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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/James.pdf
January 01, 2004 - Most clinicians remain blind to care-associated deaths, injuries, and
near misses, because of difficulties
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
January 01, 2015 - #184 Nov 2014
15-Point Analytic Plan: All Payer and Payer-Specific
Total discharges (exclude deaths
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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
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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…
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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.
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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
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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…
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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…
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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
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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
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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…
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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
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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/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.
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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
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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…
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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…
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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-…
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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