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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module1-introduction.pptx
January 12, 2022 - follows the path of a patient whose diagnostic journey included a delayed diagnosis and ended in death … These gaps can delay diagnostic processes and in some cases result in serious harm or even death. … across a care team that delay diagnostic processes and in some cases result in serious harm or even death … Joe Kane, he is 49 years old and has been a single father to three (Ben, Ryan, and Sara) since the death
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - with CAUTI result in increased length of stay, patient discomfort, excess health care costs, and even death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-121013.pptx
January 01, 2006 - Hospital in Baltimore, describes his quest for patient safety after the misdiagnosis of his father and the death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017
July 2020
AHRQ National Scorecard on Hospital-Acquired Conditions
Final Results for 2014 Through 2017
Summary
Final patient safety data for 2014 through 2017 showed a downward trend in the annual
number of hospital-acq…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - after pediatric heart surgery was associated with
$337,226 in excess total charges on average per death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/men-over-50.pdf
March 01, 2014 - An AAA may burst, which can cause
dangerous bleeding and death.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - patients
who go to a hospital each year suffer
some type of preventable harm that
contributes to their death
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment.html
June 01, 2018 - This is followed by measures of effective treatment of seven other leading causes of death in the United
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - 1 hospital
3 admissions for OTC cold medicine
overdoses with therapeutic intent,
including one death … Over-the-
counter cold medications-postmortem findings in
infants and the relationship to cause of death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - cardiac events; brief review
Common/High High evidence
harms may
equal or exceed
benefits
High (death … Inpatient, intensive, glucose control
strategies to reduce death and infection;
in-depth review
Common … brief review
Common/
Moderate
High Moderate
(bleeding)
Low Little/Moderate
Preventing patient death … Moderate
Moderate Low Low Moderate/
Moderate
Increasing nurse-to-patient staffing ratios
to prevent death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - events (72 percent), which prompted the Joint Commission to issue Sentinel Event Alert #30
“Preventing death … affect individual or system) to “moderate”
(significant effect with no injury) to “major
injury” to “death … simulation helps address the concerns of the Joint Commission’s
Sentinel Event Alert #30, “Preventing death … Preventing infant death and injury during delivery.
Sentinel Event Alert.
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
April 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/labels/limit-info.html
November 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - complications following cardiac surgery, was associated with increased risks of other conditions and death
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ce.effectivehealthcare.ahrq.gov/topics/covid-19.html
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/nursing-home/about/index.html
December 01, 2023 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - Several studies suggest that medical error is
the third-leading cause of death in the United States, … those that did not
reach the patient, while harm is defined as a range from increased monitoring to
death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Snow.pdf
January 01, 2010 - it is a serious chronic disorder affecting 6.1 percent of Americans and is a
leading contributor to death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - other
psychotic symptoms.52 Although con
cerns have been raised about the rare
occurrence of sudden cardiac … death
among children using stimulant medi
cations,53 sudden death in children on
stimulant medication … expand the history to
include specific cardiac symptoms,
Wolf-Parkinson-White syndrome, sud
den death … Review of AERS Data From Mar
keted Safety Experience During Stimulant
Therapy: Death, Sudden Death, … Sudden
death and use of stimulant medications in
youths.