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Showing results for "death".

1721. Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
      January 01, 2003 - Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting 173 Development of a Computerized Adverse Drug Event (ADE) Monitor in the Outpatient Setting Andrew C. Seger, Tejal K. Gandhi, Carol Hope, J. Marc Overhage, Michael D. Murray, David Weber, Julie Fiskio, Evgenia Teal,…

1722. Experiences From the Frontline: Case Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
      May 01, 2015 - The weighted adverse events included in the measure are in-house maternal death, in-house neonatal … death, uterine rupture during labor, unplanned maternal admission to ICU, birth trauma, unanticipated

1723. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
      January 01, 2023 - data and provides the following possible responses: No harm, Mild harm, Moderate harm, Severe harm, Death … provides the following possible responses: No harm, Unknown harm, Mild harm, Moderate harm, Severe harm, Death

1724. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      April 01, 2025 - Mitigating failure to rescue (FTR) (i.e., death after a major complication) is critical to reducing mortality … treatment delays in the emergency department (ED) that contribute to missed opportunities to reduce death … systematic process to identify the cause of shock, determine how to treat it, and reduce the high risk of death

1725. 2016 CMS Quality Strategy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/2016-cms-agency-specific-plan.pdf
      January 01, 2016 - 2016 CMS Quality Strategy CMS Quality Strategy 2016 Table of Contents Overview ...................................................................................................................................................... 1 Introduction ............................................…

1726. National Institute for Research on Safety and Quality (NIRSQ) FY 2018 Budget Justification (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2018/NIRSQ.pdf
      January 01, 2018 - Suicide is the tenth leading cause of death overall and the second leading cause among Americans aged

1727. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - Ultimately, viral resistance can lead to immune dysfunction and death if new, successful ART is not initiated

1728. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - events – found that 59% of the identified errors were associated with serious harm, and 30% resulted in death … Severity NCC MERP class: E (requiring additional care/monitoring but not requiring hospitalization)→→ I (death

1729. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
      March 01, 2020 - no impact on the risk of ESBL infections (odds ratio, 1.16, 95% CI, 0.38 to 3.50, p=0.79), in-ICU death … on the hazards of ESBL-E infections (adjusted OR 1.16, 95% CI, 0.38 to 3.50, p=0.79), in- ICU death

1730. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/nicupacket.pdf
      December 01, 2013 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1 year old. What should I know about SIDS?

1731. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
      December 01, 2013 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1 year old. What should I know about SIDS?

1732. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
      December 01, 2013 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1 year old.

1733. TeamSTEPPS 2.0 Module 1: Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
      January 01, 2011 - a high-risk, high-stakes environment in which poor performance may lead to serious consequences or death

1734. The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
      May 01, 2017 - Given the life and death issues confronted every day in most health care organizations, this risk-averse

1735. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Patient Safety: Vol. 2 324 Medical device use errors are a common source of patient injury and death

1736. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - o Death. o Hip fracture (a subset of the major injury).

1737. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
      April 02, 2008 - Preventing infant death and injury during delivery. Sentinel Event Alert; Issue 30.

1738. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
      March 01, 2018 - reported can lead to serious outcomes, including medical complications, transfer to a hospital, or even death

1739. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
      October 01, 2015 - Affairs medical center, condom catheters reduced the cumulative risk of urinary tract infection or death

1740. Six Building Blocks: Self Service How-to-Guide: Stage 1 Prepare and Launch (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/6bb-guide-stage1-prepareandlaunch.pdf
      May 02, 2019 - For instance, this could include a story of an adverse outcome (e.g., overdose, death, diversion) for