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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls  
 
 
 
 For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…  
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures5.html June 01, 2018 - Chartbook on Person- and Family-Centered Care 
 End-of-Life Care Measures 
 
 
 
 
 Previous Page   
 
 Table of Contents 
 
 Chartbook on Person- and Family-Centered Care 
 Acknowledgments 
 Person- and Family-Centered Care 
 Summary of Trends 
 Measures of Person- and Family- Centered Care 
 Communication Measures: H…  
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www.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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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html June 01, 2018 - Reducing Asthma-Related Deaths 
 Despite advances in treatment, mortality from asthma has risen 58 percent … elderly, influenza and its complications are particularly problematic, with 95 percent of the resulting deaths 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf January 01, 2018 - Community-Acquired Pneumonia in the Primary Care Setting
Community-Acquired Pneumonia in the 
Primary Care Setting
Background on Community-Acquired Pneumonia
Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately 
6 million cases are reported annually, resulting i…  
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www.ahrq.gov/evidencenow/projects/alcohol/webinar-uau-evaluation.html August 01, 2024 - EvidenceNOW: Managing Unhealthy Alcohol Use Webinar 
 
 
 
 In 2019, AHRQ launched the Managing Unhealthy Alcohol Use in Primary Care Initiative to help primary care practices increase efforts to address patients' unhealthy alcohol use (UAU). As a leading cause of preventable death, UAU is associated with a wide range …  
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www.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html November 01, 2016 - The top 10 leading causes of death account for 75 percent of all deaths in the U.S., and cardiovascular … disease, stroke, and cancer together account for more than 50 percent of the Nation's deaths. … behaviors—tobacco use, inactivity, poor nutrition, and excessive alcohol use account for 40 percent of U.S. deaths 
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf January 01, 2020 - The EVENT TYPES with the largest proportion of patient deaths reported among Incidents where 
the EXTENT … For no other EVENT TYPE did the proportion of deaths exceed 0.5%. 
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan
Workforce 
Safety
Patricia McGaffigan, RN, MS, CPPS
pmcgaffigan@ihi.org; @Pmcgaffigan_IHI
mailto:pmcgaffigan@ihi.org
Why Workforce Safety Matters
Workforce safety is 
essential for safe, high-
quality care and is 
preconditional to …  
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action 
 OR-to-ICU Transitions 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action 
 Introd…  
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf January 01, 2007 - All significant adverse events (e.g., unexpected 
deaths and hospitalizations) were to be reported for … Since all unexpected deaths and quality-
related patient complaints were reviewed, this category was … medication error deaths between 1983 and 1993. 
Lancet 1998; 351: 643-644.  
5. Gaba DM. 
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf January 01, 2021 - Patient Safety Databases Chartbook, 2021| 23 
The EVENT TYPES with the largest proportion of patient deaths … For no other EVENT TYPE did the proportion of deaths exceed 0.5%. 
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www.ahrq.gov/evidencenow/projects/heart-health/evidence/index.html March 01, 2021 - Evidence for Advancing Heart Health 
 
 
 
 
Heart disease is the leading cause of death for men and women in the United States. To prevent heart attacks, health care professionals can work with their patients to adopt the ABCS of cardiovascular disease prevention: 
 
 Aspirin use by high-risk individuals 
 Blood press…  
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html June 01, 2014 - Care Coordination Measures Atlas Update 
 Chapter 6. Measure Maps and Profiles (continued, 18) 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Care Coordination Measures Atlas Update 
 Chapter 1: Background 
 Chapter 2. What is Care Coordination? 
 Chapter 3. Care Coordination Measurement Framework 
 Chapte…  
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www.ahrq.gov/sites/default/files/2024-12/nagykald-mold-report.pdf January 01, 2024 - all other causes as a sixteenth cause) according to the naturally occurring distribution ratios of 
deaths 
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-brochure-nc.pdf January 01, 2003 - Heart Health NOW
This is our time!
Are you ready?
Heart Health NOW!
Advancing heart health in
N.C. primary care
Heart Health NOW! is the N.C. Cooperative of 
EvidenceNOW —a program funded by the  
Agency for Healthcare Research and Quality 
Your practice will partner with us by:
• Establishing an EHR connection…  
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-AL-profile.pdf September 01, 2021 - EvidenceNOW Building State Capacity Profile: Alabama Cooperative
 
Alabama Cooperative
Project Name:
Alabama Cardiovascular 
Cooperative
Principal Investigators: 
Andrea L. Cherrington, MD, MPH 
and Elizabeth Jackson, MD, MPH, 
FAHA, University of Alabama at 
Birmingham
Cooperative Partners: 
Alabama Department …  
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www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf January 01, 2025 - and sub-system interventions that were designed to improve rescue and reduce
Failure to Rescue Events—deaths … Data is presented  as  count  of PSI4 
deaths (numerator) over the t otal  number of cases  considered … The method used to analyze deaths due to failure to rescue from sedative/analgesic-
associated respiratory … There were three deaths related to sedative/analgesic medication 
administration in units without surveillance … These 
deaths all occurred during the 29-month period during which surveillance monitoring was being 
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-1.pdf January 01, 2009 - Section 5: Evidence, Attachment 1: AAP Guideline Evidence
SNAC Submission Form  ADHD Measure 2: Behavior Therapy  
Section 5: Evidence 
Attachment 1: AAP Guideline Evidence 
 
Excerpt from the 2011 AAP ADHD Guideline: Preschool-aged Children 
Attention-deficit/hyperactivity disorder (ADHD) is the most common neuro…