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www.ahrq.gov/sites/default/files/2025-05/stein-report.pdf
January 01, 2025 - is responsible for
significant morbidity and mortality, causes 9% of pregnancy-related maternal deaths
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www.ahrq.gov/news/newsroom/case-studies/201607.html
January 01, 2018 - South Carolina Hospital’s Use of AHRQ Patient Safety Program Leads to Significant Drop in Urinary Infections
Search All Impact Case Studies
July 2016
Implementation of an AHRQ patient safety program helped the Medical University of South Carolina (MUSC) hospital reduce catheter-associated urinary tract infe…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide72.html
October 01, 2014 - 72. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The "5 Rs"
Relevance
Encourage the patient to indicate why quitting is personally relevant, being as specific as possible. Motivational information has the great…
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www.ahrq.gov/prevention/guidelines/tobacco/5steps.html
December 01, 2012 - Five Major Steps to Intervention (The "5 A'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, Advise, Assess, Assist, and Arrange.
Ask - Identify and document tobacc…
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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
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-3-readiness-form.pdf
August 01, 2005 - site-specific process and
outcome measures (patient flow, hospital acquired infection rates, preventable deaths … specific process and outcome measures (patient flow, hospital acquired infection rates,
preventable deaths
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-breakout.pdf
September 28, 2016 - ► HHS should fund routine post-mortem examinations on a
representative sample of patient deaths
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal3.html
January 01, 2013 - Assuming a 12-25 percent mortality rate, an estimated 290 to 605 deaths were prevented during the project
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
November 01, 2017 - Hispanic.1 The burden of cardiovascular disease (CVD) in the State is large, and
almost one-third of deaths
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www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Table 6: Categories of Medication Error Classification
Previous Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chap…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-212-table-4.pdf
May 24, 2016 - CHIPRA 212 Table 4
Table 4: Evidence Supporting ICS at Discharge from an Emergency Department
TYPE OF
EVIDENCE
KEY FINDINGS LEVEL OF
EVIDENCE
(USPSTF
RANKING*)
CITATION(S)
Clinical
guidelines
Consider initiating ICS therapy for patients
who did not use an ICS prior to the
hospital admission. If the d…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-flyer-generic-ny.pdf
June 02, 2025 - Join the Primary Care Partnerships to Advance Heart Health
Join the Primary Care Partnerships to
Advance Heart Health
Heart disease is the primary cause of death in New York City.
HealthyHearts NYC aims to transform health care delivery by helping primary care providers improve the
heart health of their patie…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B21: Facts and Flow Chart
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Overview
Ch…
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www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
January 01, 2025 - Deaths were classified as PE-related when the site
investigator reviewed the case and determined death … In the
validation dataset, PE-SCORE zero had 8% outcome [no deaths] whereas all patients with PE-
SCORE
-
www.ahrq.gov/sites/default/files/2025-03/trowbridge-report.pdf
January 01, 2025 - are estimated to occur in 5% of all
outpatient encounters.(4-6) They may cause 40,000-80,000 hospital deaths … Counting deaths due to medical errors JAMA.
2002;288(19):2405.
8.
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-infmat.html
June 01, 2018 - Chartbook on Health Care for Blacks
Part 2: Trends in Priorities of the Heckler Report—Infant Mortality and Maternity Care
Previous Page Next Page
Table of Contents
Chartbook on Health Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the Black Populati…
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/how-well-do-you-know-ahrq-quizzes.pdf
September 01, 2024 - Reducing Errors and Accidental Deaths (READ)
d.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
August 11, 2021 - inpatient hospital setting.2 Opioid-related overdose also makes up the highest
percentage of drug overdose deaths … Warning Network (DAWN) (Data Surveillance System)
» Black Experiencing Fast-Rising Rates of Overdose Deaths
-
www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Thinking for an Ideal ICU
Abstract
Purpose: Patient safety issues lead to hundreds of thousands of patient deaths … Quality Function Deployment (QFD)
Purpose
Patient safety issues lead to hundreds of thousands of patient deaths … leaders still struggle with many patient safety issues that lead to
hundreds of thousands of patient deaths … epidemic
problem in the United States, affecting 2.5 million people; they are associated with 60,000 deaths … Estimates of
mortality from preventable harm are in the range of 215,000 deaths/year.17 Preventable