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www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
October 01, 2014 - Project Overview: Designing Consumer Reporting Systems for Patient Safety Events
Current patient safety event reporting systems are aimed at obtaining information from health care providers. However, patients and their family members are in a unique position to identify gaps in care that may have co…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit2.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Chapter 2. Background: Case for Community Linkages
Previous Page Next Page
Table of Contents
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesi…
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www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
September 01, 2015 - All of these conditions are serious and can lead to death.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-slides-ny.pdf
August 18, 2015 - /20/2018 www.chcanys.org 3
Heart Disease in NYC
• Heart disease remains the leading cause of
death
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www.ahrq.gov/hai/tools/ambulatory-care/cap-ed-setting-slides.html
January 01, 2018 - Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the 8th leading cause of death
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - include reduction in direct harm associated with adverse events and treatment misadventures, including death
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
June 01, 2018 - Nursing home residents with weight loss are at higher risk for functional decline, hip fracture, and death
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/functional-status.html
April 01, 2016 - impairments are strongly associated with poorer physical health, hospital admission, increased cost, and death
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
December 01, 2017 - reduce the risk of SSI and may actually lead to higher rates of adverse outcomes, including stroke and death
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
December 01, 2017 - reduce the risk of SSI and may actually lead to higher rates of adverse outcomes, including stroke and death
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - include reduction in direct harm associated with adverse events and treatment misadventures, including death
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - The rate for PSI 02, Death in
Low Mortality DRG, is especially vulnerable to this effect. … Issues Pertaining to Each Patient Safety Indicator
PSI Documentation Problems Identified
PSI 02 Death … PSI 04 Death Rate Among Surgical
Inpatients With Serious Treatable
Complications
Admit type must … Required Miscoding Lack of Coding Specificity
Measure
Includes
Only
Elective
Admissions
PSI 02 Death … PSI 04 Death Rate Among Surgical
Inpatients With Serious
Treatable Complications
Code all coexisting
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
April 01, 2025 - causing
over 10,000 deaths each year.1
Among surgical patients, SSIs are associated with higher death … The risk of death is 2 to 11 times higher among those with an SSI from any pathogen
compared to operative
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
April 01, 2008 - Cardiac arrest and death after
introduction of a MET were evaluated, as were admissions to the ICU and … assistance have been described as perceived reasons for
unexpected deterioration, cardiac arrest, and/or death … Reduction of
paediatric inpatient cardiac arrest and death with a
medical emergency team: Preliminary
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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - neonatal admissions
post delivery, as well as maternal and neonatal vital statistics (specifically death … were nine PSIs not evaluated because they were deemed to be not relevant for this population (PSI #2:
Death … Two PSIs, (#2 death and #4 failure to rescue), bear further mention. … Neonatal death
Calculated from healthy
term newborn*
Subgroup neonatal death
Potential MQI—No 0.00020 … Sentinel Event Alert, Preventing Maternal Death. Issue 44, January 26, 2010.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
March 11, 2005 - Twenty-four percent of the cases appearing on AHRQ WebM&M resulted in
death or permanent disability. … (many of them quite instructive) were being rejected because the error
resulted in lasting harm or death … Twenty-four percent of the
cases ended in a patient death or permanent disability.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3b.html
May 01, 2018 - The validity of race and Hispanic origin reporting on death certificates in the United States . … Quality of death rates by race and Hispanic origin: A summary of current research, 1999. … (February 4, 2009).
5 The categories collected on the standard death certificate are included in Table
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www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
January 01, 2024 - Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records
Improving Quality of postoperative pain care through
innovative use of electronic health records
PrincipaI Investigator
Tina Hernandez-Boussard
Team members
Catherine Curtin Stanford University…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: 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 understa…