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pcmh.ahrq.gov/sites/default/files/attachments/pcmhqi1_0.pdf
April 01, 2013 - consequences of low-quality care in the inpatient setting are
often immediate and significant, such as death
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
PSI 07: Central Venous Catheter (CVC)-Related Bloodstream Infections (BSIs)
Why Focus on Ce…
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pcmh.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Care-Associated Infections
Health care-associated infections (HAIs) are a significant cause of illness, death … Risk of infection and death due to Methicillin-resistant Staphylococcus aureus in long-term
carriers
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/webinars/q-a-lung.html
September 01, 2020 - SHARE:
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Health Literacy
About Health Literacy
Health Literacy Improvement Tools
Professional Education and Training
Health Literacy Publications
Patient Engagement and Education
Research Tools, Data, and…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - severe retinopathy of prematurity,
poor neurodevelopmental outcomes, prolonged hospitalization, and death
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Surgery
9
Patients whose surgical teams exhibited fewer teamwork behaviors were at higher risk for death
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Actual causes of
death in the United States. JAMA
1993;270:2207-12.
39. … Risk
factors for sudden infant death syndrome
among northern plains Indians. … Maternal
smoking and sudden infant death syndrome:
epidemiological study related to pathology. … Lung tissue concentrations of nicotine in
sudden infant death syndrome (SIDS). … Sudden infant
death syndrome and reported maternal
smoking during pregnancy.
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pcmh.ahrq.gov/data/infographics/hac-rates-decline.html
August 01, 2018 - SHARE:
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Data & Analytics
Data Infographics
Data Visualizations
Data Tools
Data Innovations
All-Payer Claims Databases
Healthcare Cost and Utilization Project (HCUP)
Medical Expenditure Panel Survey…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
March 01, 2013 - Some falls even result in permanent injury or death.
Lastly, many falls are preventable.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - Death: The patient died because of injuries sustained from the fall (not from physiologic events causing
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
September 01, 2017 - Some falls even result in permanent injury or death.
Lastly, many falls are preventable.
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/guide.html
September 01, 2017 - Death : The patient died because of injuries sustained from the fall (not from physiologic events causing
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pcmh.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
AHRQ-Funded Patient Safety Research Featured in Health Affairs
Medical Liability
…
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pcmh.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - SHARE:
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TeamSTEPPS®
About TeamSTEPPS®
Readiness Assessment
Curriculum Materials
TeamSTEPPS® 2.0 Online Master Trainer Course
Research/Evidence Base
TeamSTEPPS® Webinars
TeamSTEP…
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pcmh.ahrq.gov/teamstepps/instructor/reference/teamperceptionsmanual.html
April 01, 2017 - SHARE:
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TeamSTEPPS®
About TeamSTEPPS®
Curriculum Materials
TeamSTEPPS® 2.0
TeamSTEPPS® Rapid Response Systems Guide
Training Guide: Using Simulation in TeamSTEPPS® Training
Patients with Limited English …
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pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - There was no
statistically significant difference in death, total adverse events or serious adverse … There was no
statistically significant difference in death, total adverse events (AEs) or serious adverse … significant
difference between PRP and management without PRP in number of serious AEs and number of
death … There were no
statistically significant differences in death, total adverse events (AE) or serious adverse
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pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Given the life and death issues confronted every day in most health care organizations, this risk-averse
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pcmh.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety-biosketches.html
September 01, 2016 - Since the medical error death of her young son Lewis in 2000, Ms.
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pcmh.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - , informing a loved one (portrayed by standardized
actor) of a serious patient harm or preventable death
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pcmh.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Database of Nursing
Quality Indicators (NDNQI) five categories: None, Minor, Moderate, Major, and Death