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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Consequences of Falls
Serious injury such as hip fracture
Increased risk of death associated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - In addition,
estimates do not include costs of death in terms of the value of statistical life which
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - Hospital and patient characteristics associated with
death after surgery. … clinician recognition of signs of patient deterioration is
critical to reducing the risk of preventable death … Failure-to-Rescue" OR
"Failure to Rescue" OR
"Patient Deterioration" OR
"Patient Decompensation"
OR "Death … Failure-to-Rescue" OR
"Failure to Rescue" OR
"Patient Deterioration" OR
"Patient Decompensation"
OR "Death … Failure-to-Rescue" OR
"Failure to Rescue" OR
"Patient Deterioration" OR
"Patient Decompensation"
OR "Death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
January 01, 2017 - In a postmortem, an autopsy is conducted to determine a patient’s cause of death, but does not help that
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ce.effectivehealthcare.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-1.html
June 01, 2021 - can involve up to 12 million patients annually in U.S. ambulatory settings alone and contribute to death
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - SBAR improves nurse-physician communication and reduces unexpected death: A pre and post intervention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4a_ed-setting.pptx
January 10, 2017 - Context
Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the 8th leading cause of death
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Summary of Evidence
Update
(Not reviewed)
Inpatient Intensive Glucose Control Strategies To Reduce Death … Kidney Injury
Summary of Evidence
Update
(all patients)
(Not reviewed)
Preventing Patient Death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-fullreport.pdf
May 01, 2018 - Crossing the threshold into hypothermia more than
doubled the odds of death, controlling for other variables … between
temperature and survival is monotonic: an increase of each 1° C up to 37° reduced odds of death … Hypothermia, through death and
disability, may have a long tail that impacts families and programs associated … We consider this a safety measure, as missed hypothermia may lead to shock and
death. … meaningful risk in a continuous
and not only a threshold manner, that consequential outcomes include death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Crossing the threshold into hypothermia more than
doubled the odds of death, controlling for other variables … between
temperature and survival is monotonic: an increase of each 1° Celsius up to 37° reduced odds of
death … Hypothermia, through death and disability, may have a long tail that impacts families and
7
programs … We consider this a safety measure, as
missed hypothermia may lead to shock and death. … meaningful
risk in a continuous and not only a threshold manner, that consequential outcomes include death
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - "SIDS" stands for Sudden Infant Death Syndrome. … Sudden, unexplained death of an infant less than 1 year old.
What should I know about SIDS?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - circumstances that have the capacity to cause
error), to “I” (an error occurred that resulted in patient death … error occurred that resulted in permanent patient harm
H
An error occurred that resulted in a near-death … event
(e.g., anaphylaxis, cardiac arrest)
Error, death
I An error occurred that resulted in … patient death
NCC MERP = National Coordinating Council on Medical Error Reporting and Prevention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - or family “connects” with staff member
Pediatric cases
Medical errors
Failure-to-rescue cases
First death … connects” or bonds with a staff member
Pediatric cases
Medical errors
Failure-to-rescue cases
First death … profound problems after adverse events that were not associated with medical error, such as an unexpected death
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/822.html
July 01, 2022 - While antibiotic medications have drastically reduced illness and death, up to half of all prescriptions
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
October 01, 2019 - Black
women are three to four times as likely to suffer a pregnancy-related death as white women
(Berg … In turn, these four measures represent the capacity to provide critical, often ‘life or death’
services … Maternal death in the 21st century: Causes, prevention,
and relationship to cesarean delivery. … Preventing maternal death: sentinel event alert; 2010. … Time of birth and risk of neonatal death at term:
Retrospective cohort study.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
September 01, 2019 - Black
women are three to four times as likely to suffer a pregnancy-related death as white women
(Berg … For every maternal death, 100 or more women suffer severe maternal morbidity, experience a
potentially … Maternal death in the 21st century: Causes, prevention,
and relationship to cesarean delivery. … Preventing maternal death: sentinel event alert; 2010. … Time of birth and risk of neonatal death at term:
Retrospective cohort study.
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ce.effectivehealthcare.ahrq.gov/data/infographics/health-care-quality.html
September 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/talkingquality/resources/comparative-reports/dialysis-facilities.html
October 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
January 01, 2020 - Health and economic outcomes of newborn screening for infantile-onset Pompe disease
ARTICLE
Health and economic outcomes of newborn screening
for infantile-onset Pompe disease
John S. Richardson, PhD1,2, Alex R. Kemper, MD, MPH3, Scott D. Grosse, PhD4, Wendy K. K. Lam, PhD5, Angela M. Rose, MPH 6,
Ayesha Ahmad, MD7,…