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61. Research Agenda | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … Steps References Overall, more research is needed to reduce maternal morbidity and mortality … This approach and agenda can be applied to other causes of maternal morbidity and mortality, such as

62. Comparative Reports on Surgical Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/resources/comparative-reports/surgical-care.html
    October 01, 2022 - Surgeon Scorecard uses two measures to identify harm to elective surgical patients: in-hospital mortality … Star rating for hospitals are based on the overall observed-to-expected operative mortality ratio for … STS uses a method called STAT Mortality Categories, which compares the mortality rates between programs … of Health Developer Type: State agency Location: New York Synopsis: These reports include mortality … rates of individual surgeons.

63. Conclusions and Next Steps | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After … Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality … Childbirth: State of the Science Introduction The Contribution of Diagnostic Error to Maternal Mortality … Research Agenda Conclusions and Next Steps References Maternal morbidity and mortality

64. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
    June 03, 2008 - the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement Jamie N. … Methods: A Mortality Review Task Force selects cases for presentation at the monthly MM&I. … The morbidity and mortality conference: The delicate nature of learning from error. … Using prospective outcomes data to improve morbidity and mortality conferences. … Discussion of medical errors in morbidity and mortality conferences.

65. Introduction to the Pediatric Best Practices Tool (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
    June 02, 2025 - Device Fragment Count • PDI 05 Iatrogenic Pneumothorax Rate • PDI 06 RACHS-1 Pediatric Heart Surgery Mortality … Rate • PDI 08 Perioperative Hemorrhage or Hematoma Rate • PDI 09 Postoperative Respiratory Failure … listed below, along with a rationale for why best practices were not developed: • NQI 02 Neonatal Mortality … Rate: This PDI relates to the death rate for a number of ICD- 9i codes.

66. Dataspotlight-Infantmortality (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-infantmortality.pdf
    October 25, 2018 - DISPARITIES CONTINUE IN INFANT MORTALITY AND LOW BIRTH WEIGHT Did you know? … Low birth weight can be a predictor of developmental delays and mortality among infants.1 Infant mortality … Data Table: Infant mortality per 1,000 live births, birth weight less than 1,500 grams, Overall and by … ◆ HRSA’s Health Start Program, which targets communities with infant mortality rates at least 1½ … This program also aims to reduce other negative outcomes, such as maternal mortality.

67. An Assessment of Sepsis in the United States and Its Burden on Hospital Care | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/sepsis/index.html
    September 01, 2024 - Quality (AHRQ) to "conduct a comprehensive set of studies that calculate the morbidity, readmission, and mortality … hospital system, including: National trends in sepsis-related hospital utilization, aggregate in-hospital mortality … Trends in sepsis-related hospital utilization, morbidity, and in-hospital mortality for key subgroups … hospitals in the United States, the report examines trends in utilization, hospital costs, and in-hospital mortality

68. Q-METRIC Sickle Cell Disease Measure 1, Table 3 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-132-scd-section-5-table-3.pdf
    October 01, 2013 - The authors found that the mortality rate for patients diagnosed with SCD as a newborn was 1.8% compared … with an 8% mortality rate among those diagnosed after 3 months of age. … The lower mortality rate is attributed to early diagnosis and treatment of complications, which result … Newborn screening for sickle cell disease: effect on mortality. … October 2013             markedly reduces morbidity and mortality

69. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 02, 2025 - 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

70. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4e_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Why focus on pediatric heart surgery mortality? … rates. … http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates- procedure.html. … National_Voluntary_Consensus_Standards_for_Pediatric_Cardiac_Surgery__A_Consensus_Report.aspx http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates-procedure.html … http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates-procedure.html http

71. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
    May 16, 2016 - Why focus on pediatric heart surgery mortality? … rates. … http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates- procedure.html. … National_Voluntary_Consensus_Standards_for_Pediatric_Cardiac_Surgery__A_Consensus_Report.aspx http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates-procedure.html … http://www.chop.edu/service/cardiac-center/cardiac-outcomes/volumes-mortality-rates-procedure.html http

72. Preface | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp1.html
    January 01, 2013 - Outcomes Adult Non-ICUs Pediatric Units Infections Avoided, Excess Costs Averted, and Changes in Mortality … Rate Moderating Factors HSOPS Team Checkup Tool Readiness Assessment Appendix A. … rate. … The section "Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate," analyzes the change … In addition, assumptions used in calculating excess costs averted and changes in mortality can be found

73. Final Progress Report: Changes in Hospital Care Organization and Outcomes (pdf file)
    www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
    January 01, 2024 - rates over time. … rates. … rates that included deaths outside the hospital could be calculated. … rates improved significantly over time. … Among patients who had experienced an acute myocardial infarction (AMI), mortality rates increased slightly

74. Factors that Impact Perinatal Care Experience and Outcomes: Slide Presentation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
    March 06, 2025 - our training and values may influence our interpretations of RMC + patient care. 10 Maternal Mortality … and natality data files, “Maternal Mortality Rates in the United States, 2022.” … Maternal Mortality Crisis: An International Comparison (Commonwealth Fund, June 2024). https://doi.org … /10.26099/cthn-st75 11 http://www.cdc.gov/nchs/data/hestat/maternal-mortality/2022/maternal-mortality-rates … gold standard or no tool to measure RMC; Usual care/routine maternity care; Outcomes • Maternal mortality

75. Chartbook on Hispanic Health Care: Slide Presentation—Part 2 | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
    May 01, 2018 - Groups With Disparities: Death rates were lower among Hispanics compared with Whites and were not … Groups With Disparities: Hispanics and Whites had similar death rates when hospitalized for: … Hispanics had lower death rates than Whites when hospitalized for congestive heart failure and there … Trends: From 2001 to 2012, the risk-adjusted inpatient mortality rate for hospital admissions with heart … The birth weight and hence infant mortality rates of U.S.

76. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
    January 01, 2016 - The mortality rate of patients identified with the hospital-level PSI combined with the readmitted … patients is 29.9 percent lower then the mortality rate of the hospital- level PSI patients alone. … Mortality rates and morbidity for Infection Due to Medical Care patients, patients readmitted within … The addition of the readmitted patients to the PSI decreases the mortality rate by nearly 30 percent … Mortality rates and morbidity for Infection Due to Medical Care patients, patients readmitted within

77. Central Line-Associated Bloodstream Infections (CLABSI) | Agency for Healthcare Research and Quality
    www.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

78. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
    October 27, 2014 - mortality and costs. … As shown in Exhibit 1 we estimate that pressure ulcers are associated with an excess mortality rate … of 72 deaths per 1,000 and excess costs of $17,000/case, and adverse drug events (ADEs) with an excess … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure

79. Close-Out Report: Improving Resuscitation Team Response to Inpatient Critical Events by Simulation (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/pliego-report.pdf
    January 01, 2024 - Our ultimate aim is to decrease mortality rates in non-expectant (non-Do Not Resuscitate), non-intensive … rates and critical team process and outcome measures. … We acquired data for the patient safety baseline inpatient mortality rates in non-expectant, non-ICU … ° This study heightens the importance of RRTs and their impact on hospital mortality rates and … rates.

80. Nutritional Research Series - Volume 4: Effects of Eicosapentanoic Acid and Docosahexanoic Acid on Mortality Across Diverse Settings: Systematic Review and Meta-Analysis of Randomized Trials and Prospective Cohorts (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp4.pdf
    February 01, 2012 - , namely cardiac, cardiovascular, or all- cause mortality. … Results of subgroup and sensitivity analyses in randomized trials All-cause mortality Cardiac mortality … Higher intakes of EPA and DHA were not related with mortality. … Depression and cardiovascular mortality: a role for n-3 fatty acids? … Soy and fish oil intake and mortality in a Japanese community.