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61. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - (AMI) Mortality Rate, Without Transfer Cases] o Heart Failure 30-Day Mortality Rate [similar to IQI … Rate] o Acute Ischemic Stroke 30-Day Mortality Rate [similar to IQI 17 Acute Stroke Mortality Rate … 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

62. Exhibit 4.14. UTI Team Problem Statement | Agency for Healthcare Research and Quality
    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-14.html
    November 01, 2014 - environment and care processes contribute to the occurrence of UTIs and may cause them to arise at a rate … The hospital is committed to reducing the occurrence of UTIs to a rate that is at or below the national

63. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
    www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
    January 01, 2024 - The fall rate per 1000 patient-days 2. The injurious fall rate per 1000 patient-days 3. … The two primary dependent variables were the fall rate and the injurious fall rate. … Incident reports/fall incident report database The fall rate was defined as the rate at which … incident report database The injurious fall rate was defined as the fall rate/1000 inpatient-days … a lower injurious fall rate.

64. Section 2, Technical Specifications (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-tech-specs.pdf
    June 02, 2025 - Section 2, Technical Specifications 1 Sepsis Measure 6: Documentation of Heart Rate during … proportion of hospitalized children with severe sepsis or septic shock who had documentation of heart rate … • Tachycardia, defined as a mean heart rate > 2 SD above normal for age in the absence of external … , respiration rate, or leukocyte count are for the 95th percentile) Age Group Tachycardia (Heart rate … : Beats/min) Bradycardia (Heart rate: Beats/min) Tachypnea (Respiratory rate: Breaths/min)

65. Outcome and Process Measures | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim4a.html
    July 01, 2013 - Rates were examined as: overall CAUTI rate and CAUTI rate by cohort, ICU status, and bed size. … Rates examined were overall population CAUTI rate and population CAUTI rate by cohort, ICU status, and … CAUTI Rate During Baseline (BL) and Post-Baseline (P) Collection Periods – Population CAUTI Rate – (CAUTIs … CAUTI Rate During Baseline (BL) and Post-Baseline (P) Collection Periods – Population CAUTI Rate – By … CAUTI Rate During Baseline (BL) and Post-Baseline (P) Collection Periods – Population CAUTI Rate – By

66. Data Measures Guide (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/datameasures-guide.pdf
    January 01, 2017 - VAE Incidence Rate Definitions RATE FACTOR DETAILED DESCRIPTION PEEP Compliance Rate (≥5 cm H2O) … Total IVAC Rate Definitions* (*note: Total IVAC Rate is the NHSN-reported IVAC rate) RATE FACTOR … PVAP Rate Definitions RATE FACTOR DETAILED DESCRIPTION IVAC Rate Numerator Total number of IVAC events … VAE Incidence Rate Definitions Table 13. VAC Rate Definitions Table 14. … Total IVAC Rate Definitions* Table 15. IVAC Rate Definitions Table 16.

67. PDI RATES GENERATED BY THE AHRQ WINDOWS QI SOFTWARE (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
    March 01, 2016 - rate, risk-adjusted rate, and smoothed rate for the PDIs without any stratification. … The rate refers to the observed rate. Pop. … (population) rate refers to the population rate that is used for risk adjustment. … Rate Pop. … Expected Rate O-E Ratio Reference Pop Rate Risk- Adjusted Rate Smoothed Rate NQI #3 Neonatal

68. Debrief Example - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
    May 01, 2017 - < insert specific role identified > Collection period: 1 week to establish baseline completion rate … Slide 9: Data Comparison Image: example chart of debrief completion rate. … goal: 100% Observed debrief completion rate: 52% Current performance: Below goal by 48% Slide … Slide 17: Data Comparison Debrief completion rate goal: 100% Observed debrief completion rate: … Slide 22: Data Comparison Debrief completion rate goal: 100% Observed debrief completion rate:

69. Measurement | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/guides/implguide-pt4.html
    October 01, 2015 - If a unit’s CAUTI rate suddenly spikes, an investigation of causes is required when thresholds have been … By continued assessment of process measures and outcome measures, such as CAUTI rate, the effectiveness … Collect a daily prevalence rate by dividing the number of catheterized patients on your unit by the total … , the team will be able to use NHSN data for benchmarking purposes. 34 Comparing your unit’s CAUTI rate … CAUTI rate is one way to measure the outcomes of the care of patients’ urinary needs on your unit.

70. The Pediatric Toolkit for Using the AHRQ Pediatric Quality Indicators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pdf
    June 02, 2025 - 12 Pe rc en t D iff er en ce in R at es Pediatric Quality Indicators National Average Rate … the PDIs, we have decided to focus on the following indicators: – Neonatal Blood Stream Infection Rate … 0.05 0.06 Pe r 1 ,0 00 C as es Examining Observed Rates of Neonatal Blood Stream Infection Rate … 0.05 0.06 Pe r 1 ,0 00 C as es Comparing Observed Rates of Neonatal Blood Stream Infection Rate … (NQI 3) to National Average Rates Risk- Risk- Confi Risk- Confi Natio Adjusted Rate Adjusted (

71. C1 Prioritization Matrix (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    June 02, 2025 - Worksheet Example Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange Own Rate … and National Benchmark Estimate Annual Cost and Cost To Implement Rate Strategic Alignment and … Regulatory Mandates Rate … Effort Ability To Monitor Progress C D E F G H I J K L M N O P Q R List of PSIs/IQIs/PDIs Own Rate … 0 $140,507 $ - 0 N 7 7 7 Y Y Y Y Y PDI 10 Postoperative Sepsis Rate 0.0 16.2 0 $117,815 $ -

72. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
    January 01, 2022 - cohort had the lowest AE rate (3.3%). … , which resulted in a rate of 73.8 AE per 1,000 discharges. … cohort had the lowest AE rate (3.2%). … (Negative numbers in the “Change” row mean the 2022 rate is lower than the 2021 rate.) … Death Rate 2021 and 2022 Cohort 2021 Death Rate (%) 95% CI 2022 Death Rate (%) 95% CI Change

73. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
    January 01, 2022 - cohort had the lowest AE rate (3.3%). … , which resulted in a rate of 73.8 AE per 1,000 discharges. … cohort had the lowest AE rate (3.2%). … (Negative numbers in the “Change” row mean the 2022 rate is lower than the 2021 rate.) … Death Rate 2021 and 2022 Cohort 2021 Death Rate (%) 95% CI 2022 Death Rate (%) 95% CI Change

74. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
    January 01, 2022 - cohort had the lowest AE rate (3.3%). … , which resulted in a rate of 73.8 AE per 1,000 discharges. … cohort had the lowest AE rate (3.2%). … (Negative numbers in the “Change” row mean the 2022 rate is lower than the 2021 rate.) … Death Rate 2021 and 2022 Cohort 2021 Death Rate (%) 95% CI 2022 Death Rate (%) 95% CI Change

75. Fact Sheet on Inpatient Quality Indicators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
    October 01, 2015 - Rate 35.90 0359 2012 IQI 12 CABG Mortality Rate 25.20 IQI 13 Craniotomy Mortality Rate 58.77 … IQI 14 Hip Replacement Mortality Rate 0.66 IQI 30 PCI Mortality Rate (not used in public reporting … 56.49 0730 2011 IQI 32 AMI Mortality Rate, without transfer cases 58.69 IQI 16 Heart Failure (CHF … ) Mortality Rate 30.68 0358 2012 IQI 17 Acute Stroke Mortality Rate 82.53 0467 2012 IQI 18 Gastrointestinal … Hemorrhage Mortality Rate 22.31 2065 2013 IQI 19 Hip Fracture Mortality Rate 25.30 0354 2008 IQI 20

76. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
    January 01, 2024 - Table 1: UMMMC Rapid Response System Triggers Heart rate <40 Heart rate >120 Systolic BP <90 Chest pain … areas Rate of cardiac arrests that occur anywhere in the hospital Rate of cardiac arrests … in the ICU Rate of code calls received by telecommunications that originate from the floors Rate … consistently had a lower rate of return than the NPs and PAs. … This could impact the rate of cardiac arrests on the floors.

77. 2019 National Healthcare Quality and Disparities Report Quality Trends (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
    January 01, 2019 - Sub-Area Measure Title (Data Source) Baseline Rate and Year Current Rate and Year AAPC* P Value … Sub-Area Measure Title (Data Source) Baseline Rate and Year Current Rate and Year AAPC P Value … Sub-Area Measure Title (Data Source) Baseline Rate and Year Current Rate and Year AAPC P Value … Sub-Area Measure Title (Data Source) Baseline Rate and Year Current Rate and Year AAPC P Value … Sub-Area Measure Title (Data Source) Baseline Rate and Year Current Rate and Year AAPC P-value

78. Section 1, Tables 1-4 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-1-tables-1-4.pdf
    June 02, 2025 - • Tachycardia, defined as a mean heart rate > 2 SD above normal for age in the absence of external … elevation over a 0.5-to 4-hr time period OR for children <1 yr old: bradycardia, defined as a mean heart rate … • Mean respiratory rate > 2 SD above normal for age or mechanical ventilation for an acute process … : Beats/Min) Bradycardia (Heart Rate: Beats/Min) Tachypnea (Respiratory Rate: Breaths/Min) … , respiration rate, or leukocyte count are for the 95th percentile.

79. Fact Sheet on Patient Safety Indicators (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
    October 01, 2015 - (DRGs) 0.32 0347 2012 PSI 03 Pressure Ulcer Rate 0.50 PSI 04 Death Rate Among Surgical Inpatients … 08 Postoperative Hip Fracture Rate 0.04 PSI 09 Perioperative Hemorrhage or Hematoma Rate X … Rate 4.99 0450 2012 PSI 13 Postoperative Sepsis Rate 9.61 PSI 14 Postoperative Wound Dehiscence … Rate X 1.86 PSI 15 Accidental Puncture or Laceration Rate X 1.89 0345 2012 PSI 16 Transfusion … Trauma Rate – vaginal delivery with instrument 133.19 PSI 19 Obstetric Trauma Rate – vaginal

80. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - HACs HAC Rate Total 2017 Total 2017 HAC Rate Normalized Normalized Normalized Normalized HACs HAC Rate … HACs HAC Rate Total 2017 Total 2017 HAC Rate Normalized Normalized Normalized Normalized HACs HAC Rate … HACs HAC Rate Total 2017 Total 2017 HAC Rate Normalized Normalized Normalized Normalized HACs HAC Rate … HACs HAC Rate Total 2017 Total 2017 HAC Rate Normalized Normalized Normalized Normalized HACs HAC Rate … rate was reduced from 90 to 88.