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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/impact-stories/increasing-access.pdf
January 01, 2023 - substance use and addiction with a rise
in death from overdoses.1 Approximately 75% of overdose
deaths
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster
Say:
This module provides an introdu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster
SAY:
This module provides an introduction to and the evidence behind early mobility. We will also discuss establishing a proto…
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - PAMR systems can be effective research measurement tools to assess pregnancy-related deaths; they are … The PAMR provided data on the frequency and causes of pregnancy-associated and pregnancy-related deaths … , 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 top
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www.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - urinary tract infections occur in U.S. nursing homes, causing 150,000 hospital admissions and 350,000 deaths
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www.ahrq.gov/opioids/funding-opportunities.html
February 01, 2023 - Announces Interest in Health Services Research to Address Substance Use Disorder Epidemic
Drug overdose deaths
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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
-
www.ahrq.gov/sites/default/files/publications/files/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
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.pdf
October 01, 2016 - methicillin-resistant Staphylococcus aureus, and Vancomycin-resistant enterococci.3
In 2008, 93 percent of deaths … Deaths: preliminary data for 2008. National Vital Statistics Reports; vol. 59,
no. 2.
-
www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit2.html
March 01, 2014 - Surgeon General reports that obesity accounts for nearly 300,000 deaths in the U.S. each year.
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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…
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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…
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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
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www.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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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
•
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - ................................................................................ 12
Table 14. 2021 Deaths … ................................................................................ 16
Table 23. 2022 Deaths … During Stay
Cohort N Deaths N Records Rate (%) 95% CI
Deaths per
1,000
Discharges
RURAL 247 … During Stay
Cohort N Deaths N Records Rate (%) 95% CI
Deaths per
1,000
discharges
TARGETED … There were no statistically significant differences between years for deaths
during hospital stays.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - ................................................................................ 12
Table 14. 2021 Deaths … ................................................................................ 16
Table 23. 2022 Deaths … During Stay
Cohort N Deaths N Records Rate (%) 95% CI
Deaths per
1,000
Discharges
RURAL 247 … During Stay
Cohort N Deaths N Records Rate (%) 95% CI
Deaths per
1,000
discharges
TARGETED … There were no statistically significant differences between years for deaths
during hospital stays.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - ................................................................................ 12
Table 14. 2021 Deaths … ................................................................................ 16
Table 23. 2022 Deaths … During Stay
Cohort N Deaths N Records Rate (%) 95% CI
Deaths per
1,000
Discharges
RURAL 247 … During Stay
Cohort N Deaths N Records Rate (%) 95% CI
Deaths per
1,000
discharges
TARGETED … There were no statistically significant differences between years for deaths
during hospital stays.
-
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
-
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