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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - ‐
surveillance‐system.htm
Hospital AIM
Team
Leads
SPPC‐II
Pregnancy‐Related Mortality: United … The most recent pregnancy‐related mortality data from the Centers for Disease
Control and Prevention's … (CDC) pregnancy‐related mortality surveillance are
shown on this slide. … As you see, mortality has been increasing over time, and in 2014, there were 18
pregnancy‐related deaths … Pregnancy-related
mortality in the United
States, 2011-2013.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
July 01, 2023 - The most recent pregnancy-related mortality data from the Centers for Disease Control and Prevention’ … s (CDC) pregnancy-related mortality surveillance are shown on this slide. … As you see, mortality has been increasing over time, and in 2014, there were 18 pregnancy-related deaths … Pregnancy-related mortality in the United States, 2011-2013. … Hospital AIM Team
Leads
SPPC-II
SCRIPT
The most common causes of maternal mortality in the United States
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-spmh.html
June 01, 2018 - Blacks had a lower suicide death rate than Whites but this disparity is narrowing as Black suicide deaths … Overall Rate: In 2013, the overall suicide death rate was 15.2 per 100,000 population age 12 and over … Trends: From 2008 to 2013, suicide death rates worsened for the total population, Whites, Asians and … Groups With Disparities:
From 2008 to 2013, Blacks, APIs, and AI/ANs had lower suicide death rates … In 2013, males had higher suicide death rates compared with females.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - rate for ventilated patients: 5 24% for patients 15–19 years.
60% for patients 85 years and older. … Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length … Slide 10: VAE-Attributable Hospital Mortality 8
Image: A retrospective cohort study conducted between … Reduce the duration of mechanical ventilation, length of stay, and mortality. … rate. 7
Improved safety climate in ICUs. 11
Reduced health care cost. 12
Improved patient outcomes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-slides.pptx
January 01, 2017 - rate
1. … Patients
4
Connect the Safety Dots
Ventilator Harm
Immobility
Atelectasis
Pulmonary edema (PE)
VAP
Mortality … of respiratory deterioration after a period of stability strongly predict increased LOS and hospital mortality … Respiratory deterioration in previously stable patients is a risk factor for increased morbidity and mortality … cardiac surgery patients
May not decrease VAP risk in noncardiac surgery patients
Does not affect—
Mortality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - (Meterko et al.
2010)
• Higher patient ratings associated with lower hospital
inpatient mortality … Mortality among patients with acute myocardial infarction: the
influence of patient centered care and … and colleagues (2013) found better patient
ambulatory care experiences associated with
much higher mortality … rates
•This led some to question the value of patient-
centered care
•This finding contradicted a … Survey and National Death Index
• Used same models as Fenton: Cox proportional hazards
models with mortality
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/798.html
February 01, 2022 - Studies Identify Factors Associated With Infection and Mortality Following Implantation of Specific Cardiac … Studies Identify Factors Associated With Infection and Mortality Following Implantation of Specific Cardiac … AHRQ-funded studies identified patient-related and other factors associated with infection and subsequent mortality … Medical adverse events in the US 2018 mortality data . … in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality
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ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final/clabsifinalsum.html
January 01, 2013 - Stop BSI is estimated to have saved an estimated 290 to 605 deaths assuming a 12-25 percent CLABSI mortality … rate and an estimated $36,194,850 to $40,034,450 in excess costs averted, based upon a Centers for Disease … Costs Averted Using CDC Estimates*
CLABSIs Prevented
Deaths Prevented *
Excess Costs Averted *
Mortality … Rate 12%
Mortality
Rate 25%
2,187
262
547
$36,194,850
2,419
290
605
$40,034,450
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
February 01, 2017 - Higher mortality rate.
1. Klompas M, Kleinman K, Murphy MV. … of respiratory deterioration after a period of stability strongly predict increased LOS and hospital mortality … Respiratory deterioration in previously stable patients is a risk factor for increased morbidity and mortality … Does not affect—
Mortality.
Duration of MV.
Intensive care unit (ICU) LOS.
10. … Medical Center, Highland Hospital
Slide 29: The Bottom Line
VAEs are associated with increased mortality
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - rate than do mechanically ventilated patients without a VAE. … VAP, in particular, has high morbidity and mortality rates. … deterioration in previously stable patients is definitely a risk factor for increased morbidity and mortality … It’s also been shown not to affect mortality, the duration of mechanical ventilation, or the length of … rates as well as ICU and hospital length of stay.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/tool4b_pc-setting.pptx
January 10, 2017 - CRB-65 Criteria for 30-Day Mortality
The CRB-65 test provides a severity of illness score.f It requires … and is an acceptable alternative when BUN testing is unavailable.
9
CRB-65 Scores Predict 30-Day Mortality … Score 30-Day Mortality Management
0 0.9% Treat as outpatient
1 5.2% Admit to wards
2 12.0% Admit … Provides option to add 1 to score if patient is found to be confused
Displays patient-specific 30-day mortality … Recommendation: Admit or Home(30d mortality 12%)
No confusion
With confusion
18
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/monitoring-vae-facguide.docx
January 01, 2017 - On average, there is a 35 percent mortality rate for ventilated patients—24 percent for patients 15-19 … VAP contributes to this mortality risk. … have shown a strong association between VACs and prolonged mechanical ventilation, length of stay, and mortality … of stay in the intensive care unit and the hospital by a substantial amount, has a very high crude mortality … rate and a high attributable mortality rate, and adds substantially to cost.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm.html
March 01, 2020 - Cancer —reducing breast cancer and cervical cancer mortality. … Diabetes —reducing both the mortality rate of diabetes and the need for hospitalization. … Injury Prevention —reducing mortality from motor vehicle crashes as well as childhood mortality from … Maternal, Infant, and Child Health —reducing infant mortality due to congenital defects, improving prenatal … Mental Health —reducing suicide mortality.
Oral Health —improving access to oral health care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_crb65_ed-prototype.pdf
January 01, 2018 - Agree with recommendation Disagree with recommendation
Acknowledge Reason
Recommendation: Home (30d mortality … Agree with recommendation Disagree with recommendation
Acknowledge Reason
Recommendation: Home (30d mortality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap-crb65_pc-prototype.pdf
January 01, 2018 - Agree with recommendation Disagree with recommendation
Acknowledge Reason
Recommendation: Home (30d mortality … Agree with recommendation Disagree with recommendation
Acknowledge Reason
Recommendation: Home (30d mortality
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ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/index.html
January 01, 2013 - Outcomes
Adult Non-ICUs
Pediatric Units
Infections Avoided, Excess Costs Averted, and Changes in Mortality … Rate
Moderating Factors
HSOPS
Team Checkup Tool
Readiness Assessment
Appendix A. … Pediatric Units
Overall
Infections Avoided, Excess Costs Averted, and Changes in Mortality … Rate
Literature Review—Methods
Literature Review—Results
Estimation Method
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2.html
May 01, 2018 - Trends in Priorities of the Heckler Report
Part 2: Trends in Priorities of the Heckler Report—Infant Mortality … Infant mortality . … The Heckler Report found that 6 causes of death accounted for more than 80% of mortality among Blacks … by deaths due to cirrhosis); diabetes; homicide and accidents (unintentional injuries); and infant mortality … narrowing
Suicide Prevention and Mental Health Care
25% worsening
75% worse
0% narrowing
Infant Mortality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - Inpatient Quality Indicators (IQIs) reflect quality of care
inside hospitals, including inpatient mortality … • The IQIs include:
– Inpatient mortality for certain procedures and medical
conditions. … – Two composite measures of mortality.
• Fourteen of 28 provider-level IQIs are endorsed by NQF. … Rate (IQI 12)
http://www.qualityindicators.ahrq.gov/Downloads/Modules/IQI/V45/TechSpecs/IQI%2012%20Coronary … An IQI Example: Coronary Artery Bypass Graft Mortality Rate (IQI 12)
What are the Pediatric Quality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-final-es-cs061721.pdf
December 01, 2020 - Trends in Quality
Trends in Person-Centered Care
Importance of Person-Centered Care
Morbidity and Mortality … Care Quality Measures by Setting of Care
Trends in Patient Safety
Importance of Patient Safety
Mortality … Measures by Topic Areas
Trends in Affordable Care
Importance of Affordable Care
Morbidity and Mortality … Measures by Sub-Areas
Trends in Effective Treatment
Importance of Effective Treatment
Morbidity and Mortality … Visits Involving Opioids
Worsening Trend: Hospital Stays Involving Opioids
Worsening Trend: Suicide Mortality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - 1,000 ID
Most
Recent
Year
NQI 01 Neonatal Iatrogenic Pneumothorax Rate 0.18
NQI 02 Neonatal Mortality … Rate 2.25
NQI 03 Neonatal Blood Stream Infection Rate 25.18 0478 2013
PDI 01 Accidental Puncture … 0362 2012
PDI 05 Iatrogenic Pneumothorax Rate 0.11 0348 2012
PDI 06 RACHS-1 Pediatric Heart Surgery Mortality … Rate 31.55 0339 2012
PDI 07 RACHS-1 Pediatric Heart Surgery Volume N/A* 0340 2012
PDI 08 Perioperative