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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - We have since come to
realize that preventable medical deaths and adverse events happen in Wisconsin … failures:
• Operative/post-op complications/infections
• Events relating to medication errors
• Deaths … infections
The number of patients that acquire infections in a health care setting, and the
number of deaths … An IOM report,23 cited studies showing that in
1993, approximately 7,000 deaths were attributable to … medication errors and that
1 out of every 854 inpatient hospital deaths resulted from a medication
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module1/igintro.html
June 01, 2019 - 1999 - 2001
The IOM report was published in 1999, concluding that medical errors cause up to 98,000 deaths … hospitals in a commitment to implement changes in care proven to improve patient care and prevent avoidable deaths … the country in a commitment to implement changes in care that have been proven to prevent avoidable deaths … Deliver reliable, evidence-based care for acute myocardial infarction, to prevent deaths from heart attack
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ce.effectivehealthcare.ahrq.gov/hai/clabsi-tools/appendix-2.html
March 01, 2018 - CLABSIs) result annually in:
84,551 to 203,916 preventable infections.
10,426 to 25,145 preventable deaths … the care that we provide to patients if we eliminated CLABSIs in our unit: *
Current CLABSI rate:
Deaths
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
January 01, 2020 - gains as
measured by the proportion of patients who are ventilator-
dependent, Pompe disease–related deaths … , n 6.93 0.00
By age 10
Ventilator dependent, n 4.87 0.17
Deaths, n 11.58 0.00
By age 20
Ventilator … dependent, n 4.06 0.32
Deaths, n 14.40 0.02
Disaggregated results among individuals diagnosed with … to earlier initiation of treatment combined with
longer overall period of treatment due to averted deaths … In a prior
analysis, we estimated that NBS in the United States would
prevent 13 deaths and 26 people
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - An estimated 290–605 deaths were prevented during the course of the project assuming
a 12–25 percent … Results
Table 13 presents estimated CLABSIs and deaths prevented and excess costs averted using all … study with 14–28 deaths prevented monthly
moving forward. … over the course of the study with 14–30 deaths prevented
monthly moving forward. … Estimation of infections and deaths prevented and excess costs averted among participating adult ICUs
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ce.effectivehealthcare.ahrq.gov/topics/blood-clots.html
on blood clots , ranging from a pediatric central line clot to a popular blood-thinner drug causing deaths
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - PE affect an estimated 300,000 to 600,000
people per year and may directly cause more than 100,000 deaths … and contribute to another
100,000 deaths each year
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
June 03, 2008 - Adverse events triggering case selection included unexpected deaths (six), unplanned intubations
(two … Eligible cases include all deaths, significant patient injuries, and
near-miss situations that could … Adverse events triggering
case presentations
Case N
Unexpected deaths 6
Unplanned intubation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - C1 Prioritization Worksheet
Prioritization Worksheet
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
AHRQ Quality Indicators Prioritization Worksheet
Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange
Own Rate and National Comparat…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/covid19-vaccine-confidence-curriculum-learning-guide-staff.pdf
March 01, 2021 - • Print or plan to present on a laptop the CDC infographic: COVID-19 Cases, Hospitalizations, and Deaths … ASK:
How do you think COVID-19 related hospitalizations and deaths among African Americans, Hispanics … DO:
• Present the CDC infographic: COVID-19 Cases, Hospitalizations, and Deaths by Race/Ethnicity. … • Review (or point out) the rates of cases, hospitalizations and deaths comparing white/non-Hispanic … require 3,000 people, were completed with 30,000 to 50,000
participants with minimal side effects and no deaths
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
February 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/king-report.pdf
January 01, 2024 - Final Progress Report: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Project Title: Management of Direct Anticoagulants to Lower Adverse Events in Atrial Fibrillation (MODL-AF)
Grant Number: 5R18HS026156-04 Project/Grant Period: 08-01/2018-05/31/2022
Principal Investig…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-slides.pptx
January 01, 2017 - Presentation: Program Overview
Introduction and Evidence for Early Mobility:
A Protocol To Get Patients Out of Bed Faster
AHRQ Safety Program for Mechanically Ventilated Patients
AHRQ Pub. No. 16(17)-0018-48-EF
January 2017
Evidence for Early Mobility ‹#›
AHRQ Safety Program for Mechanically Ventilated Patient…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
January 01, 2008 - Before After
No. of cardiac arrests 63 22
Deaths from cardiac arrest 37 16
No. of days in ICU post … arrest 163 33
No. of days in hospital after arrest 1363 159
Inpatient deaths 302 222
Bellomo R, Goldsmith … Reduced post-operative emergency ICU transfers (58%)
and deaths (37%)
Bellomo R, Goldsmith D, Uchino
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
May 01, 2018 - Alaska Native may be categorized as only White by a funeral director, resulting in undercounting of deaths
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/national/index.html
December 01, 2016 - Tool that estimates the yearly number of deaths, dollars, and days attributable to central line-associated
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/index.html
January 01, 2007 - Diagnostic errors occur in all settings of care, contribute to about 10 percent of patient deaths, and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - Garcia-Martin and coauthors9
discerned, from their study of 524 consecutive deaths at a tertiary care … For example,
NYPORTS includes all deaths within 2 days of a surgical procedure, even if the
death was … Although deaths were reported to NYPORTS, we excluded them from this report
to examine specifically … Proportion of hospital deaths associated with
adverse events.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care
Advancing Diagnostic Equity Through Clinician
Engagement, Community Partnerships, and Connected
Care
Traber D. Giardina, PhD, MSW1,2 , LeChauncy D. Woodard, MD, MPH3, and
Hardeep Singh, MD, MPH1,2
1Houston Cent…
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ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter7.html
December 01, 2017 - fatal more often in AI/ANs than in other populations. 12-14 AI/ANs have the highest rate of premature deaths … disease among all races. 13 The AI/AN rate is nearly 2.5 times that for Whites, with 36.0 percent of deaths