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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/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - Sample Feedback Report
iv
Introduction
Infection is the second leading cause of death for
-
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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
October 01, 2024 - Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings
AHRQ Safety Program for MRSA Prevention
Implementation Guide:
Toolkit for MRSA Prevention
in ICU & Non-ICU Settings
Introduction 1
The Importance of MRSA Prevention 1
Four Key Strategies of MRSA Prevention 1
Decolonize Patients 2
Decontamina…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - On the CUSP: Stop CAUTI in ICU
June 10 ICU Content Call
Chelsea: Excuse me, everyone. We now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the conclusion of today's presentation, we will open the floor for questions. At that time, instructions will be give…
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects
Webinar Transcript
On the CUSP: Stop CAUTI in ICU
June 10, 2015 ICU Content Call
Chelsea: Excuse me, everyone. We now have all of our speakers in conference. Please be aware that each of your lines is in a listen only mode. At the con…
-
www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
January 01, 2024 - Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List
AHRQ Safe Practices Implementation Challenge Grants Program
Final Progress Report
Title Page
Project Title: The PeaceHealth Community-wide Electronic Shared Medication List
Principal Investigator: Ronald D. Stock, MD (Peace…
-
www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
August 01, 2023 - Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination
e
Implementing PCOR To Increase Referral,
Enrollment, and Retention in Cardiac
Rehabilitation through Automatic Referral
with Care Coordination
Final E…
-
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.
-
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.
-
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
-
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…
-
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…