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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
January 01, 2019 - For every maternal death, 100 or more women suffer severe maternal morbidity, a potentially
life-threatening … Preventing Maternal Death: Sentinel Event Alert 2010.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - To Err Is Human: Building a Safer
Health System, identified medical errors as a leading cause of death … death certificates during a 10-year period ending in 1993 found that fatal
medication errors had increased
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - Death after ED visit. … They were also risk factors for
17 22frequent use of emergency medical services and death. … children (OR 2.3).37 More specifically, abnormal vital signs was a risk factor for unanticipated
death … Death after ED visit. … Unanticipated death after discharge home from the emergency
department.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module1/1_ts_office_intro-ig.pptx
January 20, 2006 - a high-risk, high-stakes environment in which poor performance can lead to serious consequences or death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-intro-methods.pdf
December 01, 2021 - Because death rates often reflect factors other than healthcare, only death rates with
moderate ties … For example, colorectal cancer death rates
are tracked because they are related to rates of colorectal … Tuberculosis Surveillance System (NTSS)
• National Vital Statistics System—Linked Birth and Infant Death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - Breakout Session: Use of Data and Measurement in Improving Diagnostic Safety
Breakout Session:
Use of Data and Measurement in
Improving Diagnostic Safety
Jeffrey Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety
AHRQ Research Summit on Diagnostic Safety
September 28, 2016
Discussant…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/success-stories/share_approach_success_story2_jmu.pdf
June 01, 2016 - AHRQ SHARE Approach Training and Implementation Success Story
1
AHRQ SHARE Approach
Training and Implementation
Success Story
JMU University Health Center
Engages Patients through
Shared Decisionmaking about
Antibiotic Use
2016-02
Shared Decisionmaking, SHARE Approach, Evidence-Based Care, Patient Care, Anti…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - Prologue—Volume 1—Five Years Later—Are We Any Safer?
1
Prologue
Five Years Later—Are We Any Safer?
Brent C. James
The Institute of Medicine (IOM) released To Err Is Human: Building a Safer
Health System,1 its seminal summary of preventable patient injuries suffered
within American hospitals, on November 29,…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Implement Teamwork and Communication for Perinatal Safety
Implement Teamwork and Communication for Perinatal Safety
SAY:
The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
May 08, 2018 - CHIPRA 155: Bibliography
Continuity of Insurance: Coverage Presumed Ineligible
Bibliography
Abdullah MB. On a robust correlation coefficient. Statistician 1990; 39:455-60.
Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in
the United States. Am J Epidemiol 1990; 132 …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
June 12, 2018 - CHIPRA 157 Bibliography
Bibliography – Continuity of Insurance: Duration of Newborns’ First
Observed Enrollment
Abdullah MB. On a robust correlation coefficient. Statistician 1990; 39:455-60.
Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in
the United States.” Am J …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
March 01, 2016 - For
example, to be assigned as a death, each case must actually be coded as a death; missing
data are
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
May 20, 2016 - extra 4.4 days added to their LOS, $18,000 in additional
charges, and had a 6% higher risk of hospital death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/naylor/naylor.pptx
January 01, 2011 - www.transitionalcare.info
Across Reported RCTs, TCM has…
Increased time to first readmission or death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - leading to delays in treatment, elopement-related events, and fire-related events that resulting in death … rushing, fatigue, distraction, complacency, bias) leading to infection-related events resulting in death
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
January 01, 2020 - preterm
birth (before 37 weeks of pregnancy),
low birth weight (less than 5.5 pounds),
and infant death … high priority in the
United States, as demonstrated by the
selection of preterm birth and infant
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/vol3/Phillips.pdf
January 01, 2004 - precipitated hospital admission, and one resulted in death. … It seems reasonable to suppose that a death—
the result of a mishandled phone message—was the most severe … laws that require
reporting of adverse or sentinel health care events that result in serious harm or
death
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ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Infections cause pain, injury, disability, and sometimes even death, and can be very expensive to treat … antibiotics, longer treatment times, and more financial costs, and may lead to hospitalization and even death … Respiratory illnesses often result in hospital stays—and sometimes even death.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
November 01, 2017 - EvidenceNow Executive Summary - North Carolina Cooperative
North Carolina Cooperative
North Carolina
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure
to help …
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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/Fein.pdf
January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors
483
A Conceptual Model for
Disclosure of Medical Errors
Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus,
Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger
Abstract
Objective: Patient safety is fundamental to high-quality patient…