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Why might an organization report these events to an outside agency such as The Joint Commission, a Patient Safety Organization, or a state medical error reporting program?

Once it is determined how these events happened, what might be the next step from a Performance Improvement standpoint?  In other words, what quality improvement process or processes might be initiated?

Regional Hospital reported that 726 surgical operations were performed.  There were 6 post op infections. Calculate the post-op infection rate.

The following are stats for New Amsterdam Hospital for 2018: Total number of discharges:                                   723 Total number of inpatient service days:                4578 Total number of length of stay (discharge) days:  4410 Calculate the average LOS.  

Women’s Hospital discharged 3973 obstetrical discharges in 2020.  Also in 2020, there were 3 direct maternal deaths.   Calculate the maternal death rate.

In February, there was a total of 3048 anesthetics administered.  Two patient deaths were attributed to anesthetics.   Calculate the anesthesia death rate.

The gross autopsy rate is the total autopsies on inpatient deaths divided by:

Indirect maternal death is defined as the death of a pregnant woman from a cause aggravated by pregnancy or its management,

To calculate the net autopsy rate, what is subtracted from the total inpatient deaths?

Death is NOT a type of discharge because a patient has to be discharged alive to be considered discharged.