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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf January 01, 2023 - between 2.9 and 3.7 percent of hospital patients experienced an AE and that AEs 
caused up to 98,000 deaths … hospital-acquired conditions, such as adverse 
drug events and injuries from falls, helped prevent 20,700 deaths … Unweighted In-Hospital Deaths in the Sample of Records for Hospitalized Medicare Beneficiaries in the … QSRS CY 2021 to 
2023  
Calendar Year 
Number of In-
Hospital 
Deaths 
(unweighted) 
Number of … Records 
(unweighted) 
Percentage 
of In-
Hospital 
Deaths 
95% CI 
2021 992 22,678 4.4% 4.1–4.6 
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html June 01, 2010 - N/A 
 Mode of Data Collection:  N/A 
 Total Items/indicators:  Single indicator assesses number of deaths … The data collection form distinguishes between medicolegal deaths (homicides, suicides, and accidents … ) and all deaths. 
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf January 01, 2007 - was the finding by the Consultative Committee 
on Road Traffic Fatalities that 25 percent of trauma deaths … The review of preventable deaths is 
usually done long after the event, and the lessons to be learned … protocols, missed diagnoses, improved outcomes (typically using historical 
controls), and preventable deaths 
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx June 02, 2025 - Over half a million patients develop catheter-associated urinary tract infections, resulting in 13,000 deaths … year, and the cost of these infections is $28 to $33 billion per year.
· An estimated 30,000 to 62,000 deaths 
- 
                                        
www.ahrq.gov/news/newsletters/e-newsletter/946.html February 01, 2025 - providers to address a major public health issue, with alcohol use contributing to over 140,000 U.S. deaths 
- 
                                        
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/infographic.html March 01, 2017 - Remember C.A.U.T.I. To Prevent CAUTI 
 
 
 
 
 
 
 
 
 
 AHRQ Safety Program for Long-Term Care: HAIs/CAUTI 
 Infections are a leading cause of illness and death in long-term care facilities. 
 These infections include catheter-associated urinary tract infections (CAUTIs). 
 
 
 
 C 
 Catheter Removal 
 Think about cat…  
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf March 01, 2023 - “By and large, the U.S. does not account for medical care injuries and deaths in our vital 
statistics … “By and large, the U.S. does not account for medical care injuries and deaths in our vital statistics 
- 
                                        
www.ahrq.gov/hai/clabsi-tools/guide.html January 01, 2020 - unit, calculate the potential opportunity to improve the number of preventable CLABSIs, preventable deaths … on CLABSI rates on your unit, you can also calculate the number of preventable CLABSIs, preventable deaths 
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf January 01, 2003 - There were 3,916 patients (3.9 percent of the 99,550 unique patients) who were 
coded for inpatient deaths … percent of the total discharges (153,153 total 
discharges) over the 5 years were coded with inpatient deaths … associated with medical care (CCS 237 and 238) jointly 
accounted for 4.7 percent of the inpatient deaths … However, when one examines the trends in the percentage of inpatient deaths 
associated with these two … Nearly 50 
percent (1934 of 3916) of the total inpatient deaths over 5 years in this study were 
associated 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf June 02, 2025 - C1 Prioritization Worksheet
AHRQ Quality Indicators Toolkit
Prepared by RAND and UHC for AHRQ Tool C.1
Volume of 
Cases at 
Risk 
Cost of Single 
Event
Total Cost
Cost To 
Implement
Penalities and 
Incentives
Proxies for Cost
Strategic 
Alignment
External 
Mandates
Public 
Perception
Executive- 
Level Supp…  
- 
                                        
www.ahrq.gov/hai/tools/mvp/about.html March 01, 2017 - About the Toolkit Development 
 
 
 
 The toolkit was developed as part of a 3-year project to help staff in intensive care units use Comprehensive Unit-based Safety Program (CUSP) principles to reduce complications from mechanical ventilation, including ventilator-associated pneumonia. It was developed through a partn…  
- 
                                        
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services 
 Appendix V: Tested Measures by DRA Domain 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services 
 Executive Summary 
 Introduction and S…  
- 
                                        
www.ahrq.gov/data/hcup/sepsis-state-hospital.html June 01, 2025 - Sepsis in the United States 
 
 
 
 Sepsis is a life-threatening emergency that happens when a body's response to an infection damages vital organs and, often, causes death. It is one of the most expensive conditions treated in hospitals in the United States. This visualization presents data from the  Healthcare Cost a…  
- 
                                        
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html July 01, 2023 - About the Toolkit Development 
 
 
 
 Toolkit for Improving Perinatal Safety 
 Background 
 Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…  
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx April 01, 2025 - Additionally, 77 percent of deaths among patients with SSI are attributable to the SSI. 
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.pdf June 02, 2025 - Treating Tobacco Use and Dependence - Five Major Steps to Intervention (The “5A’s”)
Five Major Steps to
Intervention (The “5A’s”)
Successful intervention begins with identifying users and appropriate
interventions based upon the patient’s willingness to quit. The five major steps
to intervention are the “5 A’s”: Ask…  
- 
                                        
www.ahrq.gov/sites/default/files/2024-01/thamer-report.pdf January 01, 2024 - following important study results: “Patients 
with chronic kidney failure had an increased number of deaths … following important 
study results: “Patients with chronic kidney failure had an increased number of deaths 
- 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf October 01, 2015 - Fact Sheet on Patient Safety Indicators
Toolkit for Using the AHRQ Quality Indicators 
How To Improve Hospital Quality and Safety 
 1 Tool A.1b 
Fact Sheet on Patient Safety Indicators 
What Are the Patient Safety Indicators?  
The Patient Safety Indicators (PSIs) are a set of 26 indicators (including 18 provider-…  
- 
                                        
www.ahrq.gov/news/newsletters/e-newsletter/958.html May 01, 2025 - have significantly higher rates of smoking, obesity, physical inactivity, diabetes and cardiovascular deaths 
- 
                                        
www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf October 01, 2012 - 3  
 
EXECUTIVE SUMMARY 
Health care-associated infections (HAIs) result in almost 100,000 deaths … Most of these deaths and costs are preventable. The 
U.S. … Less than 1/1,000 CL 
 
On the CUSP: Stop BSI is estimated to have saved an estimated 290 to 605 deaths … Project Summary of CLABSIs Prevented, Deaths Prevented and Excess Costs 
Averted 
Prevented Excess Costs … Averted (in millions) 
CLABSIs Deaths (Range) Mean Range 
2,419 290 - 605 $171 M $97 M - $244 M