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21. Cardiovascular Disease | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
    June 01, 2018 - Trends: From 2000 to 2013, the risk-adjusted inpatient mortality rate for hospital admissions with heart … Groups With Disparities: In all years, uninsured patients had higher inpatient mortality rates for hospital … Trends: From 2000 to 2013, the risk-adjusted inpatient mortality rate for hospital admissions with heart … Trends: From 2001 to 2013, the risk-adjusted inpatient mortality rate for hospital admissions with heart … Groups With Disparities: In 10 of 13 years, Black patients had lower inpatient mortality rates for hospital

22. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
    June 01, 2018 - Mortality rates decreased from 10.9 percent to 6.5 percent in less than 1 year. … As a result of these efforts, between 1989 and 1992, the risk-adjusted mortality rate for bypass patients … By 1993, the cardiac surgery mortality rate had declined by 52 percent ( Longo, et al., 1997 ; Hannan … rates among coronary bypass patients. … Reducing Low-Birthweight Births Though infant mortality rates in the United States have declined, the

23. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality.html
    September 01, 2021 - Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … Issue Brief 6 Contents Introduction The Contribution of Diagnostic Error to Maternal Mortality … The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Related Publications The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality

24. Final Progress Report: Gastrointestinal Safety of Antithrombotic Drug Regimens (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/abraham-report.pdf
    January 01, 2024 - lower (27/100,000) gastrointestinal bleeding, contributing to >300,000 hospitalizations/year and a case-fatality … rate of up to 10% at the cost of $2.5 billion/year. … We sought to address this knowledge gap by quantifying mortality following incident GIB in patients … Mortality was 6.5% (95% CI: 5.7%-6.5%) within 6 months and 8.8% (95% CI: 8.3%-9.2%) within 1 year of … Mortality and Associated Risk Factors After Antithrombotic-Related Gastrointestinal Bleeding.

25. Appendix C. Article Exclusion List with Reason for Exclusion | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
    January 01, 2013 - Rate Moderating Factors HSOPS Team Checkup Tool Readiness Assessment Appendix A. … rate. … Published before 2002 Martin MA, 1989 Coagulase-negative staphylococcal bacteremia: mortality … Does not pertain to calculated attributable CLABSI cost estimates Morgan J, 2005 Excess mortality … Published before 2002 Spengler RF, 1978 Hospital costs and mortality attributed to nosocomial

26. Introduction | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.html
    September 01, 2021 - Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … In the United States, maternal mortality has continued to increase, from 7.2 deaths per 100,000 live … Maternal mortality is thought of as the “tip of the iceberg,” as severe maternal morbidity has similar … https://www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-1.html

27. Chartbook on Hispanic Health Care: Slide Presentation—Part 2 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
    May 01, 2018 - Groups With Disparities: Hispanics and Whites had similar death rates when hospitalized for: Acute … Hispanics had lower death rates than Whites when hospitalized for congestive heart failure and there … Trends: From 2001 to 2012, the risk-adjusted inpatient mortality rate for hospital admissions with heart … Hispanics had lower suicide death rates than Whites, but this disparity was narrowing as Hispanic suicide … The birth weight and hence infant mortality rates of U.S.

28. Part 2: Trends in Priorities of the Heckler Report—Infant Mortality and Maternity Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-mch.html
    May 01, 2018 - rates are elevated, the birth weight distributions are generally favorable. … The birth weight and hence infant mortality rates of U.S. … Infant Mortality Infant mortality per 1,000 live births, by race/ethnicity and Hispanic group, 2003 … Trends: From 2003 to 2013, the rate of infant mortality among live births improved overall and among … In all years, mortality was higher among Puerto Rican infants than White infants.

29. Research Agenda | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … This approach and agenda can be applied to other causes of maternal morbidity and mortality, such as … Apply lessons learned from trends and improvements in morbidity and mortality due to various comorbidities … https://www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html

30. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - Quality in Healthcare The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … Research Agenda Conclusions and Next Steps References Maternal morbidity and mortality … https://www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html

31. Rationale for Improvement Tools | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
    September 01, 2021 - Quality in Healthcare The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … Implicit Bias, Structural Barriers, and Social Determinants of Health Severe maternal morbidity and mortality … https://www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html

32. Dataspotlight-Infantmortality (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-infantmortality.pdf
    October 25, 2018 - DISPARITIES CONTINUE IN INFANT MORTALITY AND LOW BIRTH WEIGHT Did you know? … Low birth weight can be a predictor of developmental delays and mortality among infants.1 Infant mortality … Data Table: Infant mortality per 1,000 live births, birth weight less than 1,500 grams, Overall and by … ◆ HRSA’s Health Start Program, which targets communities with infant mortality rates at least 1½ … This program also aims to reduce other negative outcomes, such as maternal mortality.

33. C1 Prioritization Matrix (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - 2 3 3 Y Y Y Y Y IQI 18 Gastrointestinal Hemorrhage Mortality 2.3 2.3 5 $9,659 $ 48,295 N 1 2 4 … Pneumonia Mortality 2.7 3.0 13 $15,829 $ 205,777 N 1 4 1 Y Y Y Y Y AHRQ Inpatient Mortality for … Craniotomy Mortality   5.5 6.0 10 $15,867 $ 158,670 N 2 1 1 Y Y Y Y Y IQI 14 Hip Replacement Mortality … Rate 0.0 2.5 0 $ - 0 N 8 10 9 Y Y Y Y Y NQI 03 Neonatal Blood Stream Infection Rate 40.4 23.8 … Rate 36.9 0 $ - 0 N 1 5 5 Y N Y Y N PDI 07 RACHS-1 Pediatric Heart Surgery Volume 54 $

34. Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
    May 01, 2018 - Rates of Cancer Mortality Data on differences in cancer mortality rates among Blacks at more granular … Furthermore, subgroup differences can be illustrated by differential mortality rates for liver cancer … The age-adjusted all cancer mortality rate among Asian and Pacific Islander men was highest for Native … The pattern of mortality rates among women was the same. … Men and women in these countries also have the highest mortality rates from ischemic heart disease of

35. Comparative Reports on Surgical Care | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/talkingquality/resources/comparative-reports/surgical-care.html
    October 01, 2022 - Surgeon Scorecard uses two measures to identify harm to elective surgical patients: in-hospital mortality … Star rating for hospitals are based on the overall observed-to-expected operative mortality ratio for … STS uses a method called STAT Mortality Categories, which compares the mortality rates between programs … of Health Developer Type: State agency Location: New York Synopsis: These reports include mortality … rates of individual surgeons.

36. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Why focus on pediatric heart surgery mortality? … rates. … http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates- procedure.html. … National_Voluntary_Consensus_Standards_for_Pediatric_Cardiac_Surgery__A_Consensus_Report.aspx http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates-procedure.html … http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates-procedure.html http

37. Background for AHRQ Quality Indicators
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
    October 01, 2015 - rates for medical conditions, mortality rates for surgical procedures, hospital-level utilization rates … The IQIs include the following 32 measures: Mortality Rates for Medical Conditions (7 Indicators) Acute … Rate (IQI 12) Tool A.2 Slide ‹#› Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital … Rate NQI 03 Neonatal Blood Stream Infection Rate PDI 01 Accidental Puncture or Laceration Rate PDI 02 … Rate PDI 07 RACHS-1 Pediatric Heart Surgery Volume PDI 08 Perioperative Hemorrhage or Hematoma Rate

38. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
    July 01, 2015 - Groups With Disparities: Death rates were lower among Hispanics compared with Whites and were not changing … Hispanics had lower death rates than Whites when hospitalized for congestive heart failure and there … Trends: From 2001 to 2012, the risk-adjusted inpatient mortality rate for hospital admissions with heart … Hispanics had lower suicide death rates than Whites, but this disparity was narrowing as Hispanic suicide … The birth weight and hence infant mortality rates of U.S.

39. Part 3: National Quality Strategy Priority—Patient Safety | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
    June 01, 2018 - Report—Suicide Prevention and Mental Health Care Part 2: Trends in Priorities of the Heckler Report—Infant Mortality … Colorectal Surgery Mortality Unadjusted mortality rate (%) 30 days postoperation for colorectal surgeries … Some portion of the variation in raw mortality rate  observed over time may be due to these sampling … Overall Rate: In 2013, the unadjusted rate of 30-day postoperative mortality for colorectal surgeries … Groups With Disparities: In 2013, 30-day postoperative mortality rates were higher for Blacks (3.1%

40. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … A descriptive model of preventability in maternal morbidity and mortality. … Pregnancy Mortality Surveillance System. https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance … The continuum of maternal morbidity and mortality: factors associated with severity. … Importance of research in reducing maternal morbidity and mortality rates.