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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf January 01, 2003 - Elimination of sedation errors is particularly important since associated deaths 
and neurological injuries … In the mid-1980s, 86 deaths in the 
United States were attributed to the just-released anxiolytic, midazolam … The 
critical incident analysis determined that the overwhelming majority of these 
deaths were avoidable … event selection and refinement  
Based on the critical incident review of pediatric sedation-related deaths 
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf October 23, 2013 - Influenza-associated  deaths among  children in the United  States,  2003-2004. … Hospital Compare - readmissions, 
complications and deaths. 
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www.ahrq.gov/cahps/surveys-guidance/survey-methods-research/calculating-response-rates.html August 01, 2024 - Calculating Response Rates for CAHPS Surveys 
 
 
 
 Response rates are determined by the number of completed surveys (numerator) versus the number of individuals who were eligible to complete the survey (denominator). What counts as a completed survey and the number of eligible individuals depends on which response ra…  
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www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-5.html November 01, 2017 - Rate of deaths to children aged 14 and under caused by motor vehicle crashes. 
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-letter-nc.pdf June 01, 2015 - Heart Health NOW! Advancing Heart Health in NC Primary Care
Heart Health NOW! 
Advancing Heart Health in NC Primary Care 
This is our time! Are you ready? 
America now recognizes the promise of primary care to combat chronic disease before our patients suffer 
the consequences of advanced illness. We selected your…  
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www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf January 01, 2024 - The Institute of Medicine reports that adverse patient events are responsible for 
44,000-98,000 deaths … In 1995, NIs were responsible for 88,000 deaths in the United States, or one death every 
6 minutes. 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4b_pc-setting.pptx January 10, 2017 - Community-Acquired Pneumonia Clinical Decision Support Training: Primary Care
Community-Acquired Pneumonia
Clinical Decision Support Training
Primary Care Setting
Disclaimers and Acknowledgements 
This project was funded under contract/grant number HHSP233201500023I from the Agency for Healthcare Research and Qual…  
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf December 01, 2015 - Measure: Thermal Condition of Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life
Measure: Thermal Condition of Low Birth 
Weight Neonates Admitted to Level 2 or Higher 
Nurseries in the First 24 Hours of Life
Measure Developer: Collaboration for Advancing Pediatric Qualit…  
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf October 01, 2011 - Typically, this was deaths ascribed to coronary heart disease or sudden 
death. 
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www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf January 01, 2025 - Winston’s Research to Action program has led to a 15% reduction 
of child traffic deaths nationally. … 2003, the average length of stay per admission was 
approximately 13.8 days, and 82,588 ESRD patient deaths … million hospital-acquired HAIs occur each year in the United States, accounting 
for an estimated 90,000 deaths … In about 300,000 persons, PE proves fatal; it is the 
third most common cause of hospital-related deaths … In about 300,000 persons, PE proves fatal; it is the third most common cause 
of hospital-related deaths 
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-infographic.pdf February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Infographic
TeamSTEPPS® for Diagnosis 
Improvement 
AHRQ Publication No. 22-0015
February 2022
References
1. National Academies of Sciences, Engineering, and Medicine. Improving Diagnosis in Health Care. Washington, DC: National Academies
Press; 2015. https://doi.org/10.17226/21…  
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/unhealthy-alcohol-use.pdf January 01, 2019 - EvidenceNOW: Managing Unhealthy Alcohol Use
Problem
Unhealthy alcohol use is the Nation’s third leading cause of preventable 
death, affecting almost a third of adults. It is associated with adverse effects 
on physical and mental health. In addition, unhealthy alcohol use has  
detrimental socioeconomic consequence…  
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www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf November 01, 2024 - errors are common, consequential, and costly and contribute to avoidable suffering and 
preventable deaths 
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf November 01, 2019 - lever to address these issues, as 
research suggests that at least one-third to one-half of maternal deaths … One review of maternal deaths and near misses found mismanagement of the patient 
and failure or delay … In a study of 18 years of anesthesia-related deaths in Michigan, more than half were attributed to 
inadequate … Maternal deaths and near misses are often preventable through 
improved quality and safety of maternity … A series of anesthesia-related maternal deaths in 
Michigan, 1985-2003. 
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www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html March 01, 2021 - “Data Spotlights” on the issues of courtesy and respect by home health providers and opioid-related deaths … Meyers began a presentation describing AHRQ’s new initiative to address nursing home deaths due to COVID … The virus has led to the deaths of more than 60,000 nursing home residents and staff during the past 
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/nyc.html March 01, 2021 - EvidenceNOW: New York City Cooperative 
 
 
 
 EvidenceNOW: Advancing Heart Health in Primary Care  is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary care practices improve the heart health of their p…  
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
ABCS 
Aspirin Treatment for Secondary and 
Primary Prevention ASCVD
Jennifer Bannon RN BSN MSHI
Table of Contents
Objectives 
Cardiovascular Disease
Cardiovascular Disease (2)
ABCS-Aspirin when appropriate
Anatomy of a Performance Measure
Measure Exce…  
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf March 01, 2020 - Unexpected deaths and referrals to intensive care of patients on
general wards. … ICU transfers (IRR=1.15, p=0.25), 
cardiopulmonary arrests on general 
wards (IRR=1.46, p=0.43), or deaths … Although unplanned 
patient deaths (non-compassionate 
care deaths) in the study unit were 
reduced during 
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-k.html October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide 
 Appendix K. Infographic Poster on CAUTI Prevention 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…  
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/infographic.pdf March 01, 2017 - Remember C.A.U.T.I. to Prevent CAUTI
Infections are a leading cause 
of illness and death in 
long-term care facilities.
These infections include 
catheter-associated urinary tract 
infections (CAUTIs).
R E M E M B E R C . A . U . T . I . T O P R E V E N T C A U T I
Appropriate Indications for an Indwelling Urina…