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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - with CAUTI result in increased length of stay, patient
discomfort, excess health care costs, and even death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - was added, in which reporters circled one of five outcomes ranging from “no adverse outcome”
to “death … Providers who report an
unexpected death of one of their patients might be notified that the peer review … significant effect, requiring treatment)
3 = Serious adverse outcome (permanent adverse effects)
4 = Death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
December 15, 2023 - Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic Health Record Case Study
1
Intervention: Many older adults experience chronic pain that
requires long term opioid therapy (LTOT). The physician- owner,
who also acts as a quality improvement (QI) lead at Pearl
F…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
July 01, 2004 - suffering
– Days spent in the hospital
– Unnecessary medications
– Unnecessary surgery
– Risk of death … • Death.
-
ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Increasing Influenza Vaccination Among Adults
Influenza and pneumonia is the sixth leading cause of death … the complications associated with prematurity—respiratory distress syndrome, brain hemorrhage, and death … accredited health care organizations to voluntarily report unexpected events or errors that lead to death
-
ce.effectivehealthcare.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/northwest.html
March 01, 2021 - Rates of death from heart attack in the small rural counties are higher than larger metropolitan counties … The death rate from stroke is higher in the Pacific Northwest than in other parts of the United States
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - vein thrombosis (DVT) and pulmonary embolism (PE) constitute the largest
cause of preventable hospital death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-use-ready-or-not.pdf
August 27, 2018 - Quit Line and the fax referral option.
5 Cigarette Smoking — A Leading Cause of Preventable Death … MDiv, CTTS
3 Patient Case Study
4 Objectives
5 Cigarette Smoking — A Leading Cause of Preventable Death
-
ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
September 01, 2023 - and harmful, accounting for the most common potentially preventable cause of serious disability and death
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - emergencies are rare, they have the potential to result in catastrophic outcomes such as maternal or neonatal death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - 2019 National Healthcare Quality and Disparities Report Executive Summary
2019
NATIONAL
HEALTHCARE
QUALITY &
DISPARITIES
REPORT
Executive Summary
2019
This document is in the public domain and may be used and reprinted without
permission. Citation of the source is appreciated. Suggested citation: 2019 Nati…
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - patients who go to a hospital each year suffer some type of preventable harm that contributes to their death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
September 18, 2014 - Persell, MD MPH
AHRQ Grant Number: P01 HS21141
Cardiovascular disease (CVD) is the leading cause of death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
AHRQ Safety Program for Perinatal Care
Understand the Science of Safety for Perinatal Safety
AHRQ Publication No. 17-0003-4-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Science of S…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-use-pcor.pdf
November 01, 2016 - are
meaningful to patients and families,
such as pain, symptoms, quality of
life, and premature death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-academic-detailing-guide.pdf
July 07, 2015 - Statin benefits for patients with coronary artery disease1,2
i16%
Reduction in
absolute risk of
death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module1/ts2-0ltc_module1_ig_intro.pdf
January 01, 2007 - high-risk, high-stakes environment in which
poor performance may lead to serious consequences or
death
-
ce.effectivehealthcare.ahrq.gov/news/hcup-statisticalbrief.html
April 01, 2024 - inflammatory response to infection that results in tissue damage and organ failure, and can lead to death
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - Pediatric Heart Surgery Volume 0 - - -
PDI13 PDI #13 Transfusion Reaction Count 0 - - -
PSI2 PSI #2 Death … Expected
Rate
O-E
Ratio
Reference
Pop Rate
Risk
Adjusted
Rate
Smoothed
Rate
PSI #2 Death … 0.000282 0.016343 0.007641
PSI #3 Pressure Ulcer Rate 0 47 0 0.000832 0 0.000405 0 0.000379
PSI #4 Death
-
ce.effectivehealthcare.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 … risk-adjusted PSI rates are also shown in Tables 2a and Table 2b, with the
exception of the PSIs for death … Latinos had the highest rates for death
in low mortality DRGs (PSI 2), decubitus ulcer (PSI 3), and … Complications
of anesthesia 498,290 370 0.74 0.73 377,382 302 0.80 0.77 77,407 39 0.50 0.52
(2) Death … white
American
Indian
vs. white
(1) Complications of anesthesia 0.63* 0.65 2.19 0.55
(2) Death