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61. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
    www.innovations.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

62. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.innovations.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

63. Problems With Electronic Health Records Linked to Nurse Dissatisfaction, Poor Patient Care | Agency for Healthcare Research and Quality
    www.innovations.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

64. Improving Communication and Teamwork in the Surgical Environment
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
    May 01, 2017 - A surgical safety checklist to reduce morbidity and mortality in a global population.  … Association between implementation of a medical team training program and surgical mortality.  … Effects of the Introduction of the WHO “Surgical Safety Checklist” on In-Hospital Mortality. … A surgical safety checklist to reduce morbidity and mortality in a global population.  … Effects of the Introduction of the WHO “Surgical Safety Checklist” on In-Hospital Mortality.

65. CAHPS Bibliography | Agency for Healthcare Research and Quality
    www.innovations.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

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

67. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: AC-4 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-AC-4.pdf
    December 16, 2010 - University CEBM Levels of Evidence) Oxford CEBM = 2 (Cohort Studies – CLABSI associated with increased mortality

68. 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
    www.innovations.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.

69. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    www.innovations.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

70. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-38 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-38.pdf
    December 17, 2010 - vaginal delivery, infants delivered via elective cesarean delivery had significantly higher rates of mortality

71. Systemic and Public Policy Changes Needed To Improve Care for Patients With Psychiatric Conditions and Substance Use Disorders | Agency for Healthcare Research and Quality
    www.innovations.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

72. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - Appendix 3 shows the details of the HAC reductions, cost savings, and inpatient mortality reductions … In 2017, AHRQ released a special report on costs and inpatient mortality due to HACs.5 Appendix 5 … from which this table is excerpted is available on the AHRQ website.5 The cost and mortality for “all … estimates used to calculate projections based on 2010–2014 data NORC (2017) Additional Cost per HAC Excess … Estimates for HAC Costs and Mortality Blank Page

73. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    www.innovations.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

74. Agency for Healthcare Research and Quality
    www.innovations.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

75. Individualized Plans of Care to Improve Outcomes Among Children and Adults With Chronic Illness: A Systematic Review (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Lion-Mangione-Britto.pdf
    October 01, 2011 - There was substan- tial attrition (62% by 9 months) because of higher than anticipated mortality and … Intervention group mortality was lower during Year 1, but not Year 2. … For patients with diabetes, mortality and hospitalizations were lower during both years. … Mortality: No difference between groups. … Mortality: Intervention group mortality was lower during Year 1 (OR 5 0.68, p 5 .01) but not Year 2

76. APIC HAI Cost Calculator | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/apic-cost-calculator.html
    April 01, 2022 - Tools were designed to help users assess the impact of their facility’s HAIs on multiple metrics: cost, mortality

77. Timely Blood Culture for Children With Sepsis Syndrome (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
    February 01, 2018 - While mortality rates for pediatric sepsis have decreased over time, 4-10 percent of hospitalized children … Mortality is strongly associated with multiple organ dysfunction syndrome, occurring in 7 percent of … Comorbid illness is also associated with mortality from sepsis, with mortality rates of 8 percent in … There also are reports of age-specific differences in mortality from pediatric sepsis. … Higher mortality rates from sepsis among children over the age of 2 years may be attributable to the

78. Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-fullreport.pdf
    November 01, 2017 - Two recent studies have demonstrated significantly lower mortality rates associated with early EN in … Unadjusted mortality was 5.3 percent. EEN was achieved by 27.1 percent of patients. … The investigators concluded that EEN is strongly associated with lower mortality in patients with PICU … Does admission weight influence mortality and morbidity in the pediatric intensive care unit (PICU)? … Early enteral nutrition is associated with lower mortality in critically ill children.

79. Measure: Thermal Condition of Low Birth Weight Neonates Admitted to Level 2 or Higher Nurseries in the First 24 Hours of Life (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-1416-p006-2-ef.pdf
    December 01, 2015 - ● A core body temperature increase from 34.0 to 37.0⁰ C is associated with a relative decrease in mortality … of 98 percent and an absolute decrease in mortality of 7.2 percent

80. MEASURE SUMMARY (CHIPRA Core Set Candidate Measures) - Control #: PHP-6 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/measures-PHP-6.pdf
    December 14, 2010 - MCV4 has the potential to prevent morbidity and mortality among vaccinated adolescents as well as create