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Related Concept Videos

Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Preventive Healthcare Services01:30

Preventive Healthcare Services

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Causality in Epidemiology01:21

Causality in Epidemiology

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Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
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Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
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Published on: January 8, 2020

Preventable mortality: does the perspective matter when determining preventability?

Meera Gupta1, Barry Fuchs, Carolyn Cutilli

  • 1Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.

The Journal of Surgical Research
|June 19, 2013
PubMed
Summary
This summary is machine-generated.

A novel 360° survey for mortality review yielded important data, but showed poor agreement with multidisciplinary mortality committee (MMC) reviews, highlighting the need for a comprehensive approach to inpatient care improvement.

Keywords:
360° surveyMortality review processMultidisciplinary mortality reviewPreventable mortality

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Area of Science:

  • Healthcare Quality Improvement
  • Patient Safety
  • Medical Informatics

Background:

  • Inpatient mortality review is crucial for enhancing patient care.
  • Traditional methods may not capture all aspects of care quality.
  • A novel 360° survey approach was implemented to optimize mortality review.

Purpose of the Study:

  • To evaluate a novel 360° survey for inpatient mortality review.
  • To compare survey findings with multidisciplinary mortality committee (MMC) assessments.
  • To identify opportunities for improving inpatient care quality.

Main Methods:

  • A 16-item, 360° quality improvement survey was administered for mortality review.
  • Descriptive statistics and agreement analysis (Cohen kappa) were used.
  • Qualitative review of survey data identified quality improvement opportunities.

Main Results:

  • 3095 surveys were completed for 1683 patients; 1.40% suggested preventable deaths.
  • Inter-rater reliability between survey and MMC review was poor (kappa=0.10).
  • Discrepancies revealed quality issues, though not directly causing death.

Conclusions:

  • The 360° survey provides valuable insights into inpatient deaths.
  • Poor agreement necessitates a multipronged strategy for inpatient mortality evaluation.
  • Integrating diverse review methods is key to optimizing patient care.