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Showing results for "deaths".

1781. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
      October 01, 2024 - Despite a decline in incidence, MRSA remains a significant problem, causing over 10,000 deaths each year

1782. Executive Summary: Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation through Automatic Referral with Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
      August 01, 2023 - improve outcomes for patients with heart disease – reducing hospitalization and risk of cardiovascular deaths

1783. Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
      March 01, 2017 - care (LTC) settings, and have been estimated to account for 1.6 to 3.8 million infections and 388,000 deaths

1784. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
      January 01, 2024 - Alarm fatigue has been linked to clinicians’ failure to diagnose critical events leading to patient deaths

1785. Cognitive Load Theory and Its Impact on Diagnostic Accuracy: Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-cognitive-load-theory.pdf
      May 01, 2024 - This report suggested that diagnostic errors may contribute to 10 percent of all patient deaths.

1786. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
      January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief PATIENT SAFETY e Issue Brief 16 Current State of Diagnostic Safety: Implications for Research, Practice, and Policy This page intentionally left blank. e Issue Brief 16 Current State of Diagnostic Safety: …

1787. Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
      January 01, 2024 - Final Progress Report: Adverse Event-Directed Analysis in Ambulatory Primary Care Adverse Event-Directed Analysis in Ambulatory Primary Care Final Report September 30, 2009 Principal Investigator: Donald Kennerly, MD, PhD Team Members: David Ballard, MD, MSPH, PhD, Co-Investigator S. Quay Mercer, BS, MT (ASCP…

1788. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
      March 01, 2020 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…

1789. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
      March 01, 2020 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults Reducing Adverse Drug Events in Older Adults 9-1 9. Reducing Adverse Drug Events in Older Adults Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P. Reviewers: Scott Winiecki, M.D…

1790. Pathways Community HUB Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/innovations/CommunityHubManual.pdf
      January 01, 2016 - 2009 2010-2012 R a te p er 1 ,0 0 0 L iv e B ir th s 2007 2008 2009 2010 2011 2012 Infant Deaths … , Total 15 6 14 15 14 6 White Deaths 11 6 12 13 13 5 Black Deaths 4 0 2 2 1 1 Births, Total 1,606

1791. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      April 01, 2025 - Overview of Patient Safety Learning Laboratory (PSLL) Projects Introduction Patient safety learning laboratories (PSLLs) take a systems engineering approach to allow researchers and healthcare providers to evaluate clinical processes and enhance work and information flow to improve patient safety. The learning …

1792. Disposition of Comments: Short- and Long-Term Outcomes After Bariatric Surgery in the Medicare Population (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/bariatric-disposition-comments.pdf
      March 13, 2018 - The 2014 Cochrane Collaboration review identified five RCTs that report data on mortality, and no deaths

1793. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - Drug-related deaths among medical inpatients.

1794. Six Building Blocks: Self Service How-to-Guide: Stage 1 Prepare and Launch (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/resources/6bb-guide-stage1-prepareandlaunch.pdf
      May 02, 2019 - Six Building Blocks: Self Service How-to-Guide: Stage 1 Prepare and Launch SIX BUILDING BLOCKS HOW-TO GUIDE: STAGE 1 | VERSION 2019.05.02 LICENSED UNDER A CREATIVE COMMONS BY-NC-ND 4.0 INTERNATIONAL LICENSE This study is funded by the Agency for Healthcare Research and Quality under Contract No. HHSP233201500013…

1795. Definition of Treatment-Resistant Depression in the Medicare: Disposition of Comments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/trdepression-comments.pdf
      February 01, 2018 - Definition of Treatment-Resistant Depression in the Medicare: Disposition of Comments Research Review Disposition of Comments Report February 2018 Research Review Title: Definition of Treatment-Resistant Depression in the Medicare Population Draft review available for public comment from 9:00 am September 1, 2…

1796. TeamSTEPPS 2.0: Essentials Course (Instructor Guide) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
      March 11, 2014 - TeamSTEPPS 2.0: Essentials Course (Instructor Guide) TeamSTEPPS 2.0 ESSENTIALS COURSE SUBSECTIONS • TeamSTEPPS Framework and Key Principles • Team Structure • Communication • Leading Teams • Situation Monitoring • Mutual Support • Team Performance Observation Tool • Summary TIME: 2 hours …

1797. 2.0 Essentials Course (Instructor Guide) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_ig.pdf
      July 11, 2017 - 2.0 Essentials Course (Instructor Guide) ESSENTIALS COURSE SUBSECTIONS • TeamSTEPPS Framework and Key Principles • Team Structure • Communication • Leading Teams • Situation Monitoring • Mutual Support • Team Performance Observation Tool • Summary TIME: 2 hours MODULE TIME: 2 hours M…

1798. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=27
      January 01, 2024 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 676 to 700 of 12214 Research Studies Displayed Pagination « first « First ‹ previous ‹‹ …

1799. CAHPS 2024 Research Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2024-virtual-research-meeting-summary-prems-proms.pdf
      January 01, 2024 - CAHPS 2024 Research Meeting Summary Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 2024 Research Meeting Summary Patient-Reported Experience and Outcome Measures (PREMs and PROMs) in Research and Clinical Practice November 2024 2 Table of Contents Introduction ......................…

1800. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD; Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD; Lynne Robin…