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How to fill out the Mortality Review Template online
Filling out the Mortality Review Template is an important step in documenting and reviewing patient care following a death. This guide will provide you with clear, step-by-step instructions to effectively complete the template online.
Follow the steps to successfully complete the Mortality Review Template.
- Click ‘Get Form’ button to access the Mortality Review Template and open it in your preferred online editor.
- Begin by entering the patient’s information, including their name, medical record number (MR#), date of admission, age, and sex. Ensure that all entries are accurate and up-to-date.
- Indicate if the patient was transferred from an outside hospital by selecting the appropriate option.
- Record the date of death accurately along with the service involved in the patient's care. Pay attention to the details as they are critical for the review.
- Indicate whether the patient had Do Not Resuscitate (DNR) and Do Not Intubate (DNI) orders by selecting 'Yes' or 'No' for each option.
- Complete the attending physician's name and any relevant notes regarding autopsy consent. Choose 'Yes' or 'No' as applicable.
- In the summary of events section, provide a concise narrative of the circumstances leading up to the patient’s death. This should capture all relevant information appreciatively.
- During the division meeting review, note the discussion date and summarize the conclusions reached regarding the circumstances of death. Select one of the options regarding the nature of the death and provide any necessary explanations.
- Outline actions that were taken, will be instituted, or are recommended as a result of this case. Provide detailed explanations as necessary.
- Finally, recommend any departmental educational programs associated with the case or topics that could benefit from further discussion. Include details as necessary.
- Ensure to complete the form by entering your name, pager number, and date of completion before finalizing.
- Once all sections are filled, you can save changes, download, print, or share the Mortality Review Template as needed.
Complete the Mortality Review Template online to ensure thorough documentation and review of patient care.
The process of mortality involves reviewing patient cases to understand the causes and circumstances surrounding their deaths. This process ensures that hospitals can implement changes aimed at improving patient safety and reducing preventable deaths. Using a Mortality Review Template helps to keep track of findings and recommendations throughout this critical evaluation.
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