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21. Monitoring Ventilator-Associated Events: Facilitator Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/tools/mvp/modules/vae/monitoring-fac-guide.html
    February 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. 

22. Guiding Principles Help Healthcare Community Address Potential Bias Resulting From Algorithms | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/894.html
    December 01, 2023 - Delivered annually to Congress, the report notes that COVID-19 death rates increased between the pandemic's … Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality . … in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality … Cardiac rehabilitation reduces two-year mortality after coronary artery bypass grafting.

23. Register Now: August 22 Webinar by National Action Alliance Will Address Engaging Boards and Executive Leadership in Safety | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/874.html
    August 01, 2023 - in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality … Racial and ethnic disparities in excess mortality among U.S. veterans during the COVID-19 pandemic. … Senior services in U.S. hospitals and readmission risk or mortality among Medicare beneficiaries since

24. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
    February 01, 2017 - In fact, there is a 35 percent mortality rate for ventilated patients with VAP. … Slide 10: VAE-Attributable Hospital Mortality Say: A retrospective cohort study conducted between … compared VAE hazard ratios, antibiotic exposures, microbiology, attributable morbidity, and attributable mortality … were associated with more days to extubation, more days to hospital discharge, and higher hospital mortality … Mortality rates and health care costs were decreased while safety climate and patient outcomes improved

25. Major Hospital Quality Measurement Sets | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/talkingquality/measures/setting/hospitals/measurement-sets.html
    February 01, 2023 - process of care, patient experience of care (see “CAHPS Hospital Survey” below), maternal morbidity, mortality … They include inpatient mortality for certain procedures and medical conditions; utilization of procedures … procedures for which there is some evidence that a higher volume of procedures is associated with lower mortality

26. AHRQ National Scorecard on Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/pfp/index.html
    July 01, 2020 - developed methods and estimated the incremental inpatient financial costs and additional inpatient mortality … Selct to read the final report of this project, Estimating the Additional Hospital Inpatient Cost and Mortality

27. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
    May 22, 2014 - Clinical outcomes ● Mortality ● Cancer mortality (any cause) ● Incidence of specific cancers: breast … The outcomes of interest include the clinical outcomes ● Mortality ● Cancer mortality (any cause), … upon recent data from the National Health and Nutrition Examination Survey (NHANES).2 Morbidity and mortality … o Comparison to placebo, usual care, or another intervention Outcomes o Clinical outcomes* ● Mortality … ● Cancer mortality (any cause) ● Incidence of specific cancers: breast, colorectal cancer, endometrial

28. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/studies/index.html?page=480
    January 01, 2024 - Safety (231) Men's Health (54) Methicillin-Resistant Staphylococcus aureus (MRSA) (73) Mortality … These sources of ICU strain were associated with mortality increases particularly in ICUs employing closed … Mortality among patients admitted to strained intensive care units. … Keywords: Mortality, Intensive Care Unit (ICU), Critical Care, Patient Safety, Workforce Randhawa … Keywords: Intensive Care Unit (ICU), Patient Safety, Outcomes, Hospital Discharge, Mortality

29. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - is variation across types of HACs in the cost savings per HAC averted and in the level of increased mortality … HAC rates but rely on analysis from other researchers of the complex relationship between HACs and mortality … estimated rates shown in Exhibit A3 as to the additional cost per HAC and the additional inpatient mortality … For each HAC, the incidence, preventability, cost, and additional mortality were assessed and a goal … Reductions of HACs in 2014 vs. 2010, and Baseline Projections Made in 2011 on the Additional Inpatient Mortality

30. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    teamstepps.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

31. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - the above groups, what is the effect of HMV, a BPAP, or a CPAP use on patient outcomes, including mortality … ventilators Background Chronic respiratory failure is a common condition with important morbidity and mortality … and Drug Administration (FDA) has typically approved HMVs (KQ 2) (KQ 1) Patient-centered outcomes Mortality … modes of same equipment • Other noninvasive ventilation Outcomes Patient-centered outcomes • Mortality

32. American College of Obstetricians and Gynecologists Creates Perinatal Mental Health Clinical Practice Guidelines Using AHRQ Research | Agency for Healthcare Research and Quality
    teamstepps.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

33. Documentation and Coding for Patient Safety Indicators (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - Does the number of dx codes matter in predicting in-house mortality? … NQI 02 Neonatal Mortality Rate Document and code for anencephaly; polycystic kidney, and/or trisomy … in newborns, regardless of gestational age and early or expected mortality. … PSI 04 Death Rate Among Surgical Inpatients With Serious Treatable Complications Admit type must … PSI 04 Death Rate Among Surgical Inpatients With Serious Treatable Complications Code all coexisting

34. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - is variation across types of HACs in the cost savings per HAC averted and in the level of increased mortality … HAC rates but rely on analysis from other researchers of the complex relationship between HACs and mortality … estimated rates shown in Exhibit A3 as to the additional cost per HAC and the additional inpatient mortality … For each HAC, the incidence, preventability, cost, and additional mortality were assessed and a goal … Baseline) Estimated PfP Additional Cost* per HAC Estimated PfP Additional Inpatient Mortality

35. AHRQ Releases Annual Update on U.S. Healthcare Quality, Equity | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/839.html
    November 01, 2022 - Higher antibiotic global spectrum scores were associated with an increased risk for hospital mortality … in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality … for comment): Social and Structural Determinants of Health Risk Factors for Maternal Morbidity and Mortality

36. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
    teamstepps.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

37. Selected Best Practices and Suggestions for Improvement (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
    May 20, 2016 - Patients that maintained blood glucose at or below 110 mg/dL in the postoperative period not only reduced mortality … intensive care.2 • Cases from the Nationwide Inpatient Sample that were flagged by this PSI had 19.8% excess … mortality, 8.9 days of excess hospitalization, and $54,818 in excess hospital charges, relative to

38. Problems With Electronic Health Records Linked to Nurse Dissatisfaction, Poor Patient Care | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/766.html
    June 01, 2021 - found previously undocumented associations between EHR usability and an increased surgical patient mortality … rate (21 percent) as well as significantly higher odds of 30-day readmission. … in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality

39. CAHPS Bibliography | Agency for Healthcare Research and Quality
    teamstepps.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

40. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
    teamstepps.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.