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201. 3. Breadth and Focus Areas of Federal Agency Research Portfolios in HSR and PCR | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
     July 01, 2021 - patient safety events, patient experience) and definitive outcomes of care (e.g., quality of life, mortality … Definitive health outcomes (e.g., mortality and quality of life) and patient safety (i.e., medical errors

202. TeamSTEPPS Rapid Response Systems Module | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/teamstepps/rrs/instructor_slides/rrsinstructmod.html
     October 01, 2014 - Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac … Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality … rates.

203. SITUATION MONITORING (ppt file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsinstructmod.ppt
     January 01, 2008 - Effects of a medical emergency team on reduction of incidence of and mortality from unexpected cardiac … Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality … rates.

204. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
     November 01, 2016 - coordination, health and well-being, affordability, and reduction of the leading causes of morbidity and mortality … We continue to rank low—or least low when compared to other developed countries—in infant mortality;

205. AHRQ-Funded Patient Safety (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
     June 01, 2023 - Researchers found a reduction in potential delirium onset, overall hospitalization, and mortality of … intervention homes experienced a lower rate of potential delirium onset, overall hospitalization, and mortality

206. Understand the Science of Safety | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
     July 01, 2018 - rounds with an intensivist encourage the development of a multidisciplinary team to reduce unit-wide mortality

207. Final Progress Report: ESDP in Community Hospitals (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
     January 01, 2024 - Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: systematic

208. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     preventiveservices.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
     January 01, 2004 - Effect of intensity of oral anticoagulation on stroke severity and mortality in atrial fibrillation

209. Webinar Transcript - National Quality Strategy Webinar: Introducing Nine Levers to Support the Aims and Priorities | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-introducing-nine-levers-to-support-the-aims-and-priorities.html
     November 01, 2016 - care coordination and communication, prevention and treatment of the leading causes of morbidity and mortality

210. Current State of Diagnostic Safety: Implications for Research, Practice, and Policy - Issue Brief (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
     January 01, 2024 - delays for breast cancer detected through screening that was associated with increased breast cancer mortality … sources within the organization, including autopsy findings, root cause analyses, and morbidity and mortality … Association between cancer-specific adverse event triggers and mortality: a validation study.

211. Webinar Transcript: Better Care, Healthier People and Communities, More Affordable Care: 5 Years of the National Quality Strategy | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-better-care-healthier-communities.html
     November 01, 2016 - family-centered care, care coordination, prevention and treatment of the leading causes of morbidity and mortality

212. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
     October 25, 2022 - Because death rates often reflect factors other than healthcare, only death rates with moderate ties … For example, colorectal cancer death rates are tracked because they are related to rates of colorectal … Vital Statistics System—Linked Birth and Infant Death Data (NVSS-L) National Vital Statistics System—Mortality … ages 18-89 or obstetric admissions HCUP 2019 Deaths per 1,000 hospital admissions with expected low mortality … ages 18-89 or obstetric admissions HCUP 2019 Deaths per 1,000 hospital admissions with expected low mortality

213. Making Healthcare Safer Practices: 14. Delirium (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
     March 01, 2020 - and Emerging Patient Safety Practices Delirium 14-2 ranges from 14 to 56 percent, with hospital mortality … rates ranging from 25 to 33 percent.9,10 Adults over 65 years of age account for 48 percent of all … Delirium is associated with increased mortality, postoperative complications, longer lengths of stay … Practice Description Given the significant impact of delirium on the well-being, safety, and morbidity/mortality

214. Chsp-Accomplishments-Report-2021 (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/chsp/CHSP-accomplishments-report-2021.pdf
     January 01, 2021 - deterioration in performance on patient-experience measures and no detectable changes in readmission or mortality … rates at acquired hospitals. … experienced a decline in patient experience measures and no significant change in hospitals readmissions or mortality … rates (Beaulieu, et al., 2020).

215. Webinar Transcript - The 2014 Quality and Disparities Report and the National Quality Strategy: Working Together to Improve Health Care | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
     November 01, 2016 - care, affordable care, health and well-being, care coordination, and preventing the leading causes for mortality

216. Webinar Transcript - National Quality Strategy Webinar: Using the Nine Levers to Achieve Results | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-using-the-nine-levers-to-achieve-results.html
     November 01, 2016 - person- and family-centered care, care coordination, prevention and treatment of the leading causes of mortality

217. Webinar Transcript - National Quality Strategy: 2013 Annual Progress Report Update | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
     November 01, 2016 - I think that the one area that comes to mind is the priority on addressing the leading causes of mortality

218. Implementation Guide for AHRQ's Making Informed Consent an Informed Choice - Training Modules (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
     January 01, 2017 - that informed consent must be an informed choice in team huddles, during handoffs, at morbidity and mortality … ■ Use case presentations, grand rounds, morbidity and mortality conferences, and other teaching techniques

219. Diagnostic error in mental health: a review (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-mental-health-bmjqs.pdf
     April 15, 2024 - Depression in patients with peripheral artery disease: an Underdiagnosis with increased mortality.

220. Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality | Agency for Healthcare Research and Quality
     preventiveservices.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
     November 01, 2016 - effective communication, and care coordination, prevention and treatment of leading causes of morbidity and mortality