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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Advancing Patient Safety Through State Reporting
Systems
June 1, 2007
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
Perspective
Seven years ago, the Institute of Medicine (I…
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - So in this setting, we clinicians have EKG [electrocardiogram], pulse oximetry,
blood pressure, and … For example,
as an anesthesiologist, during surgery, even if the patient’s blood pressure had gone down … a little bit, I
wouldn’t yell at the surgeon, “Hey, the blood pressure just went to 90 over 50!”
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/practice-survey-part1-mw.pdf
June 02, 2025 - Percentage of patients aged 18 through 85 years of age who had a diagnosis
of hypertension (HTN) and whose blood … pressure (BP) was adequately
controlled (<140/90) during the measurement year (NQF 0018) … care for ABCS measures (Aspirin or
antiplatelet drugs for patients with ischemic
vascular disease, Blood … pressure control,
Cholesterol management, Smoking cessation).
1 2 3 4 5
41.
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www.ahrq.gov/ncepcr/reports/2025-annual-report/quality-improvement.html
August 01, 2025 - heart health improvement project in 60 primary care clinics throughout Alabama to improve rates of blood … pressure control and screening for smoking status. … support in rural primary care practices to provide evidence-based clinical care recommendations for blood … pressure management in youth.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-254-rural-telehealth-executive-summary.pdf
December 01, 2022 - Improvements in A1c and self-management but no effect on blood
pressure or cholesterol levels in … Improvements in A1c, fasting glucose, and blood pressure in patients
with both hypertension and
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.docx
June 02, 2025 - symptoms to watch out for/things to do for this diagnosis (e.g., weigh self, check blood sugar, check blood … pressure, create peak flow chart).
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdisphone.pdf
June 02, 2025 - symptoms to watch out for/things to do for this diagnosis (e.g., weigh self,
check blood sugar, check blood … pressure, create peak flow chart).
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psnet.ahrq.gov/web-mm/thin-air
March 01, 2006 - SPOTLIGHT CASE
Thin Air
Citation Text:
Gaba DM. Thin Air. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - For example,
in the ICU you have the heart rate and the blood pressure monitors and each one has a fixed … But if your heart rate immediately goes from 60 to 150 and your blood pressure doesn't drop, that cannot
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
August 01, 2025 - incorrect titration
of insulin, and lack of adherence to evidence-based targets for hemoglobin A1c,
blood … pressure, and lipids. … Center
Nashville, Tennessee
R03 HS029218
[Grant]
Evaluating the Association
Between Mean Arterial
Blood … Pressure Through
the First 24 Hours After
Cardiac Surgery and
Postoperative Acute
Kidney Injury
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - The patient's blood pressure began to drop, and transfusions were administered while the team tried to
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Final Data From National Efforts To Make Care Safer, 2010–2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017
January 2019
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2017
Summary
Updated and new patient safety data for 2014 through 2017 conti…
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Antihypertensives or other medications that affect blood pressure or heart rate are often ordered to
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hcup-us.ahrq.gov/db/vars/i10_multinjury/nisnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
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Careers
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hcup-us.ahrq.gov/db/vars/i10_injury/nisnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) NIS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…
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hcup-us.ahrq.gov/db/vars/i10_multinjury/kidnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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Espanol
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hcup-us.ahrq.gov/db/vars/i10_multinjury/nedsnote.jsp
May 10, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
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hcup-us.ahrq.gov/db/vars/i10_injury/nedsnote.jsp
May 10, 2015 - Healthcare Cost and Utilization Project (HCUP) NEDS Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQ…
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hcup-us.ahrq.gov/db/vars/i10_injury/kidnote.jsp
September 10, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…