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  1. www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
    January 01, 2025 - with MRSA, humans appear particularly prone to develop infection that causes critical disease and death
  2. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/cpcf.pdf
    December 31, 2015 - NUMERATOR A subset of those in the denominator who have experienced the event of interest (e.g., death
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/23291-Landrigan-report.pdf
    September 29, 2018 - in clinical status, organ dysfunction, prolonged hospitalization, disability beyond discharge, or death
  4. www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
    January 01, 2024 - in clinical status, organ dysfunction, prolonged hospitalization, disability beyond discharge, or death
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - diagnostic errors harmed patients; of those, 59 percent caused serious harm, and 30 percent resulted in death
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hougland_26.pdf
    October 01, 2011 - Sudden death Total % – – Inpatient 14/43 (32.6) 4/10 (40.0) Causing admission 2/43 (4.7) 5/10 (50.0
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
    September 02, 2022 - SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention
  8. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
    January 01, 2013 - military, nuclear power, and healthcare in which poor performance may lead to serious consequences or death
  9. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-fullreport.pdf
    December 17, 2019 - carry a greater risk of airway compromise, hypoxia resulting in central nervous system injury, and death … The most severe, though rare, risks include brain damage and death (Society for Pediatric Anesthesia
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
    May 01, 2017 - 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
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
    May 01, 2017 - 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
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/bariatric-disposition-comments.pdf
    March 13, 2018 - short­term rates of adverse events associated with bariatric surgery were relatively low. 10 One death
  13. www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
    January 01, 2024 - Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Results Previous Page Next Page Table of Contents Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020) Introduction Methods Results Summary References Appendix A. Grants Database Search Terms & Analy…
  14. www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
    January 01, 2024 - essential component of drug therapy, they carry a significant risk of causing serious injuries or death
  15. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
    May 01, 2017 - Studies show that surgical teams who exhibit fewer teamwork behaviors put patients at higher risk for death
  16. www.ahrq.gov/patient-safety/resources/liability/corbett.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Transitional Care Medication Safety: Stakeholders’ Perspectives Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Reforming the …
  17. www.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
    April 07, 2008 - TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety Heidi B. King, MS, CHE; James Battles, PhD; David P. Baker, PhD; Alexander Alonso, PhD; Eduardo Salas, PhD; John Webster, MD, MBA; Lauren Toomey, RN,…
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/esrd-protocol-2019-amended.pdf
    January 01, 2019 - End-stage Renal Disease in the Medicare Population: Systematic Review Protocol Evidence-based Practice Center Systematic Review Protocol Project Title: End-stage Renal Disease in the Medicare Population Initial publication date: June 6, 2019 Amendment Date(s) if applicable: June 26, 2019 (Amendments Det…
  19. www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
    January 01, 2024 - Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model Final Progress Report Brief, Risky, High-Benefit Procedures: Best Practice Model Colin F. Mackenzie, MD, Principal Investigator Co-investigators: Yan Xiao, PhD, Grant Bochicchio, MD, Peter Hu, MS, CNE, F. Jacob Seagull, PhD…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program Brian Jack, MD; Jeffrey Greenwald, MD; Shaula Forsythe; Julie O'Donnell; A…

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