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Showing results for "deaths".

201. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - , as well as the factors involved in these deaths. … In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths, the … , as well as the factors involved in these deaths. … The PAMR categorized maternal deaths as pregnancy related or non-pregnancy related. … In the assessment of the factors involved in pregnancy-associated and pregnancy-related deaths, the

202. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
     June 01, 2010 - looking at this information, you will be able to assess which hospitals have the fewest number of deaths … Since deaths among hip-replacement patients are extremely rare, the difference in rates in a given year … This means changing the measure from deaths in a single year to deaths over the last 3 years or last … • Aggregate data from one of these measures, such as deaths among hip-replacement patients, with … deaths from other low-risk surgeries or procedures

203. Final Progress Report: Improving quality of postoperative pain care through innovative use of electronic health records (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/hernandez-boussard-report.pdf
     January 01, 2024 - pain management can result in prescription opioid dependence an epidemic in the US; opioid overdose deaths … In the US, prescription opioid overdose deaths are more common than heroin and cocaine overdoses combined … The US opioid epidemic has been termed the ‘worst drug crisis’ in America and deaths due to opioid … A decade later, scientific reports started to highlight a significant increase in opioid-related deaths

204. NICU Toolkit, Appendix A, Crib Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_cribsafety.pdf
     June 02, 2025 - NICU Toolkit, Appendix A, Crib Safety Crib Safety What is SIDS? ■ “SIDS” stands for Sudden Infant Death Syndrome. ■ Sudden, unexplained death of an infant less than 1 year old. What should I know about SIDS? ■ Babies sleep safer on their backs. ■ Babies should be placed on a firm sleep surface. What can I d…

205. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA The Importance of Safety Culture in Nursing Homes Nicholas Castle, Ph.D., M.H.A., FGSA Nicholas.Castle@HSC.WVU.edu mailto:Nicholas.Castle@HSC.WVU.edu The Importance of Safety Culture • The 1999 Institute of Medicine (IOM) rep…

206. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
     April 09, 2004 - New York State Public Health Law 2805-l12 requires hospitals to report and investigate incidents of deaths … elopements) Lessons from Mandatory Reporting Systems 141 Certain incidents (e.g., patient deaths … has reviewed approximately 300 NYPORTS occurrences and associated root-cause analyses of unexpected deaths … Deaths in the following specialties were analyzed: • Neurology • Pharmacology • Pulmonary •

207. Leverage Patient Safety Infrastructure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/simulation-issue-brief3.html
     July 01, 2024 - A series of six simulations after processes were reorganized resulted in no deaths of simulated patients

208. Project Overview: Designing Consumer Reporting Systems for Patient Safety Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/consumer-exp/systems/index.html
     October 01, 2014 - the prevalence and severity of medical errors, highlighting findings that between 44,000 and 98,000 deaths

209. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
     January 01, 2025 - The SAPS II did not appear to have systematic bias in either direction, under- or over-predicting deaths … ventilator having the largest number of patients and, in the case of the ventilator patients, the most deaths

210. Part 3: Trends in Access and Priorities of the National Quality Strategy—References | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-ref.html
     June 01, 2018 - Chartbook on Health Care for Blacks Part 3: Trends in Access and Priorities of the National Quality Strategy—References Previous Page   Table of Contents Chartbook on Health Care for Blacks Health Care for Blacks Acknowledgments Part 1: Overviews of the Report and the Black Population Part 2…

211. Increasing Patients’ Self-Monitoring of Blood Pressure in Safety Net Settings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/profiles/profile_khoong.pdf
     July 09, 2025 - Blacks.1 Hypertension is a key risk factor for heart disease and stroke, contributing to thousands of deaths

212. An EHR-based Predictive Model to Identify Higher Likelihood of Social Needs Among Patients with Multiple Chronic Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/about/impact-stories/predictive-model.html
     April 01, 2025 - Estimated deaths attributable to social factors in the United States.

213. Chapter 5a. Presentation Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
     December 01, 2017 - people ≥65 years of age One in three elderly persons living in the community fall each year Of deaths

214. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - estimates of approximately $7.7 billion in costs saved and approximately 20,700 HAC-related inpatient deaths … reductions resulted in approximately $19.9 billion in cost savings and 87,000 fewer HAC-related inpatient deaths … project that over 2015–2017, there were approximately $7.7 billion in cost savings and 20,700 fewer deaths … Projected cost savings and deaths averted due to HAC changes to date from 2015 through 2017, compared … 2014 Estimate of Total Change in HAC- Related Costs Estimate of Total Change in HAC-Related Deaths

215. Health and economic outcomes of newborn screening for infantile-onset Pompe disease (pdf file)
     www.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

216. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
     July 01, 2023 - Slide 6: Root Causes of Maternal and Perinatal Deaths and Injuries 2004-2012 Say: Human factors … and communication breakdowns are identified as the primary root cause of maternal and perinatal deaths … Other root causes for maternal and perinatal deaths and injuries are— Assessment.

217. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
     February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Introduction and Evidence for Early Mobility: A Protocol To Get Patients…

218. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
     March 01, 2020 - Documented persistent health disparities that accounted for 60,000 excess deaths each year. … The Heckler Report documented persistent health disparities that accounted for 60,000 excess deaths each … These include cancer; cardiovascular disease and stroke; chemical dependency (measured by deaths due … Slide 38 Inpatient deaths per 1,000 adult hospital admissions with heart attack, by race/ethnicity … , 2001-2012 Image: Graph shows inpatient deaths per 1,000 adult hospital admissions with heart attack

219. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
     January 01, 2025 - as the ratio of cases reviewed in each hospital to the total number of eligible ICU transfers and deaths

220. National Healthcare Quality and Disparities Report Chartbook on Rural Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/qdr-ruralhealthchartbook-update.pdf
     January 01, 2020 - Rural Health Breast Cancer Deaths Breast cancer deaths per 100,000 female population, by race/ethnicity … Rural Health Colorectal Cancer Deaths Colorectal cancer deaths per 100,000 population, by race/ethnicity … Lung Cancer Deaths Lung cancer deaths per 100,000 population, by race/ethnicity, 1999-2015 0 10 … Reducing potentially excess deaths from the five leading causes of death in the rural United States. … Colorectal Cancer Screening Colorectal Cancer Deaths Lung Cancer Lung Cancer Deaths Receipt of