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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-mr-kane.pptx
June 02, 2025 - Kane’s death. The story is told from the perspective of Mr. … reality‐based case is about a patient whose diagnostic journey included a delayed diagnosis and ended in death … transplant when his dialysis began to fail, an eventual diagnosis of lung cancer resulted in his untimely death
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www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - underlying disease) that may result in prolonged hospitalization, pain, discomfort, a disability, or even 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/vol2/Advances-Fitzgerald_108.pdf
January 01, 2007 - (M&M) conferences,26 completion of incident reports associated with
each unexpected or preventable death … Preventable
death evaluation of the appropriateness of on-site
trauma care provided by Urgeneces-Sante
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/about/evidencenow-factsheet.pdf
April 01, 2021 - care practices to reduce
this research-to-practice delay for heart disease, the
leading cause of death
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-factsheet.pdf
September 01, 2021 - care practices to reduce
this research-to-practice delay for heart disease, the
leading cause of death
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www.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
December 01, 2022 - childbirth practices, complication rates, use of recommended practices, hospital-acquired infection rates, death
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - Because death rates often reflect factors other than healthcare, only death rates with
moderate ties … For example, colorectal cancer death rates
are tracked because they are related to rates of colorectal … Tuberculosis Surveillance System (NTSS)
National Vital Statistics System—Linked Birth and Infant Death
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
January 01, 2018 - 2018 National Healthcare Quality and Disparities Report: Appendix A
2018 National Healthcare Quality and Disparities Report | A.2-1
APPENDIX A. LIST OF MEASURES AND SUMMARY OF RESULTS FOR FIGURES
A.2. Quality Trends
Measures included in Figure 33: Number and percentage of all quality measures that were improving,…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
March 19, 2012 - Moderate and severe hypothermic conditions were associated with risk of death. … There was a strong trend towards less death prior to hospital discharge.
Jaffe, C. A. (2009). … Moderate and severe hypothermic conditions were associated with risk of death. … Moderate hypothermia was associated with higher odds of IVH and death. … Severe hypothermia was associated with higher odds of death.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment.html
June 01, 2018 - This is followed by measures of effective treatment of seven other leading causes of death in the United
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www.ahrq.gov/nursing-home/resources/search.html?page=10
January 01, 2022 - Risk for COVID-19 Infection, Hosptialization, and Death by Race/Ethnicity This webpage provides COVID
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Previous Page Next Page
Table of Contents
Cognitive Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts for Understanding Cognitive Load
Interplay …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/039-mrsa-surveillance-slides.pptx
October 01, 2024 - Risk of infection and death due to methicillin-resistant Staphylococcus aureus in long-term carriers.
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www.ahrq.gov/cpi/about/brief-history.html
March 01, 2025 - Medicine (now the National Academy of Medicine ) that identified medical error as a major cause of death
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www.ahrq.gov/nursing-home/about/index.html
December 01, 2023 - About AHRQ's Nursing Home Network
The AHRQ ECHO National Nursing Home COVID-19 Action Network—a partnership among AHRQ, the University of New Mexico's ECHO Institute and the Institute for Healthcare Improvement (IHI)—provided free training and mentorship to nursing homes across the country to increase the imple…
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - The
injuries were typically severe, with 80% causing significant (39%) or major (15%)
disability or death … reviewers then
scored adverse outcomes on a 9-point severity scale ranging from emotional injury only
to death … Eighty percent of
claims involved injuries that caused significant (39%) or major (15%) disability or death … Psychological/emotional 4%
Minor physical 13%
Significant physical 39%
Major/grave physical 15%
Death
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
June 01, 2023 - preventable. 63 These adverse events are associated with ICU readmission, increased length of stay, and death
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Medical error—the third leading cause of death in the US. BMJ . 2016 May;353:i2139. … Enoxaparin dosing and associated risk of in-hospital bleeding and death in patients with non ST-segment
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www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
January 01, 2024 - reproductive health
The impact of continued Medicaid cost cutting
Learning to tap multiple-cause-of-death … the expectations, experiences, and decisions of patients and their families in
the months preceding death … the expectations, experiences, and decisions of patients and their
families in the months preceding death
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www.ahrq.gov/evidencenow/projects/heart-health/about/index.html
April 01, 2021 - With a focus on heart disease, the number one cause of death in the United States, the cooperatives offered