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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/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapa.html
February 01, 2014 - depression after myocardial infarction on medication adherence, cardiovascular events, hospitalization, and death
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4a_ed-setting.pptx
January 10, 2017 - Context
Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the 8th leading cause of 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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
November 01, 2024 - .16
■ Based on paid malpractice claims, diagnostic errors are more than twice as likely to end in death
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Crossing the threshold into hypothermia more than
doubled the odds of death, controlling for other variables … between
temperature and survival is monotonic: an increase of each 1° Celsius up to 37° reduced odds of
death … Hypothermia, through death and disability, may have a long tail that impacts families and
7
programs … We consider this a safety measure, as
missed hypothermia may lead to shock and death. … meaningful
risk in a continuous and not only a threshold manner, that consequential outcomes include death
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-fullreport.pdf
May 01, 2018 - Crossing the threshold into hypothermia more than
doubled the odds of death, controlling for other variables … between
temperature and survival is monotonic: an increase of each 1° C up to 37° reduced odds of death … Hypothermia, through death and
disability, may have a long tail that impacts families and programs associated … We consider this a safety measure, as missed hypothermia may lead to shock and
death. … meaningful risk in a continuous
and not only a threshold manner, that consequential outcomes include death
-
www.ahrq.gov/news/newsroom/case-studies/201413.html
August 01, 2014 - CUSP Helps University of Wisconsin Hospital and Clinics Reduce Healthcare-Associated Infections
Search All Impact Case Studies
August 2014
One year after implementing AHRQ's Comprehensive Unit-based Safety Program (CUSP), the University of Wisconsin Hospital and Clinics (UWHC) was awarded the 2013 Partnersh…
-
www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview
Advancing Excellence in Health Care • www.ahrq.gov
Agency for Healthcare Research and Quality PATIENT
SAFETY
Designing Consumer Reporting
Systems for Patient Safety Events
Background
It’s been nearly a decade since the Institute of
M…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - About the Toolkit Development
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
The toolkit was developed based on the experiences of approximately 500 nursing homes across the country that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI, a 3-year implementation projec…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-scorecard.docx
January 01, 2017 - AHRQ Safety Program for Mechanically Ventilated Patients
Sustainability Scorecard
Instructions: This Sustainability Scorecard is a tool you can use to quickly assess your unit’s progress in applying the Comprehensive Unit-based Safety Program to the care of mechanically ventilated patients. For each question selec…
-
www.ahrq.gov/hai/tools/mvp/sustainability/scorecard.html
January 01, 2017 - Sustainability Scorecard
AHRQ Safety Program for Mechanically Ventilated Patients
Instructions: This Sustainability Scorecard is a tool you can use to quickly assess your unit’s progress in applying the Comprehensive Unit-based Safety Program to the care of mechanically ventilated patients. For e…
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www.ahrq.gov/hai/decolonization/index.html
May 01, 2025 - Decolonization
Decolonization is an infection prevention practice that removes germs from the skin. It is often used in healthcare facilities when patients carry methicillin-resistant Staphylococcus aureus (MRSA) or other dangerous germs on their bodies. It can keep them from developing an infection themselve…
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-leiferman.html
May 01, 2024 - Developing and Implementing Educational Resources to Address Perinatal Mental Health
Jenn Leiferman, Ph.D. Chair and Professor University of Colorado-Denver Jenn Leiferman, Ph.D. “Since early in my research career, I have been focused on what we could do to ensure that every child has the best possible start in…
-
www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
January 01, 2025 - ketoacidosis (DKA)), and 5% of deaths are attributable to “dead-in-bed” syndrome (sudden unexplained death … the time frame in which it was supposed to be delivered.9 Treatment delay may result in injury or death … in children, and symptoms of high or low blood
sugars are frequently missed.23 The leading cause of death … hypoglycemia, DKA), and 5% of deaths are
attributable to “dead-in-bed” syndrome (sudden unexplained death … Causes of death in childhood-onset Type 1 diabetes: long-term
follow-up.
-
www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
Previous Page Next Page
Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Appendix
References
Exhibit A1: 2013 Interim AHRQ National Scorecard Data o…
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www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes
Press Release Date: October 10, 2023
A new study funded by the Agency for Healthcare Research and Quality (AHRQ) found that nursing homes using a chlorhexidine bathing routine to clean the skin and nose with over-the-counter antiseptic solutions pr…
-
www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
January 01, 2025 - Bank, diagnostic errors accounted for
the greatest number of claims, were most likely to result in death
-
www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
June 01, 2025 - of Evidence (Not reviewed) (Not reviewed) Inpatient Intensive Glucose Control Strategies To Reduce Death … Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not reviewed) Preventing Patient Death