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www.ahrq.gov/news/blog/ahrqviews/portrait-of-sepsis.html
September 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Portrait of Sepsis Reveals Its Alarming Human Toll
SEP
27
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Pamela Owens, Ph.D.
The human suffering caused by sepsis is shocking. New AHRQ analyses show that in 2021, more than 2 m…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
January 01, 2004 - preventable injuries, and medical errors in hospitals are responsible
for approximately 44,000 to 98,000 deaths … One recent
study using patient safety indicators (PSI) suggests that more than 32,000 deaths
annually … estimates that
hospital acquired infections impact about two million people annually and result
in 90,000 deaths
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www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Purpose
The Institute of Medicine (IOM) report, To Err is Human, states that between 44,000 and
98,00 deaths … Selective referral to
high-volume hospitals: estimating potentially avoidable deaths.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - with a patient's
family members.
4
Hospital AIM
Team
Leads
SPPC‐II
Maternal and Perinatal Deaths … factors and communication breakdowns are identified as the primary root
cause of maternal and perinatal deaths … Other root causes for maternal and perinatal deaths and injuries are—
• Assessment (i.e., the adequacy … July 2023
Untitled
Communication Severe Hypertension
Communication is…
Maternal and Perinatal Deaths
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-table11-figures1-2.pdf
May 15, 2015 - Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Table 11 and Figures 1 & 2
Table 11: Evidence Regarding Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure
Type of
Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Clinica…
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www.ahrq.gov/news/newsroom/case-studies/201806.html
October 01, 2018 - Connecticut Hospital Reduces Emergency Wait Time, Adverse Events Using AHRQ Tools
Search All Impact Case Studies
October 2018
Bridgeport Hospital, a 383-bed safety net hospital in Bridgeport, Connecticut, used two AHRQ tools to improve care in its facility. With AHRQ’s Door-to-Doc patient safety toolkit , …
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www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
January 01, 2024 - care physicians in the
U.S., which equates to 1 palliative care physician for every 11,000 Medicare deaths … In 2019, 44% of the deaths in the VA occurred in hospice beds. … There was a concurrent increase in ICU deaths from 40% in 2019 to
64% in 2021.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - Over half a million patients develop
catheter-associated urinary tract
infections, resulting in 13,000 deaths
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
December 01, 2017 - Complications impact 25% of inpatient surgeries.
1 million deaths follow surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Estimating hospital deaths
due to medical errors: preventability is in the eye of
the reviewer. … Deaths due to
medical errors are exaggerated. JAMA 2000 Jul
5;284(1):93–5.
13. … Preventable deaths: who, how
often, and why? Ann Intern Med 1988;109(7):582–9.
24.
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www.ahrq.gov/sites/default/files/2024-03/bruzzese1-report.pdf
January 01, 2024 - Final Progress Report: Health Journalism 2007, National Conference On Health Care Journalism
Final Grant Report for
Agency for Healthcare Research and Quality
Title: Health Journalism 2007, National Conference On Health Care Journalism
Principal Investigator: Leonard J. Bruzzese
Organization: Center for Excellenc…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Slide 2: Learning Objectives
Image: This slide sh…
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - Twenty-five percent of inpatient surgeries result in a complication, and about 1 million deaths occur
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.html
July 01, 2025 - Grantee Profile
Eliminating Preventable Harms During Pediatric Intubation
Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/invitation-letter-ny.pdf
October 01, 2015 - Invitation Letter Sample for Healthy Hearts NYC
Call: (347) 396-4888 | Visit: www.nycreach.org | E-mail: pcip@health.nyc.gov
Hello,
As a small practice primary care provider in New York City, we would like to invite your practice to
participate as a clinical partner in HealthyHearts NYC, an exciting qua…
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www.ahrq.gov/news/newsroom/case-studies/cdom0803.html
October 01, 2014 - University of Iowa Uses AHRQ Data to Study Ways to Lower Incidence, Costs of Sports-Related Injuries
Search All Impact Case Studies
April 2008
Researchers at the University of Iowa College of Public Health used AHRQ's Nationwide Inpatient Sample (NIS), a database from the Healthcare Cost and Utilization Pro…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-use-pcor.pdf
November 01, 2016 - Evidence Now Fact Sheets - Aspirin Use by High-Risk Individuals
Aspirin Use by High-Risk Individuals
Rationale for Aspirin Use by High-risk Individuals
Patients with heart disease or who have had a stroke in the past are at high risk
for having a heart …
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3tab3-6.html
May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Table 3-6. Examples of Instructions, Phrasing, and Terminology to Capture Race and Ethnicity Data
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Language Data: Standardization for Health Care Qual…