Healthcare organizations can have 5 points deducted from their score if they have certain policies in place that may lead to discriminatory treatment that is in conflict with their non-discrimination policy. Usted debe tener una remisin autorizada por escrito de Kaiser Permanente para poder recibir un servicio cubierto de un dentista comunitario afiliado. This number represents a comparison of the number of catheter-associated infections in the urinary tract that actually happened at this hospital to the number of infections expected for this hospital, given the number of catheters used and other factors like facility type and size. Reliable, ethical,, Alexander A. said: This is a difficult review for me. It is on the first floor near elevators 4 and 5. Son mdicos o proveedores certificados por Kaiser Foundation Health Plan of the Northwest o que tienen contrato con el NWPMG. Staff should also be comfortable speaking up when they sense an error might happen. Miembro de Medicare: Para solicitar una copia impresa del directorio de proveedores de Kaiser Permanente, llame a Servicio a los Miembros al 1-877-221-8221, los siete das de la semana, de 8 a. m. a 8 p. m. Kaiser Permanente le enviar una copia impresa del directorio de proveedores en un plazo de tres (3) das hbiles despus de su solicitud. Get a ride. Claim this business (503) 652-2880. Details. Closed on weekends and most holidays. Se requiereAdobe Acrobatpara leer un PDFs. For details on sources, click here. [18] Kaiser Sunnyside discharged 14,557 people and had a total of 57,425 patient days. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. These measures are based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data from the Centers for Medicare and Medicaid Services (CMS). This could be infection where the skin was cut, or an infection that develops after the surgery, like pneumonia. This includes pediatrics, obstetrics and gynecology care. Kaiser Sunnyside Medical Center is a medical facility located in Clackamas, OR. to Kaiser Permanente - Sunnyside Medical Center, Patient Non-Discrimination Policy is LGBTQ+ inclusive, Patient Non-Discrimination Policy is communicated, Employment Non-Discrimination Policy is LGBTQ+ inclusive, Employment Non-Discrimination Policy is communicated, LGBTQ+ staff training requirement was met, LGBTQ+ staff training options were communicated. external page. Patient experience measures tell you how patients felt about the care they received at the hospital. [7] In 2000, the stroke unit was named as one of the top 100 in the nation by the HCIA-Sachs Institute. Rooms should be kept free of all hazards that may cause a patient to trip and fall. Kaiser Permanente Sunnyside Medical Center Doctors Clackamas, OR Regionally Ranked #4 in Oregon Recognized in Northwestern Oregon #3 in Portland High Performing in Procedures/Conditions. Close monitoring can allow a patient to be treated for kidney failure quickly before long-term and irreversible damage is done. We went to the Kaiser Permanente Sunnyside Hospital. ((sin costo)), 1-888-810-7499 Detalles. For details on sources, click here. [6] At completion of the structure, it was determined there was then over capacity in hospital beds, and the space was converted to offices. In order to receive full credit (10 points) for this section, a facility must have implemented 4 or more of the recommended best practices. Find a hospital or care provider near you. If an organization has a 5-point deduction the link will take you to the organizations webpage where they provide important information about the transgender services they provide. Patients perspectives of care are an important part of patient safety. The staff was knowledgeable of my condition and most were very accomodating to my needs. For details on sources, click here. Los mdicos o proveedores comunitarios afiliados no son parte del NWPMG (Northwest Permanente Medical Group). RadiologyImagingCenters.com is your comprehensive resource for medical imaging centers across the nation. A pediatrician will be present for all high-risk deliveries, and will see your new baby before you are discharged from the hospital. Patient Non-Discrimination Policy is LGBTQ+ inclusive, Supports: By choosing a clinician during your pregnancy, you can begin to develop a trusting relationship with them and prepare for your babys first visit. {{currentyear}} Kaiser Foundation Health Plan, Inc. No podemos cambiarlo a esta rea de atencin. Very Compassionate, Expanded all test results, Made me feel well informed. The Leapfrog Hospital Safety Grade is a public service provided by The Leapfrog Group, an independent nonprofit organization committed to driving quality, safety, and transparency in the U.S. health system. Their lungs either cannot take in enough oxygen or cannot get rid of carbon dioxide. In some cases, the blood leak will clump up or clot. Si desea reportar un error sobre cualquier proveedor o centro del directorio, llame a Servicio a los Miembros al 1-800-813-2000 o comunquese con el administrador del sitio web (en ingls). In order to most effectively implement these policies, we also require training for staff in LGBTQ+ inclusive care. For details on sources, click here.The patient experience score includes some data collected during the COVID-19 pandemic. The chaplain also is able to refer you to a representative of your faith. The Check-in Medical Receptionist was pleasant and courteous. Intensivists are physicians with advanced training in intensive or critical care. [10][11] In April 2009, the hospital opened a 40-bed cardiac unit used for open heart surgery. I,, Micah D. said: I would give this place ten stars if I could. Higher scores indicate a faster response time than lower scores. Hospital leaders are aware of the hospital's patient safety problems, work with hospital staff to fix them, and share their efforts with the larger community. Patient Non-Discrimination Policy is communicated, Supports: They might catch pneumonia, have a heart attack, or lose function in their kidneys or liver. ((sin costo)), Profesionales clnicos de salud en este centro de atencin. For a list of clinician who can currently accept a newborn. While they were not on strike, they were voicing their concerns. Smoking is not permitted anywhere on the medical center campus, including in the hospital and parking structure. Patients receive most of their care from nurses, not doctors. If blood flow is blocked, a patient can suffer a stroke or die. East Carbon was incorporated on July 23, 1973, from the merger of the two struggling mining towns of Dragerton and Columbia.On January 1, 2014, the city annexed the neighboring city of Sunnyside. [1] The hospital includes Clackamas County's only heart surgery facility. If you are a smoker, please talk to your doctor about quitting or getting nicotine patches to use during your stay. This number represents a comparison of the number of infections that actually happened at this hospital to the number of infections expected for this hospital, given the number of patients they care for on a daily basis and how widespread MRSA infection is in their local community. Our midwives perform the majority of our uncomplicated births, in addition to providing prenatal care. Opened in 1975, the Kaiser Permanente owned facility is licensed for 233 hospital beds. Mission and values The Employee Benefits and Policies criteria focuses on creating an LGBTQ+ inclusive workplace for healthcare facilities employeesthese efforts include equal benefits for LGBTQ+ employees, transgender-inclusive health insurance benefits, employee resource groups, LGBTQ+ inclusive hiring efforts, employee transition support, and more. Monday through Friday, 7 a.m. to 4:30 p.m. el horario de atencin de un proveedor, busque en nuestro directorio de centros de atencin, los proveedores incluidos en su plan o que aceptan pacientes nuevos, llame al 1-800-813-2000 (sin costo) o al 711 (lnea TTY para personas con problemas auditivos o del habla), Todas las dems reas: 1-800-813-2000 (sin costo) o al 711 (lnea TTY). [13] Both the cardiac unit and expanded cancer care were part of a $150 million expansion that added 241,655 square feet (22,450.5m2) with 170 beds and additional medical office space to the campus. A facility may receive partial credit (5 points) for this criteria if it has implemented 2 to 3 of the best practices. Kaiser Sunnyside Medical Center is a not-for-profit, general care hospital in the Sunnyside area of Clackamas County in the U.S. state of Oregon. Currently Kaiser Sunnyside Medical Center's 526 physicians cover 67 specialty areas of medicine. Our executive chef and Food and Nutrition staff strive to make each meal as tasty and enjoyable as possible while respecting your dietary restrictions. [10] An expanded oncology department with 20 beds opened in that wing in January 2009. East Carbon is a city in Carbon County, Utah, United States.The population was 1,301 at the 2010 census. This number represents the estimated number of times patients experienced blood leakage during a procedure for every 1,000 people who had surgery. Remisiones a dentistas comunitarios afiliados en Oregon y Washington. KAISER SUNNYSIDE MEDICAL CENTER - 25 Photos & 74 Reviews - 10180 SE Sunnyside Rd, Clackamas, OR - Yelp Restaurants Auto Services Kaiser Sunnyside Medical Center 74 reviews Claimed Hospitals Edit Write a review Add photo Photos & videos See all 25 photos Add photo Review Highlights A patient with this type of infection often faces a long recovery in the ICU. Kaiser Permanente - Rock Creek Medical Offices. See More. Family Medicine clinicians are dedicated to treating the whole person over a patients entire lifetime. This number represents the number of times patients experienced serious breathing problems for every 1,000 people who had surgery. Hospital staff closely monitor patients for signs of sepsis following surgical procedures, including a high heart rate, low blood pressure, fatigue, confusion, and severe pain. Ob-gyn physicians specialize in all aspects of womens health and medical care, and are highly trained in caring for women before, during, and after childbirth. ((sin costo)), 711 Complimentary valet parking is available outside the Kaiser Sunnyside Hospital entrance. News; Health & Wellness Our care Health research Recipes Health tips; Who We Are Our mission Fast facts Our history Our people Leadership team Permanente Medicine Annual reports; You are solely responsible for any and all decisions with respect to your medical treatment. Based on a scale of zero-100, this number represents a comparison of patients perspectives of how effectively physicians at this hospital communicated with patients relative to patients perspectives of how effectively physicians at other hospitals communicated with their patients. After that, youll choose a pediatrician or family doctor to care for your baby. Our database of diagnostic radiology imaging facilities is your reference to find a radiology imaging center near you. Register. A blood clot is a gathering of blood cells in a vein, which can be caused by damage to tissue during surgery. 15 Reviews MENU OVERVIEW; REVIEWS; 15 Reviews for Kaiser Sunnyside created patients Show reviews by Sort by Most Helpful | Newest. This kind of lung injury can be serious and can cause severe chest pain and other complications. Patients perspectives of care are an important part of patient safety. 10180 SE Sunnyside Rd, Clackamas, OR 97015, USA. Is Kaiser Sunnyside Medical Center highly rated with patients? This number represents the number of times patients experienced accidental cuts and tears in the abdominal or pelvic region during a procedure for every 1,000 people discharged. The staff could not, Annie S. said: My mom lives in the assisted living community. These physicians are pediatricians with advanced training to care for babies who need specialized care. A surgeon can accidentally leave an object inside a patients body during surgery. MRSA can cause life-threatening bloodstream infections, pneumonia and surgical site infections. ((linea TTY sin costo para personas con problemas de audicin o del habla)), 1-866-453-3932 For procedures of the abdomen and pelvis, there is a chance that the patient will suffer an accidental cut or tear of their skin or other tissue. For details on sources, click here. Tiene alguna pregunta? America's 50 Best Hospitals Award (2022), Top 1% in the nation for providing the highest clinical quality year over year, America's 100 Best Hospitals Award (2021), Top 2% in the nation for consistently delivering clinical quality year over year, America's 250 Best Hospitals Award (2022, 2021), Top 5% in the nation for consistently delivering clinical quality, Outstanding Patient Experience Award (2022), Top in the nation for overall patient experience based on nine measures related to doctor and nurse communication, hospital cleanliness and noise levels, and medication and post-discharge care instructions, Americas 50 Best Hospitals for Cardiac Surgery Award (2023, 2022, 2021), Superior clinical outcomes in heart bypass surgery and heart valve surgery, Superior clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis, and diabetic emergencies, Pulmonary Care Excellence Award (2023, 2022), Superior clinical outcomes in treating chronic obstructive pulmonary disease (COPD) and pneumonia, Americas 100 Best Hospitals for Cardiac Care Award (2022, 2021), Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery, Americas 100 Best Hospitals for Pulmonary Care Award (2021), How well a hospital safeguards patients from potential complications, An event relating to foreign objects left in body during a surgery or procedure, 3 ratings were better than expected View details, Research hospital performance and talk to your doctor about what's right for you, Coronary Artery Bypass Graft (CABG) Surgery, Coronary Interventional Procedures (Inpatient), Americas 50 Best Hospitals for Cardiac Surgery Award, Americas 100 Best Hospitals for Cardiac Care Award, Chronic Obstructive Pulmonary Disease (COPD), Americas 100 Best Hospitals for Pulmonary Care Award, Back and Neck Surgeries (without Spinal Fusion). To learn more, please read our Privacy Policy. If you or your baby needs special care, well refer you to one of our high-risk specialists. For details on sources, click here. They should also monitor urine output. A Meet and Greet session can be helpful if you have specific questions for a clinician you are considering. In the most extreme cases, a patient may need a kidney transplant or risk death. Patients perspectives of care are an important part of patient safety. This number represents the number of times patients experienced dangerous bed sores for every 1,000 people discharged. Educating patients on the steps they need to take during their recovery at home reduces the chances that a patient will need to be readmitted to the hospital. For details on sources, click here. Prevention, https://en.wikipedia.org/w/index.php?title=Kaiser_Sunnyside_Medical_Center&oldid=1102239854, This page was last edited on 4 August 2022, at 02:32. View this hospital's Leapfrog Hospital Survey Results. These ob-gyn physicians have advanced training in caring for high-risk mothers and babies. For details on sources, click here. Para obtener servicios de interpretacin de idiomas: 1-800-324-8010 (sin costo). Supports: Volunteers staff the shop, which is open 9:00 a.m. to 7:00 p.m. Monday through Friday. Directions Advertisement. Staph bacteria are common in hospitals, but Methicillin-resistant Staphylococcus aureus (MRSA) is a type of staph bacteria that is resistant to (cannot be killed by) many antibiotics. If blood vessels become injured during surgery, they may leak excess blood within the body. In serious cases, kidney failure can lead to the need for dialysis, an artificial way of replacing the kidneys function. Llame al 1-800-324-8010 (sin costo) o al 1-800-813-2000 (sin costo), o al 711 (lnea TTY). When all of these errors are examined together, it gives a better picture of a hospitals ability to keep its patients safe. Our gift shop is on the first floor near the main entrance. This number represents the number of times patients had an air or gas bubble in the blood for every 1,000 people discharged. Leaders must make sure that all hospital staff knows what they need to work on and that they are held accountable for improvements. Si selecciona estos enlacessaldr de KP.org/espanol. Hospitals earn up to 100 points for using a well-functioning bar coding system for all medication orders, and making sure it is used properly to keep patients safe. If you are interested, you may call. The American Hospital Directory provides operational data, financial information, utilization statistics and other benchmarks for acute care hospitals. Kaiser Sunnyside Medical Center is a general care hospital located in the Sunnyside area of Clackamas County in Oregon. Hours may vary according the availability of the volunteers who staff it. ((sin costo)), 1-800-324-8010 For a couple of reasons: 1) I. Healthgrades evaluates hospital performance using objective quality measures including clinical outcomes and patient safety, as well as patient experience. Follow us on these external social media sites that will open in a new browser window. [9], Kaiser Sunnyside completed construction of a four-story building at a cost of $88 million in 2007. Effective communication between doctors and patients can be reassuring to patients and can help prevent errors like medication mix-ups or misdiagnoses. Employment Non-Discrimination Policy is LGBTQ+ inclusive, Supports: LEGAL DISCLAIMER: The Leapfrog Hospital Safety Grade scores hospitals on their overall performance in keeping patients safe from preventable harm and medical errors. This number represents the number of surgical patients that died for every 1,000 people who had a serious treatable complication after surgery. Our obstetrical team is available 24 hours a day, 7 days a week at the hospital whenever you arrive in labor, well be ready. Symptoms you shouldn't ignore and how to get in touch with us, Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. La disponibilidad de mdicos, hospitales, proveedores y servicios puede cambiar. Here are some tools to help with that selection: Ready to get maternity care? Esta informacin no est disponible en este momento. They were right. These registered nurses will care for you and your baby in the postpartum unit, also known as the Women and Newborn Care Unit. For details on sources, click here. Kaiser Sunnyside Medical Center locations 4.7 Clackamas, OR Show all locations What's being discussed at Kaiser Sunnyside Medical Center? Kaiser Permanente Sunnyside Medical Center 10180 SE Sunnyside Rd., Clackamas, OR 97015 503-652-2880 Get directions Go to Street View This is an exciting time! We have Sunnyside Medical Center, Kaiser Permanente. Our emergency department staff is trained to give holistic care to patients in crisis. La informacin de este directorio en lnea se actualiza peridicamente. A facility may receive partial credit (15 points) for this criteria if it has implemented 6 to 10 of the best practices. See a problem? Supports: After a major surgery on the stomach or abdomen area, the healthcare team must be careful to make sure that the surgical stitches dont break open. To request a visit by the chaplain or to request a referral, call 503-571-4798 or ask your nurse. Si realiza la solicitud para recibir copias impresas del directorio de proveedores, esta permanece hasta que usted abandone Kaiser Permanente o solicite que dejen de enviarle las copias impresas. Bloodstream infections, pneumonia and surgical site infections this is a difficult review for me and had total... You and your baby needs special care, well refer you to a of! Physicians have advanced training to care for babies who need specialized care outside the Kaiser Permanente kaiser sunnyside hospital... Complimentary valet parking is available outside the Kaiser Sunnyside Medical Center is a gathering blood. Before long-term and irreversible damage is done died for every 1,000 people discharged failure quickly before and... 100 in the U.S. state of Oregon a radiology imaging Center near you damage done... Clot is a gathering of blood cells in a new browser window puede cambiar a visit the... January 2009 patients felt about the care they received at the 2010 census Medical Group ) every. Or to request a referral, call 503-571-4798 or ask your nurse quitting getting. That will open in a new browser window the main entrance un servicio cubierto de un dentista afiliado. [ 10 ] [ 11 ] in April 2009, the blood for every 1,000 discharged... Plan, Inc. We are unable to switch you to this area of Clackamas County in.! Of 57,425 patient days here are some tools to help with that selection: Ready to get maternity?. 18 ] Kaiser Sunnyside Medical Center is a city in Carbon County, Utah, United States.The population was at. Able to refer you to one of the Northwest o que tienen con! The whole person over a patients body during surgery, like pneumonia con el NWPMG that... The Women and newborn care unit 4 and 5 midwives perform the majority of our uncomplicated births, in to. Our database of diagnostic radiology imaging facilities is your reference to find a imaging... Total of 57,425 patient days open in a new browser window is trained to give holistic care to patients crisis. Procedure for every 1,000 people who had a serious treatable complication after surgery deliveries, and will see your baby... Cause life-threatening bloodstream infections, pneumonia and surgical site infections Sunnyside Rd,,! Prevention, https: //en.wikipedia.org/w/index.php? title=Kaiser_Sunnyside_Medical_Center & oldid=1102239854, this page was last edited on 4 August,... Trained to give holistic care to patients and can help prevent errors like medication mix-ups or.. Made me feel well informed through Friday o que tienen contrato con el NWPMG are dedicated to the. And parking structure site infections replacing the kidneys function, an artificial way of replacing the kidneys.! Meet and Greet session kaiser sunnyside hospital be caused by damage to tissue during surgery OVERVIEW ; Reviews 15! [ 18 ] Kaiser Sunnyside Medical Center is a gathering of blood cells in a new window! Uncomplicated births, in addition to providing prenatal care { currentyear } Kaiser... For your baby of blood cells in a vein, which can be serious and can cause life-threatening bloodstream,. Centers across the nation imaging centers across the nation by the chaplain also is to... Is licensed for 233 hospital beds is blocked, a patient to trip and fall en lnea actualiza!, or Health Plan, Inc. no kaiser sunnyside hospital cambiarlo a esta rea de atencin can be caused by to! Used for open heart surgery us on these external social media sites will! ; 15 Reviews MENU OVERVIEW ; Reviews ; 15 Reviews MENU OVERVIEW ; Reviews ; 15 Reviews Kaiser... These ob-gyn physicians have advanced training in intensive or critical care a of... Possible while respecting your dietary restrictions in January 2009 about the care they received at the 2010 census 1-800-813-2000 sin! Your baby needs special care, well refer you to one of our uncomplicated births, addition! See your new baby before you are discharged from the hospital a facility. Rooms should be kept free of all hazards that may cause a patient can a!, it gives a better picture of a hospitals ability to keep its patients.... Lives in the nation by the HCIA-Sachs Institute the Northwest o que tienen con! Currently Kaiser Sunnyside Medical Center highly rated with patients includes Clackamas County Oregon! Breathing problems for every 1,000 people who had a total of 57,425 patient days may a. Patient experience measures tell you how patients felt about the care they received the! Por escrito de Kaiser Permanente owned facility is licensed for 233 hospital beds would give this place stars... 1 ] the hospital includes Clackamas County 's only heart surgery { currentyear } Kaiser. 'S only heart surgery facility SE Sunnyside Rd, Clackamas, or infection! Here are some tools to help with that selection: Ready to get maternity care Profesionales clnicos de en... Patients safe also known as the Women and newborn care unit Compassionate, Expanded test... Carbon dioxide getting nicotine patches to use during your stay most Helpful |.... Complimentary valet parking is available outside the Kaiser Permanente para poder recibir un servicio cubierto un! Of Oregon Profesionales clnicos de salud en este centro de atencin del NWPMG ( Permanente! 14,557 people and had a serious treatable complication after surgery rooms should be kept free of all hazards may... The American hospital Directory provides operational data, financial information, utilization statistics and other benchmarks for care! A list of clinician who can currently accept a newborn, kidney failure can lead to the need dialysis... ( lnea TTY ) or family doctor to care for your baby in the most extreme cases, a to. Between doctors and patients can be serious and can help prevent errors like medication mix-ups or misdiagnoses before! Afiliados en Oregon y Washington very accomodating to my needs tissue during surgery, like pneumonia, United population. Elevators 4 and 5 a list of clinician who can currently accept a newborn bloodstream infections pneumonia. 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A Medical facility located in the blood leak will clump up or.... Knowledgeable of my condition and most were very accomodating to my needs the postpartum unit also... Cause life-threatening bloodstream infections, pneumonia and surgical site infections high-risk specialists number of patients... Of their care from nurses, not doctors with advanced training in intensive critical... A esta rea de atencin specific questions for a clinician you are a smoker, talk... Monday through Friday la informacin de este directorio en lnea SE actualiza peridicamente department with beds... Effective communication kaiser sunnyside hospital doctors and patients can be Helpful if you or your baby effective communication between and. Choose a pediatrician or family doctor to care for your baby in the Sunnyside area of County! You to one of our high-risk specialists your comprehensive resource for Medical imaging across... 1975, the blood leak will clump up or clot servicio cubierto de un comunitario! Staff knows what they need to work on and that they are held accountable for improvements to you. At a cost of $ 88 million in 2007 as tasty and enjoyable as possible while kaiser sunnyside hospital... The whole person over a patients entire lifetime parking structure, including in the nation the. People who had surgery replacing the kidneys function that all hospital staff knows what they to! ( Northwest Permanente Medical Group ) four-story building at a cost of $ 88 million in.. Hospital opened a 40-bed cardiac unit used for open heart surgery find a kaiser sunnyside hospital imaging Center you... Our executive chef and Food and Nutrition staff strive to make each meal as tasty and enjoyable as while. This number represents the number of times patients experienced dangerous bed sores for every 1,000 people who had surgery you... The body [ 11 ] in April 2009, the stroke unit was as. 57,425 patient days reference to find a radiology imaging facilities is your reference to a! Owned facility is licensed for 233 hospital beds tienen contrato con el NWPMG nicotine! Test results, Made me feel well informed Utah, United States.The population was 1,301 at hospital., including in the nation who staff it chaplain or to request a referral, 503-571-4798... Plan, Inc. no podemos cambiarlo a esta rea de atencin air or bubble! This place ten stars if I could operational data, financial information, utilization and! The chaplain or to request a referral, call 503-571-4798 or ask your nurse inside a patients entire.... Statistics and other complications of replacing the kidneys function important part of patient safety mothers and babies Medical Center #! Number of times patients experienced serious breathing problems for every 1,000 people who had a serious complication. 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