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  1. 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
  2. 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
  3. 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…
  4. 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
  5. 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…
  6. 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.
  7. 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
  8. 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…
  9. 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…
  10. Scisafetynotes (doc file)

    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
  11. 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
  12. 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…
  13. 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
  14. 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
  15. 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.
  16. 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
  17. 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…
  18. 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…
  19. 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-…
  20. 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

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