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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
January 01, 2008 - Diagnostic errors contribute to about 10
percent of patient deaths (National Academies of Sciences,
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Diagnostic errors contribute to about 10 percent of patient deaths (National Academies of Sciences, Engineering
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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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hcup-us.ahrq.gov/reports/statbriefs/sb120.pdf
September 01, 2011 - HCUP Statistical Brief #120: An Update on Hospitalizations for Eating Disorders, 1999 to 2009
1
September 2011
An Update on Hospitalizations for Eating
Disorders, 1999 to 2009
Yafu Zhao, M.S. (Social & Scientific Systems), and William Encinosa,
Ph.D. (AHRQ)
Introduction
Eating disorders…
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psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citat…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook
2024 Network
of Patient Safety
Databases
Chartbook:
Medication and Other
Substance Events
2024 NETWORK OF PATIENT SAFETY DATABASES
CHARTBOOK: MEDICATION AND OTHER SUBSTANCE
EVENTS
U.S. DEPARTMENT OF
…
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - PowerPoint Presentation
Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation
Presenter: Timothy B. McDonald, MD, JD
This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…
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effectivehealthcare.ahrq.gov/sites/default/files/schwitzer_eccs2012.pdf
July 23, 2012 - Mount Sinai School of Medicine in [New York],
said he thinks the new guidelines could cause unnecessary deaths
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psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - Reports of 355 transfusion-associated deaths: 1976 through 1985.
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - from peanut ingestion, 10 from tree nut ingestion, and 1 each
from fish and milk ingestion.(5) No deaths
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Ambulatory patients may experience ADEs at even higher rates, as illustrated by the dramatic increase in deaths
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digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange
April 29, 2023 - were evaluated in the context of four use cases around newborns, health systems, public health, and deaths
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - Accidental deaths, saved lives, and improved quality. N Engl J Med. 2005;353:1405-1409.
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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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effectivehealthcare.ahrq.gov/products/colorectal-cancer-screening/research-protocol
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effectivehealthcare.ahrq.gov/products/coronary-artery-stenting/research-protocol
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-2007_executive.pdf
January 01, 2007 - Layout 1
Background
Type 2 diabetes is characterized by insulin
resistance accompanied by progressive
deficiency in insulin secretion. Type 2
diabetes is an increasingly common disease
that is closely associated with obesity. In
2005, the prevalence of Americans with
diagnosed type 2 diabetes was 2.4 percent
for ad…
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary10/breastfeeding-counseling-2008
October 15, 2008 - death syndrome: results of 1993-5 case-control study for confidential inquiry into stillbirths and deaths … Confidential Enquiry into Stillbirths and Deaths Regional Coordinators and Researchers. … reported was between "never breastfed" and the sudden infant death syndrome or the risk for injury-related 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