-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - IOM) released its groundbreaking
report, To Err Is Human, which estimated that the annual number of deaths … This number
far exceeds the annual number of deaths resulting from AIDS, breast cancer, or
motor vehicle … One study estimates that
7,000 deaths per year are attributable to preventable medication errors, while
-
www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - estimated from this model and then summed for each hospital
to calculate the “expected” number of deaths … The observed number of deaths
was then divided by the expected number to yield an “O/E ratio.”
-
www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
May 01, 2014 - AHRQ Multiple Chronic Conditions Research Network Publications
This bibliography includes publications resulting from R18, R21 and R24 AHRQ Multiple Chronic Conditions Research Network grants funded between 2008 and 2010. The publications listed below are those that were published or in press as of August 2013.…
-
www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - Census Bureau, Centers for Medicare & Medicaid Services, Deaths: National Vital Statistics System, and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - Estimating hospital deaths
due to medical errors: preventability is in the eye of
the reviewer. … How many deaths are due to
medical error? Getting the number right.
-
www.ahrq.gov/talkingquality/measures/setting/long-term-care/hospice.html
January 01, 2023 - Measuring the Quality of Hospice Care
Hospice care is a set of services that allow patients in the final phase of life to spend their last days at home or a home-like setting rather than in a hospital. It is for patients who have decided that they would rather have comfort care while they remain alive than cura…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/ncepcr-older-adults-presentation.pptx
March 15, 2025 - Approaches to Address Health Risks for Older Adults
National Center for Excellence in Primary Care
1
National Center for Excellence in Primary Care Research
Presents
Approaches to Address Health Risks for Older Adults
January 16, 2025
Presented by:
Lisa Kern, MD, MPH
Alberta K. Tran, Ph.D., RN, CCRN
Yu-J…
-
www.ahrq.gov/teamstepps-program/evidence-base/research.html
June 01, 2023 - TeamSTEPPS Research and Tools
Agency for Healthcare Research and Quality. (2006). TeamSTEPPS™ Guide to Action: Creating a Safety Net for your Healthcare Organization . AHRQ Publication No. 06-0020-4.
Castner, J. (2012). Validity and reliability of the Brief TeamSTEPPS Teamwork Perceptions Questionnaire. Jo…
-
www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
January 01, 2024 - In Rhode Island (RI), from 2009 to 2012, there was a 32.8%
increase in overdose deaths; within 2 years … , this rate doubled (65% increase), rendering an overall 119%
increase in overdose deaths from 2009
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
November 01, 2019 - Causes of pregnancy-related deaths in the United States are as follows: Cardiovascular diseases
(14.6 … Many of these pregnancy-related deaths are due to complications
and conditions associated with women … for significant morbidity and mortality, representing the largest
percentage of pregnancy-related deaths … suffer increased rates of maternal and/or infant morbidity
and mortality.
31
Maternal deaths … Preventability of pregnancy-related deaths. Results of
a state-wide review.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
April 01, 2025 - Estimating health care-associated infections and deaths in U.S. hospitals, 2002.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
July 01, 2004 - Staff Presentation Template
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool C.3
INSTRUCTIONS FOR USING THIS TOOL
DELETE THIS SLIDE BEFORE PRESENTATION
• Use this PowerPoint presentation as a template for your
presentation to hospital staff.
• Replace the ch…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/persell_cvd_disparities.pdf
June 02, 2025 - Reducing Disparities in the Primary Prevention of Cardiovascular Disease
Research Centers for Excellence
in Clinical Preventive Services
Working to get the right services, to the right people, at the right time
Reducing Disparities in the Primary
Prevention of Cardiovascular Disease…
-
www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List
MAR
12
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Stephen Raab, M.D.
As we celebrate Patient Safety Awareness Week 2024 , AHRQ again places particular em…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
May 01, 2017 - 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,
• Leadership,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - complications follow inpatient surgeries
Complications impact 25% of inpatient surgeries
1 million deaths … Twenty-five percent of inpatient surgeries result in a complication, and about 1 million deaths occur
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - An internal estimate demonstrates
approximately 60 deaths avoided through attainment of LDL goal in … These avoided deaths project a cost avoidance
and savings of approximately $1.5 million over the next
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/evidencenow.pdf
February 01, 2017 - AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America
AHRQ’s EvidenceNOW: Setting the Target
for Improving Heart Health in America
AHRQ’s EvidenceNOW, a Federal grant initiative, funds seven regional
cooperatives to help more than 1,500 smaller primary care practices
and 5,000 clinicians bui…
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-baseline.pdf
February 01, 2017 - AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America
AHRQ’s EvidenceNOW: Setting the Target
for Improving Heart Health in America
AHRQ’s EvidenceNOW, a Federal grant initiative, funds seven regional
cooperatives to help more than 1,500 smaller primary care practices
and 5,000 clinicians bui…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
December 01, 2017 - Slide 15: 15-Point Analytic Plan: All Payer and Payer-Specific
Total discharges (exclude deaths