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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Underuse of Services: The failure to provide a needed service can lead to additional complications, … Overuse of Services: Unnecessary services add costs and can lead to complications that undermine the … A Michigan hospital has reduced complications due to drug reactions in their cardiac care unit by 80 … Underuse of Services
The failure to provide needed health care services often leads to unnecessary complications … health care costs without improving health and can place patients at greater risk for injuries and complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
January 01, 2017 - Mike Klompas et al. published an article in 2011, evaluating the complications of mechanical ventilation … It concluded that the surveillance definitions for VAC capture a similar set of complications to traditional … Shifting the focus of surveillance from pneumonia alone helps us understand the importance of all these complications … It helps us focus on the importance of preventing all complications resulting from pneumonia, not just … The research showed that screening ventilator settings for VACs captures a similar set of complications
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www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
January 01, 2024 - Surgical complications after suction D&Cs include incomplete evacuation (2-3%) and
infection (0-10%) … Rare complications include hemorrhage, uterine perforation, and---very rarely---death. … Many
serious complications have been attributed to the use of the sharp curette or general anesthesia … Although
complications are infrequent, there is little evidence to support routine surgical intervention … Complications included infection, retained products of conception/hematometria, hemorrhage
(<500 cc)
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/smoking.html
March 01, 2021 - Smoking during pregnancy increases the risk of congenital anomalies, perinatal complications, miscarriage
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-132-fullreport.pdf
January 23, 2017 - In children with SCD, illness and death can be reduced through
early diagnosis, treatment of complications … In addition, SCD can have hemolytic and infectious complications that result
in morbidity and mortality … The lower mortality rate in the study is attributed to early diagnosis and
treatment of complications … Pneumonia
8
and splenic sequestration are but two of the potentially catastrophic complications … that can occur
in infancy; such complications have the potential to result in death if not recognized
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-1-ef.pdf
March 01, 2015 - approximately 52,000 women annually.1,2 Maternal morbidity places women at greater risk of experiencing
complications … These complications can also be harmful to the newborn.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/business_case-slides/The-Business-Case-for-CUSP-Jan-17-2012-508.ppt
January 01, 2012 - 103o
Day 9 – 15 vent dependent
Day 22 – transferred to LTAC
Ooops
Revenue Impact
1 case with complications … vs. 3 cases without complications
Revenue of $ 12,689 vs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
December 01, 2017 - Projects fail for many reasons
This safety project is no exception
Recognize potential barriers and complications … Understanding potential barriers to and complications of project implementation can help teams prepare
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www.ahrq.gov/sites/default/files/2024-09/hanchate-report.pdf
January 01, 2024 - the
preceding 6 months, excluding primary indicators for the surgical procedure or
postoperative complications … 9
Providers may differ in the proportion of complicated patients they treat, and not all these
complications … evidence from other studies, a plausible “protective” factor
may be unobserved patient severity or complications … teaching and other high-
volume providers, as they are expected to gain more than those with fewer complications … in the preceding 6 months, excludes primary indicators
for the surgical procedure or postoperative complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - Safety Indicators (PSIs) reflect quality of care inside hospitals but focus on potentially avoidable complications … They are specified to include principal diagnosis, as well as secondary diagnoses, for the complications … Infection Rate
PDI 13 Transfusion Reaction Count
PDI 14 Asthma Admission Rate
PDI 15 Diabetes Short-term Complications
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - background, context, setting, participants, incidence, prevalence)
Preventable and often life-threatening complications … Zhan and Miller (2003) reported in the Journal of the American Medical
Association that postoperative complications … recent retrospective study.3 According to
prospectively collected data at the University of Michigan, complications … teaching hospital, errors in
healthcare have been estimated to cost more than $5 million per year.5 Complications … Hospital costs associated with
surgical complications: a report from the private-sector national surgical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/049-talking-points-patients-nasal-decolonization.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting Surgical Site Infection
Talking Points for Patients:
Preoperative Nasal Decolonization
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Patients may have questions or comments regarding nasal decolonization. Below ar…
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www.ahrq.gov/patients-consumers/patient-involvement/how-to-choose-a-health-plan.html
September 01, 2015 - How to Choose a Health Plan That's Right for You
Choosing a health plan can be complicated. There are a lot of factors to take into account. Please visit healthcare.gov for the most up-to-date consumer information.
In addition, AHRQ has compiled some useful resources on this topic:
Health Information f…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - Nine PSIs applied to medical/surgical inpatients: complications of anesthesia (PSI 1), death in
low-mortality … , diabetes with chronic complications,
hypothyroidism, renal failure, liver disease, peptic ulcer disease … Obs
ratec
RA
rated At risk #PSI
Obs
rate
RA
rate At risk #PSI
Obs
rate
RA
rate
(1) Complications … Obs
ratec
RA
rated At risk #PSI
Obs
rate
RA
rate At risk #PSI
Obs
rate
RA
rate
(1) Complications … white
Latino
vs. white
Asian
American /
PI vs. white
American
Indian
vs. white
(1) Complications
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www.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
December 01, 2022 - The Benefits
Cardiac rehabilitation lowers the risk of health complications and death for patients
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-one-pager.pdf
September 01, 2022 - the severity or duration of cough.1
• Antibiotic treatment of acute bronchitis does not prevent complications
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www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
August 01, 2018 - defined "warranty" period during which the provider is responsible for the costs of treating associated complications … duplicative and unnecessary care, encourage greater coordination of care across settings, and reduce complications
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
December 01, 2012 - Percentage of State LTC Funds Spent on HCBS
High
Mid
Low
>Median
≤Median
Short-Term Complications
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
December 01, 2012 - Percentage of State LTC Funds Spent on HCBS
High
Mid
Low
>Median
≤Median
Short-Term Complications
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
December 01, 2012 - Percentage of State LTC Funds Spent on HCBS
High
Mid
Low
>Median
≤Median
Short-Term Complications