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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/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/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
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www.ahrq.gov/es/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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
January 01, 2005 - the use of medical devices so it
could become more proactive in addressing device issues before a death
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-clostridioides-difficile.pdf
June 01, 2021 - Comparative
effectiveness of vancomycin and
metronidazole for the prevention of
recurrence and death
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - But is it still the
third, fourth leading cause of death in
America?” … deaths in our vital
statistics as they are often omitted as
causes and/or contributing factors on death … This leaves a blank space on the
CDC's annual list of leading causes of death.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - case, we found that the patient developed ventilator-associated pneumonia with the complication of death
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-4-ef.pdf
January 01, 2015 - , suicidal, and experience pregnancy
complications and poor outcomes, including maternal and fetal death
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
November 01, 2019 - Black
women are three to four times as likely to suffer a pregnancy-related death as white women
(Berg … For every maternal death, 100 or more women suffer severe maternal morbidity, experience a
potentially … Maternal death in the 21st century: Causes, prevention,
and relationship to cesarean delivery. … Preventing maternal death: sentinel event alert; 2010. … Time of birth and risk of neonatal death at term:
Retrospective cohort study.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ref.html
September 01, 2015 - Approaching death: improving care at the end of life.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-side-effects.pdf
June 01, 2021 - Antibiotic Side Effects
Risk of antibiotic side effects and adverse reactions
• Antibiotic use is the most important risk factor for developing multidrug-resistant infections, which
contribute to over 35,000 deaths in the United States each year
• Antibiotic-associated adverse events are one of the most common rea…
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - that consumers are willing to tolerate some degree of error, even when
there is an increased risk of death … promote patient safety through improved anticipatory guidance of
traffic crashes, the leading cause of death … vein thrombosis (DVT) and pulmonary embolism (PE), is the most common
preventable cause of hospital death … In press
Voluntary Consensus Standards for Cardiac Surgery
Heart disease is the leading cause of death … vein thrombosis
(DVT) and pulmonary embolism (PE), is the most common preventable cause of
hospital death
-
www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Scope
Medical errors continue to be a major cause of death and disability in the US. … life-threatening conditions receive constant monitoring
and therapy to prevent significant injuries and death … Medical error-the third leading cause of death in the US. BMJ. 2016;
353: i2139.
18.
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - In 1995, NIs were responsible for 88,000 deaths in the United States, or one death every
6 minutes. … This rise in death
rate cannot be completely accounted for by the increase in the frequency of medication
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
January 30, 2017 - Concerns have also been raised about the rare occurrence of sudden cardiac death among
children using … whether stimulant medications increase the risk
of sudden death (Hamilton, Gray, Belanger, et al., … Concerns have also been
raised about the rare occurrence of sudden cardiac death among children using … whether stimulant medications increase the risk of sudden death (Hamilton, et
al., 2009). … Concerns have also been raised about the rare occurrence of sudden
cardiac death among children using
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - circumstances that have the capacity to cause
error), to “I” (an error occurred that resulted in patient death … error occurred that resulted in permanent patient harm
H
An error occurred that resulted in a near-death … event
(e.g., anaphylaxis, cardiac arrest)
Error, death
I An error occurred that resulted in … patient death
NCC MERP = National Coordinating Council on Medical Error Reporting and Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
March 01, 2020 - Hospital and patient characteristics associated with
death after surgery. … clinician recognition of signs of patient deterioration is
critical to reducing the risk of preventable death … Failure-to-Rescue" OR
"Failure to Rescue" OR
"Patient Deterioration" OR
"Patient Decompensation"
OR "Death … Failure-to-Rescue" OR
"Failure to Rescue" OR
"Patient Deterioration" OR
"Patient Decompensation"
OR "Death … Failure-to-Rescue" OR
"Failure to Rescue" OR
"Patient Deterioration" OR
"Patient Decompensation"
OR "Death
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
April 01, 2025 - PMID: 31767041.
10
MRSA and SSIs Lead to Increased Mortality
SSIs associated with higher death rates7 … 2 to 11 times higher risk of death
77 percent of deaths attributable to SSIs8
MRSA SSI associated with
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - In a postmortem, an autopsy is conducted to determine a patient’s cause of death, but does not help that