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221. Selected Best Practices and Suggestions for Improvement (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
     May 17, 2016 - retinopathy of prematurity, poor neurodevelopmental outcomes, prolonged hospitalization, and death.3 • The mortality … neonatal intensive care unit over a 20-year period (1992-2011): trends in incidence, pathogens, and mortality

222. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
     July 14, 2023 - designed and developed diagnostic tests and platform technologies to reduce maternal morbdity and mortality

223. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - Mitigating failure to rescue (FTR) (i.e., death after a major complication) is critical to reducing mortality … Results included a reduced mortality rate of patients with atraumatic intracerebral hemorrhage (ICH) … researchers developed a structured case review process that was validated against their institution’s mortality … Re-engineering Postnatal Unit Care and the Transition Home to Reduce Perinatal Morbidity and Mortality … Description: The goal of this learning lab is to identify underlying contributors to postnatal morbidity and mortality

224. Section 2: Why Improve Patient Experience? | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/2-why-improve/index.html
     February 01, 2020 - Mortality among patients with acute myocardial infarction: The influences of patient-centered care and

225. AHRQ Stats | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/ahrq-stats.html
     November 01, 2023 - Maternal Mortality The overall maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births … Hospital Mortality Rates for Diabetes In 2018, the in-hospital mortality rate among adults aged 18 to … Colorectal Surgery Deaths The 30-day mortality rate after colorectal surgery in 2017 was lower for Hispanics

226. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
     March 01, 2020 - The higher levels of preventive services are likely to reduce morbidity and mortality from preventable

227. Return on Investment Tool (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
     January 01, 2013 - improvement actions might reduce hospital-associated infections, rates of pressure ulcers, or patient mortality … Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality … Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization

228. Displaying the Data in a Health Care Quality Report | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/translate/display/index.html
     May 01, 2019 - example, the explanation is on the bottom of a bar graph showing hospitals’ performance on a measure of mortality … Death rate for coronary artery bypass graft When you are choosing a hospital, you should look for the

229. Emergency Visits for Opioid Use Rose White Treatment for Illicit Drug Use Remained Unchanged (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-opioids-edvisits-tx.pdf
     August 11, 2021 - Administration [SAMHSA]).1 OUD is associated with significantly increased rates of morbidity and mortality … medications, such as buprenorphine or methadone, effectively reduces opioid-related hospital use and mortality

230. Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations (ASCENT) | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
     April 01, 2021 - Follow-up of incidental pulmonary nodules and association with mortality in a safety-net cohort .

231. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - Consider Cultural Assessment Present Data on CAUTI: Initially and Regularly Prevalence Morbidity Mortality … application of the evidence We use it as the framework for post fall/skin huddles, morbidity and mortality

232. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
     July 01, 2023 - Have a process in place to review severe maternal or neonatal morbidity and mortality events. … A surgical safety checklist to reduce morbidity and mortality in a global population.

233. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 01, 2017 - Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma Rate PDF [61.6 KB] IQI: Mortality

234. A3 Combo Selfassessment (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
     June 27, 2014 - AHRQ Quality Indicators as a priority · We have a shared sense of purpose to decrease mortality

235. Getting Ready for Change Self-Assessment (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
     May 12, 2016 - AHRQ Quality Indicators as a priority • We have a shared sense of purpose to decrease mortality and

236. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
     May 01, 2017 - Have a process in place to review severe maternal or neonatal morbidity and mortality events. … A surgical safety checklist to reduce morbidity and mortality in a global population.

237. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - Have a process in place to review severe maternal or neonatal morbidity and mortality events. … Unit can decide its approach to reviewing cases of severe maternal or neonatal morbidity or mortality

238. Selected Best Practices and Suggestions for Improvement (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
     May 17, 2016 - Reducing mortality in severe sepsis with the implementation of a core 6-hour bundle: results from the

239. SDOH Environmental Scan - Updated April 29, 2021 (xls file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
     April 29, 2021 - Research (CDC Wonder) https://wonder.cdc.gov/ N Y Y Region and metropolitan area 1999 to 2018 Y The mortality … 22sort%22:%22asc%22%7D N N Y 2000 to 2021 Y Y N Y N N Y Kaiser Family Foundation Opioid Overdose Death … Rates and All Drug Overdose Death Rates per 100,000 Population (Age-Adjusted) https://www.kff.org/other … /state-indicator/opioid-overdose-death-rates/? … %22:%22Location%22,%22sort%22:%22asc%22%7Dhttps://www.kff.org/other/state-indicator/opioid-overdose-death-rates

240. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
     July 01, 2023 - Have a process in place to review severe maternal or neonatal morbidity and mortality events.