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1. Selected Best Practices and Suggestions for Improvement (pdf file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
   May 20, 2016 - • Starting in 2014, a number of mortality rates that are relevant to the IQIs will be used for Medicare … Mortality Rate] o Acute Ischemic Stroke 30-Day Mortality Rate [similar to IQI 17 Acute Stroke Mortality … Rate • IQI 12 Coronary Artery Bypass Graft (CABG) Mortality Rate • IQI 13 Craniotomy Mortality Rate … Rate • IQI 18 Gastrointestinal Hemorrhage Mortality Rate • IQI 19 Hip Fracture Mortality Rate • IQI … ) Mortality Rate IQI 16 Heart Failure Mortality Rate IQI 17 Acute Stroke Mortality Rate IQI 19 Hip

2. Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone (pdf file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-opioid.pdf
   February 20, 2020 - Overdose Deaths Involving Synthetic Opioids Other Than Methadone Although opioid-related overdose death … rates are higher for Whites and rates vary by gender within racial groups, Blacks are experiencing … ◆ Despite non-Hispanic Whites having the highest mortality rate due to synthetic opioids other than … ◆ From 2013 to 2017, non-Hispanic Blacks had an 18-fold increase in mortality due to synthetic opioids … 2013 to 2017, Hispanics had a 12.3-fold increase and non-Hispanic Whites had a 9.2-fold increase in mortality

3. Introduction to the Quality Indicators Best Practices Tool (pdf file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
   June 05, 2016 - forms are listed below, along with a rationale for why best practices were not developed: • PSI 02 Death … Rate in Low-Mortality Diagnosis Related Groups (DRGs): This PSI contains roughly 119 DRGs that are … considered low mortality. … • PSI 04 Death Rate Among Surgical Inpatients With Serious Treatable Conditions: This PSI calculates … • NQI 02 Neonatal Mortality Rate: This PDI relates to the death rate for a number of ICD- 9 codes.

4. The 2022 National Healthcare Quality and Disparities Report: We Still Have Much Work to Do | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/news/blog/ahrqviews/2022-national-healthcare-disparities-report.html
   November 01, 2022 - Mortality from HIV/AIDS, for example, has declined steadily since early 2000. … Between 2000 and 2020, the breast cancer death rate decreased by approximately 29 percent. … As highlighted below, mortality rates for this condition continue to rise. … rate of industrialized countries, and the 2022 NHQDR shows that this rate is increasing. … The overall maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births, up from 20.1 deaths

5. C1 Prioritization Worksheet (xls file)
   teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
   July 01, 2016 - IQI 16 Heart Failure Mortality IQI 17 Acute Stroke Mortality IQI 18 Gastrointestinal Hemorrhage … Mortality IQI 19 Hip Fracture Mortality   IQI 20 Pneumonia Mortality AHRQ Inpatient Mortality for …   IQI 09 Pancreatic Resection Mortality IQI 11 AAA Repair Mortality IQI 12 CABG Mortality IQI … Rate NQI 03 Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration … Rate PDI 07 RACHS-1 Pediatric Heart Surgery Volume PDI 08 Perioperative Hemorrhage or Hematoma Rate

6. C1 Prioritization Matrix (xls file)
   teamstepps.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 $

7. Comparative Reports on Hospitals | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
   December 01, 2022 - patient experience scores, whether the hospital provides timely and effective care, complications, mortality … rates, unplanned hospital visits (including readmission rates), effective treatment and patient safety … bypass surgery outcome data, elective percutaneous coronary intervention, volume of cancer surgeries, mortality … childbirth practices, complication rates, use of recommended practices, hospital-acquired infection rates, death … rates and re-admissions, and inspection and complaint results.

8. Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/research/publications/search.html?page=3
   September 01, 2018 - Number: 18-0033-1-EF Estimating the Additional Hospital Inpatient Cost and Mortality … This report presents findings from a literature review of empirical research on additional cost and excess … mortality for 10 healthcare-acquired conditions (HACs). … Estimated added costs across all HACs ranged from $600 to $48,000 per case, while excess mortality estimates

9. Public Health Department Collaborates With Health System To Improve Mortality Surveillance | Agency for Healthcare Research and Quality
   teamstepps.ahrq.gov/news/newsletters/e-newsletter/887.html
   October 01, 2023 - AHRQ News Now Public Health Department Collaborates With Health System To Improve Mortality … Events Public Health Department Collaborates With Health System To Improve Mortality … Today's Headlines: Public Health Department Collaborates With Health System To Improve Mortality Surveillance … Public Health Department Collaborates With Health System To Improve Mortality Surveillance A mortality … in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality

10. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 29, 2016 - 6.5 5.0 16 $38,000 $ 608,000 N 3 2 2 Y Y Y Y Y IQI 16 Heart Failure Mortality 2.0 … 54,456 N 3 3 3 Y Y Y Y Y IQI 20 Pneumonia Mortality 2.7 3.0 13 $15,829 $ 205,777 N 1 4 1 … 3.0 3.1 2 $18,000 $ 36,000 N 2 3 2 Y Y Y Y Y AHRQ Inpatient Mortality for Selected … Rate 0.0 2.5 0 $ - N 8 10 9 Y Y Y Y Y NQI 03 Neonatal Blood Stream Infection … Rate 36.9 0 $ - N 1 5 5 Y N Y Y N PDI 07 RACHS-1 Pediatric Heart Surgery

11. B3A Combo Chartsforpresentations (xls file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
    January 01, 2006 - PSI 02 Death in low-mortality DRGs 0 0 0.000717 0.265 -100 0 0.2705660377 PSI 02 Statistically Lower … * IQI 08 Esophageal resection mortality 46.756 * IQI 09 Pancreatic resection mortality … artery bypass graft (CABG) mortality 25.9 * IQI 13 Craniotomy mortality 0 0 0.217772 51.103 … NQI 01 Neonatal Iatrogenic Pneumothorax Rate 0 NQI 02 Neonatal Mortality Rate 0 0 0.00052261 … Rate 0 0 0.176267 0.04091 -100 -100 330.8653141041 PDI 06 No Statistically Significant Difference 0

12. HCUP Visualization of Inpatient Trends in COVID-19 and Other Conditions | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/data/hcup/hospital-trends-covid-19.html
    December 01, 2022 - Select 1 of the 4 outcome buttons: number of discharges, rate per 100,000 population, in-hospital mortality … rate, or average length of stay. … blank when data are unavailable for select combinations when the outcome is population or in-hospital mortality … rate.

13. Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care-2/index.html
    July 01, 2023 - obstetric hemorrhage and severe hypertension in pregnancy, two leading known causes of preventable maternal mortality … SPPC-II Toolkits Toolkit Background To address the leading known causes of preventable maternal mortality … best practices to improve care for obstetrical and perinatal conditions that contribute to maternal mortality … integration with adaptive components, given the major contribution of these conditions to maternal mortality … audiences: Tier 1: Frontline Clinicians As the heart of patient care and management of maternal mortality

14. Overview: Getting Patients Off the Ventilator Faster: Slide Presentation | Agency for Healthcare Research and Quality
    teamstepps.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

15. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/publications/search.html?page=8
    May 01, 2016 - The mortality reduction is equivalent to three lung cancer deaths prevented per 1,000 people screened … Previous studies had shown that screening with standard chest x-rays does not reduce the mortality rate … An overall reduction in mortality was also observed (about five in 1,000 fewer total deaths for individuals

16. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
    teamstepps.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

17. 2019 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
    teamstepps.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

18. Fact Sheet on Pediatric Quality Indicators (pdf file)
    teamstepps.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

19. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Safety (231) Men's Health (54) Methicillin-Resistant Staphylococcus aureus (MRSA) (73) Mortality … Hospital utilization, costs, and mortality for adults with multiple chronic conditions, Nationwide Inpatient … The analysis revealed that in the matched cohort, in-hospital and 30-day postdischarge mortality rates … The value of linking hospital discharge and mortality data for comparative effectiveness research. … Keywords: Comparative Effectiveness, Data, Healthcare Cost and Utilization Project (HCUP), Mortality

20. Ventilator-Associated Events and Outcome Measures Module | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/tools/mvp/vae.html
    December 01, 2017 - progress in reducing VAE rates, improving intervention compliance, and track objective outcomes such as mortality … measures pertaining to mechanically ventilated patients (e.g., number of mechanically ventilated patients, mortality … rates) per month.