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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/igintro.pdf
January 01, 2007 - high-risk,
high-stakes environment in which poor performance may lead to
serious consequences or death
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/infographic.html
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Infections are a leading cause of illness and death
-
www.qualitymeasures.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.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - PowerPoint Presentation
Improving Antibiotic Use Is a Patient Safety Issue
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Patient Safety
1
Objectives
Discuss the potential harms associated with antibiotic use
Recognize that patient harm is largely preventable
R…
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
December 01, 2017 - Consequences of Falls
Serious injury such as hip fracture
Increased risk of death associated
-
www.qualitymeasures.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Skip to main content
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www.qualitymeasures.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Summary of Evidence
Update
(Not reviewed)
Inpatient Intensive Glucose Control Strategies To Reduce Death … Kidney Injury
Summary of Evidence
Update
(all patients)
(Not reviewed)
Preventing Patient Death
-
www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
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?
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
September 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.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
October 01, 2019 - Black
women are three to four times as likely to suffer a pregnancy-related death as white women
(Berg … In turn, these four measures represent the capacity to provide critical, often ‘life or death’
services … 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.
-
www.qualitymeasures.ahrq.gov/data/infographics/health-care-quality.html
September 01, 2018 - Skip to main content
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www.qualitymeasures.ahrq.gov/talkingquality/resources/comparative-reports/dialysis-facilities.html
October 01, 2022 - Skip to main content
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - Among those patients, about 18 percent of errors caused temporary harm, permanent harm, or death.
-
www.qualitymeasures.ahrq.gov/evidencenow/projects/heart-health/index.html
March 01, 2024 - struggle to adopt evidence-based practices to prevent and manage heart disease, the leading cause of death
-
www.qualitymeasures.ahrq.gov/challenges/data-visualization/index.html
February 01, 2024 - Federal Government and its related entities, except in the case of willful misconduct, for any injury, death … , indirect, or consequential, arising from participation in this prize contest, whether the injury, death
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-071217.pptx
January 01, 2017 - deaths due to preventable medical errors
May, 2016
BMJ, (Markary & Daniel)
Third-leading cause of death
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
May 01, 2017 - patients who go to a hospital each year suffer some type of preventable harm that contributes to their death