Mortality Flashcards
3 purposes of death rates
- peer review
- patient care improvement
- provided appropriate care?
patient expires during inpatient hospitalization
inpatient death
infant who shows sign of life at birth and expires during the same admission as birth
newborn death
no sign of life at birth
fetal death
another term for fetal death
stillbirth
patient expires at a time other than during inpatient hospitalization
outpatient death
death of patient at home or en route to a hospital
outpatient death
death during outpatient procedure
outpatient death
occurs prior to complete expulsion or extraction in a hospital facility (outside the hospital not included)
hospital fetal deaths
for hospital fetal deaths, duration of _____ doesn’t matter
pregnancy
fetal deaths are only included in the _____ death rate
fetal
3 deaths not included in death rates
- DOA
- fetal
- outpatient (ER, home care, ambulatory care)
death rate should be under __%
10%
t or f. most death rates combine A&C and newborn data
t
all ip deaths are counted with no exclusions
gross
gross with exclusions
net
formula: gross death rate
IP + NB deaths/IP + NB discharges
used based on the belief that if a patient expires in less than 48 hours there was insufficient time to diagnose and treat a life-threatening disorder
net death rate
net death rates assess death based on a more adequate _____
treatment time frame
net death rate more accurately reflects the hospital’s ability to ____
save lives
formula: net death rate
(IP + NB deaths - deaths < 48 hours)
/
(IP + NB discharges - deaths < 48 hours)
the ratio of post-operative deaths to the total number of patients operated on in a given time period
post-operative death rate
postoperative death is assigned to patients expiring less than ___ days post-op
10
in postoperative death, there is uncertainty regarding these 2 causes
- complications
2. medical condition
formula: postop death rate
(# deaths < 10 days post-op)
/
(# pts operated on)
in post-op infections, the rate was based on ____
operations
in post-op deaths, the rateis based on ____ because ____
number of patients; patients can only die once