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www.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
February 01, 2023 - Diagnosing and treating heart disease in its early stages is crucial to reducing patients’ risks of serious complications
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/effects-costs-enrollees-vonglahn-20120101-transcript.pdf
June 02, 2025 - The Effects of Out-of-Pocket Costs on Enrollees' Experiences With Health Plans: Implications for Consumer Reporting
Transcript release date 1/1/12 www.talkingquality.ahrq.gov
The Effects of Out-of-Pocket Costs on
Enrollees’ Experiences With Health Plans:
Implications for Consumer Reporting
Moderator: Lis…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-slides.pptx
January 01, 2017 - ventilation2
Decreases hospital and intensive care unit (ICU) length of stay1,2
Mitigates the short-term complications … of mechanical ventilation and ICU and hospital length of stay1,2
Mitigates both short- and long-term complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - • Complications of retained foreign objects can include perforation of the bowel, sepsis, and
even death … .1 These complications can occur early in the postoperative period, or even months
or years later
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - choices, safe medication use, infection control initiatives,
observing care processes, reporting complications … also decreases litigation
and malpractice claims6 and leads to lower costs per case
due to fewer complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - • Complications of retained foreign objects can include perforation of the bowel, sepsis, and
even death … .1 These complications can occur early in the postoperative period, or even months
or years later
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - • Complications of retained foreign objects can include perforation of the bowel, sepsis, and
even death … .1 These complications can occur early in the postoperative period, or even months
or years later
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-c.html
May 01, 2017 - Appendix C. Addressing Physician Concerns With the Checklist - Implementation Guide
Common Concern
Response
Explanation
“I'm already safe, and I don't need to use a tool like the checklist.”
“You are safe, but we think that something like this tool can help make the entire center better. I…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-bestpractices-web-sopssurveys-ginsberg.pdf
June 02, 2025 - Best Practices for Web-based SOPS Surveys - Ginsberg Slides
Why Survey Methods Research is
Important to AHRQ
Caren Ginsberg, PhD
Director, SOPS and CAHPS Division
Center for Quality Improvement and Patient Safety, AHRQ
6
AHRQ’s Survey Research Methods
• AHRQ is a research and science-based agency of the
US D…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/neonatal-maternity.pdf
July 28, 2015 - Increased Newborn and Mother Hospital Stays Relateed to Substance Use
Substance abuse during pregnancy can cause serious health
problems for newborn babies as well as for mothers. These
�gures illustrate the increased rate of newborns’ and
mothers’ hospital stays related to substance use between
2006 and 2012, as…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Intensive Care Unit (ICU) Daily Goals Checklist
ICU & Non-ICU
Problem statement:
Clear communication among healthcare providers is essential. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communic…
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www.ahrq.gov/talkingquality/explain/communicate/reason.html
November 01, 2018 - decisions, in a hypothetical situation, were more affected by results on negative measures such as complications
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool17.html
March 01, 2014 - Then you can have the patient imagine what it might cost if she or he develops health complications from
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-UTI.docx
June 01, 2021 - DiagnosisUrinary Tract Infections (UTI)
· First, ask about SYMPTOMS
· Acute cystitis: dysuria, frequency, urgency, suprapubic pain1,2
· Pyelonephritis: fever, rigors, flank pain1
· Catheter-associated UTI (CAUTI): subrapubic pain and fever; residents with catheters may not report dysur…
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www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
January 01, 2025 - CMS
PSI
Composite
PSI composite of
complications
Weighted average of reliability and risk-adjusted … on pneumonia 30-
day readmission rate
SFA
Gaps in
Composite
PSI
Gap in PSI composite
of complications … Gap between actual and best possible score on PSI Composite
(patient safety complications)
SFA … Mortality
due to surgical procedures had the highest percentage gap, followed by patient complications … Relationship between occurrence of surgical complications and
hospital finances.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/primary-care-based-efforts.pdf
March 01, 2019 - Patient • Medication problems or errors;
• Hospital complications;
• Difficulty reconciling follow-up … Early Identification of Post-discharge Complications
Some primary care efforts to reduce readmissions … The
studies that attempted to identify early discharge complications in the outpatient setting all … Summary
All the studies identified that address post-discharge complications used post-discharge … Efforts to identify post-discharge complications early in the primary care setting could
benefit from
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/PrimaryCareEffortsToReduceReadmissions-envscan.pdf
March 01, 2020 - Patient • Medication problems or errors;
• Hospital complications;
• Difficulty reconciling follow-up … Early Identification of Post-discharge Complications
Some primary care efforts to reduce readmissions … The
studies that attempted to identify early discharge complications in the outpatient setting all … Summary
All the studies identified that address post-discharge complications used post-discharge … Efforts to identify post-discharge complications early in the primary care setting could
benefit from
-
www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - Such complications
have been associated with failure to follow accepted process measures. … Studies in industrialized countries
have estimated the risk of major complications from inpatient surgical … Data suggest that at least half of all surgical complications are avoidable3,4. … Subsequent trials have shown similar reductions in
complications and mortality31–36. … We were not powered to detect any
differences in postoperative complications, such as infection.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - with computed tomography and fluoroscopy. 28-30
The risks of testing are not isolated to medical complications
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
March 07, 2008 - safety within the community, reduce errors and adverse drug reactions, and reduce readmissions
for complications … This
dosage adjustment, to account for outliers and special causes, could lead to serious
complications