468 mortalities reviewed, 63% have been screened out to MCR1-MCR2. Only 37% of the mortalities required an in-depth peer review process. The utilization of the Mortality Screening Tool enhanced the overall peer review processes, led to greater collaboration among physicians...
Stakeholders focused on cause and effect, updating policies, and in-depth review of fallouts. One service line changed its preoperative order set, including automatic assessment of VTE risk and orders for chemical prophylaxis. Our PSI-12 observed rate decreased from 9.94 in...