient safety is a major social problem. In the UK, policy responses
focus on the introduction of improvement programmes that seek to implement evidence …

Circumstances and causes of falls by patients at a S panish acute care hospital

M Aranda‐Gallardo… - Journal of evaluation …, 2014 - Wiley Online Library
Rationale, aims and objectives A major problem in hospitals is that of falls, which can
seriously reduce patients' quality of life. Fall rates vary considerably depending on health …

The deterioration risk index: Developing and piloting a machine learning algorithm to reduce pediatric inpatient deterioration

LOH Rust, TJ Gorham, S Bambach… - Pediatric Critical Care …, 2023 - journals.lww.com
OBJECTIVES: Develop and deploy a disease cohort-based machine learning algorithm for
timely identification of hospitalized pediatric patients at risk for clinical deterioration that …

Structured chart review: Assessment of a structured chart review methodology

A Siems, R Banks, R Holubkov, KL Meert… - Hospital …, 2020 - publications.aap.org
BACKGROUND AND OBJECTIVES: Chart reviews are frequently used for research, care
assessments, and quality improvement activities despite an absence of data on reliability …

The mortality review committee: a novel and scalable approach to reducing inpatient mortality

JS Barbieri, BD Fuchs, N Fishman, CC Cutilli… - The Joint Commission …, 2013 - Elsevier
Article-at-a-Glance Background Despite the importance of reducing inpatient mortality, little
has been reported about establishing a hospitalwide, systematic process to review and …