Mortality Flashcards

1
Q

3 purposes of death rates

A
  1. peer review
  2. patient care improvement
  3. provided appropriate care?
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2
Q

patient expires during inpatient hospitalization

A

inpatient death

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3
Q

infant who shows sign of life at birth and expires during the same admission as birth

A

newborn death

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4
Q

no sign of life at birth

A

fetal death

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5
Q

another term for fetal death

A

stillbirth

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6
Q

patient expires at a time other than during inpatient hospitalization

A

outpatient death

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7
Q

death of patient at home or en route to a hospital

A

outpatient death

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8
Q

death during outpatient procedure

A

outpatient death

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9
Q

occurs prior to complete expulsion or extraction in a hospital facility (outside the hospital not included)

A

hospital fetal deaths

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10
Q

for hospital fetal deaths, duration of _____ doesn’t matter

A

pregnancy

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11
Q

fetal deaths are only included in the _____ death rate

A

fetal

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12
Q

3 deaths not included in death rates

A
  1. DOA
  2. fetal
  3. outpatient (ER, home care, ambulatory care)
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13
Q

death rate should be under __%

A

10%

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14
Q

t or f. most death rates combine A&C and newborn data

A

t

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15
Q

all ip deaths are counted with no exclusions

A

gross

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16
Q

gross with exclusions

A

net

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17
Q

formula: gross death rate

A

IP + NB deaths/IP + NB discharges

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18
Q

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

A

net death rate

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19
Q

net death rates assess death based on a more adequate _____

A

treatment time frame

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20
Q

net death rate more accurately reflects the hospital’s ability to ____

A

save lives

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21
Q

formula: net death rate

A

(IP + NB deaths - deaths < 48 hours)
/
(IP + NB discharges - deaths < 48 hours)

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22
Q

the ratio of post-operative deaths to the total number of patients operated on in a given time period

A

post-operative death rate

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23
Q

postoperative death is assigned to patients expiring less than ___ days post-op

A

10

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24
Q

in postoperative death, there is uncertainty regarding these 2 causes

A
  1. complications

2. medical condition

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25
Q

formula: postop death rate

A

(# deaths < 10 days post-op)
/
(# pts operated on)

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26
Q

in post-op infections, the rate was based on ____

A

operations

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27
Q

in post-op deaths, the rateis based on ____ because ____

A

number of patients; patients can only die once

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28
Q

the ration of deaths caused by anesthetic agents for a period to the number of anesthetics administered for that period

A

anesthetic death rate

29
Q

anesthetic death rate is usually tabulated ____ because relatively few occur

A

annually

30
Q

formula: anesthetic death rate

A

(# deaths due to anesthesia)
/
(# anesthetics administered)

31
Q

3 types of maternal deaths

A
  1. direct
  2. indirect
  3. non-obstetric
32
Q

maternal death type: deaths due to pregnancy

A

direct

33
Q

maternal death type: not directly due to obstetric causes but aggravated by the pregnant condition

A

indirect

34
Q

maternal death type: death not related to pregnancy; woman happens to be pregnant

A

non-obstetric maternal death

35
Q

formula: maternal death rate

A
# direct maternal deaths 
/
# obstetric discharges
36
Q

patient born in hospital during current admission

A

newborn

37
Q

from birth up to 28 days of age

A

neonate

38
Q

for stats purposes, from birth to one year of age

A

infant

39
Q

formula: neonatal death rate

A
# neonatal deaths
/
# neonatal discharges incl. deaths
40
Q

formula: infant death rate

A
# infant deaths
/
# infant discharges incl. deaths
41
Q

the ratio of fetal deaths to the total number of births in a given time period

A

fetal death rates

42
Q

fetal deaths are excluded from all ______ except _____

A

hospital mortality rates; fetal death rates

43
Q

3 types of fetal deaths

A
  1. early
  2. intermediate
  3. late
44
Q

death of a fetus weighing less than 500 grams or less than 20 completed weeks of gestation

A

early fetal death

45
Q

death after 20 completed weeks to less than 28 completed weeks of gestation

A

intermediate fetal death

46
Q

death after 28+ completed weeks of gestation

A

late fetal death

47
Q

more common term for early fetal death

A

spontaneous abortion

48
Q

t or f. spontaneous abortions are different than an induced termination of pregnancy (therapeutic)

A

t

49
Q

more common term for intermediate fetal deaths

A

stillbirth

50
Q

formula: fetal death rate

A
# \_\_\_\_ fetal deaths
/
# births + \_\_\_\_\_ fetal deaths
51
Q

inspection of dead body to determine cause of death

A

autopsy

52
Q

any autopsy performed by the hospital pathologist or designated physician

A

hospital autopsy

53
Q

hospital autopsies include these 3 patients

A
  1. inpatients
  2. outpatients
  3. former patients
54
Q

elected/appointed official who investigates any deaths due to uncertain or unnatural causes

A

coroner

55
Q

t or f. a coroner is a physician

A

f

56
Q

a physician-usually pathologist-who determines cause of death when death doesn’t occur under natural circumstances

A

medical examiner

57
Q

examples of deaths reported to coroner

A

criminal/violent deaths, suicides, sudden unexpected deaths, suspicious circumstances, accidents

58
Q

the ratio of inpatient autopsies to all inpatient deaths during a given period of time

A

gross autopsy rates

59
Q

formula: gross autopsy rate

A
# IP autopsies + NB
/
# IP deaths + NB
60
Q

subtraction from gross death rate of cases released to legal authorities and thus not available for hospital autopsy

A

net autopsy rate

61
Q

if a hospital pathologist performs an autopsy on behalf of the ME is it included in the net autopsy rate?

A

yes

62
Q

formula: net autopsy rate

A
# ip + nb autopsies
/
# ip + nb deaths - unautopsied cases released to ME
63
Q

the ratio of hospital autopsies to the number of deaths of hospital patients whose bodies were available for hospital autopsy

A

hospital autopsy rates

64
Q

hospital autopsies are performed by the ____

A

hospital pathologies

65
Q

hospital autopsies do not include _____ that were removed from the hospital and autopsied elsewhere

A

coroner’s ME cases

66
Q

what constitutes as a hospital patient whose body was available and autopsied?

A
  1. person treated in hospital as either IP or OP at some time in past
  2. DOAs
  3. ER patients
  4. other OPs
  5. other former hospital patients even if died elsewhere, as long as autopsied by HP
67
Q

hospital autopsy rates exclude these 2 deaths

A
  1. fetal deaths

2. ME cases not in hospital and autopsied elsewhere

68
Q

formula: hospital autopsy rate

A

(hospital ip/op deaths + hp autopsies + me cases done by hp)
/
(ip/op deaths + other deaths autopsied - ip/op ME cases not done by hp)