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41. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Risk-adjusted (age, sex, comorbidities, MS-DRGs, MDCs) Pediatric Quality Indicators (PDIs) Rates of mortality … for Selected Procedures) IQI 91 (Mortality for Selected Conditions) PSI 90 (Patient Safety and Adverse … Laceration * PSI 18-­‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument IQIs: Mortality … Unretrieved Device Fragment PDI 05/NQI 01: Iatrogenic Pneumothorax PDI 06: Pediatric Heart Surgery Mortality … Slide 64 Initial Focus: Improving Care for VTE VTE is a major cause of morbidity and mortality

42. American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsroom/case-studies/202302.html
    September 01, 2023 - particularly obstetrician-gynecologists—recognizes the incredible importance of addressing maternal mortality … These include maternal morbidity and mortality, hypertensive disorders in pregnancy, routine prenatal

43. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/863.html
    May 01, 2023 - include: Listen to the whispers before they become screams: addressing black maternal morbidity and mortality … Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal … in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality

44. Webinar Transcript - The National Quality Strategy and the Public Sector: Federal Agency Alignment to the Six Priorities | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/workingforquality/events/webinar-federal-agency-alignment-to-the-six-priorities.html
    November 01, 2016 - Promoting the most effective prevention and treatment practices for the leading causes of mortality, … Promoting the most effective prevention and treatment practices for the leading causes of mortality, … Promoting the most effective prevention and treatment practices for the leading causes of mortality [ … Promoting the most effective prevention and treatment practices for the leading causes of mortality [ … Promoting the most effective prevention and treatment practices for the leading causes of mortality [

45. CAHPS Bibliography | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cahps/bibliography/index.html
    March 05, 2024 - health status among colorectal cancer survivors: impact of sociodemographic factors and implications for mortality-a … health status among colorectal cancer survivors: impact of sociodemographic factors and implications for mortality-a … Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study. … Healthcare Experiences Are Associated with Colorectal Cancer Mortality but only for Specific Racial Groups

46. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/899.html
    February 01, 2024 - Patients with heart failure admitted to hospitals that perform poorly on mortality and readmission measures … This work is important because severe maternal morbidity and mortality is worse in the United States … Impact of reducing time-to-antibiotics on sepsis mortality, antibiotic use, and adverse events.

47. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/893.html
    December 01, 2023 - The racial disparities in maternal mortality and impact of structural racism and implicit racial bias … in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality … A mortality surveillance collaboration between a health system and public health department.

48. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - to best learn from patient experiences, how diagnostic errors contribute to maternal morbidity and mortality … Delays in diagnosis are increasingly recognized as a significant source of morbidity and mortality but

49. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/847.html
    January 01, 2023 - in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality … Severe maternal morbidity and mortality risk at the intersection of rurality, race and ethnicity, and … Association of registered nurse staffing with mortality risk of Medicare beneficiaries hospitalized with

50. In AHRQ-Funded Study, Authors Observe COVID-19 ‘Infodemic’ | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/841.html
    November 01, 2022 - November 29, 2022 AHRQ Stats: Maternal Mortality The overall maternal mortality rate in 2020 was

51. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - In 2017, AHRQ released a new study on the costs and inpatient mortality due to HACs.2 2 This report … Appendix 3 shows the details of the HAC reductions, cost savings, and inpatient mortality reductions … New Estimates for HAC Costs and Mortality Exhibit A5. … historical estimates used to calculate projections based on 2010–2014 data NORC (2017) Additional Cost Excess … New Estimates for HAC Costs and Mortality

52. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
    October 01, 2022 - • The overall maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births, an increase … Geographic Variations in Care References Maternal Health Importance Prevalence Morbidity and Mortality … Resources References Child and Adolescent Mental Health Importance Prevalence Morbidity and Mortality … Conclusion Resources References Substance Use Disorders Importance Prevalence Morbidity and Mortality … Locations Conclusion Resources References Oral Health Importance Prevalence Morbidity and Mortality

53. Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/research/publications/search.html?page=1
    September 01, 2022 - 22-0026-1-EF The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … brief discusses what is known about the contribution of diagnostic error to maternal morbidity and mortality

54. Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/programs/index.html?page=3
    AHRQ PSNet also hosts all previous AHRQ WebM&M (Morbidity and Mortality Rounds on the Web) content, including … obstetric hemorrhage and severe hypertension in pregnancy, two leading known causes of preventable maternal mortality

55. Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/es/programs/index.html?page=3
    AHRQ PSNet also hosts all previous AHRQ WebM&M (Morbidity and Mortality Rounds on the Web) content, including … obstetric hemorrhage and severe hypertension in pregnancy, two leading known causes of preventable maternal mortality

56. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
    February 02, 2018 - Systematic Review Chronic respiratory failure is a common condition with important morbidity and mortality … the above groups, what is the effect of HMV, a BPAP, or a CPAP use on patient outcomes, including mortality … (KQ 2) (KQ 1) Patient-centered outcomes Mortality, hospitalization, admission/readmission to ICU, … ventilator parameter, or respiratory services on outcomes of interest will be included) Outcomes • Mortality … grade the strength of evidence for the outcomes we classified as most important or critical such as mortality

57. Brain Health Patient Safety Learning Laboratory (Brain Safety Lab) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/resources/learning-lab/brain-health-long-desc.html
    April 01, 2021 - analysis that increased delirium severity and days of delirium or coma were associated with higher mortality … Relationship between intensive care unit delirium severity and 2-year mortality and health care utilization

58. Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
    January 01, 2024 - used in nursing homes to manage behavioral and psychological symptoms of dementia, despite increased mortality … The challenge of reducing mortality risks from antipsychotic prescribing in elderly with symptoms … In 2008, the Food and Drug Administration (FDA) imposed a black box warning of increased mortality … Other studies support similar estimates of substantially increased mortality through multiple pathways … Increasing evidence of mortality risks with second-generation antipsychotics, culminating in the FDA

59. Central Line-Associated Bloodstream Infections (CLABSI) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/topics/central-line-associated-bloodstream-infections-clabsi.html
    are a type of healthcare-associated infection (HAI), and is associated with significant morbidity, mortality

60. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality … An evidence map for social and structural determinants for maternal morbidity and mortality: a systematic