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51黑料
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Mortality Reporting System

An online case reporting system that collects preventable mortality events to develop learning opportunities and mitigation strategies.

Anticipated mortality with opportunity for improvement related to more timely palliative care services

Valenzuela, JY, Davis, KA, Jensen, AR; ACS TQIP Mortality Reporting System Writing Group

J Trauma Acute Care Surg. 2025;99(2):e17-e20. doi:10.1097/TA.0000000000004681. Epub 2025 Jul 3. PMID: 40604357

 

Unanticipated mortality because of limitations in blood product availability

Russo, RM, Mandell, SP, Jensen AR; ACS TQIP Mortality Reporting System Writing Group

J Trauma Acute Care Surg. 2025;99(3):e42-e45. doi:10.1097/TA.0000000000004690. Epub 2025 Jul 3. PMID: 40604356

 

Unanticipated mortality because of imaging-related delays in care

Scott, JW, Groner, JI, Jensen, AR; ACS TQIP Mortality Reporting System Writing Group

J Trauma Acute Care Surg. Published online July 3, 2025. doi:10.1097/TA.0000000000004691. PMID: 40604363

 

Unanticipated mortality due to delays in endovascular hemorrhage control

Ross, SW, Buck, JR, Jensen, AR; ACS TQIP Mortality Reporting System Writing Group

J Trauma Acute Care Surg. Published online July 3, 2025. doi:10.1097/TA.0000000000004721. PMID: 40604366

 

Unanticipated mortality due to communication and handoff failures

Williams RF, Mandell SP; ACS TQIP Mortality Reporting System Writing Group.

J Trauma Acute Care Surg. 2023 May 1;94(5):739-742. doi: 10.1097/TA.0000000000003886. Epub 2023 Feb 4.PMID:听36737856

听

Unanticipated mortality due to airway loss

Scott JW, Cole FJ Jr; ACS TQIP Mortality Reporting System Writing Group.

J Trauma Acute Care Surg. 2023 May 1;94(5):735-738. doi: 10.1097/TA.0000000000003892. Epub 2023 Feb 4.PMID:听36737860

听

Unanticipated mortality due to failures in clinical performance

Williams RF, Davis KA; ACS TQIP Mortality Reporting System Writing Group.

J Trauma Acute Care Surg. 2023 May 1;94(5):747-749. doi: 10.1097/TA.0000000000003893. Epub 2023 Feb 2.PMID:听36735543

听

Unanticipated mortality due to inadequate preoperative ICU "clearance"

Ross SW, Jacobs DG; ACS TQIP Mortality Reporting System Writing Group.

J Trauma Acute Care Surg. 2023 May 1;94(5):743-746. doi: 10.1097/TA.0000000000003885. Epub 2023 Feb 4.PMID:听36737857