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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
December 01, 2017 - Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transit…
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cds.ahrq.gov/sites/default/files/cds/artifact/476/Pain%20Management%20Summary%20Clincial%20Decision%20Support%20Toolkit_for%20Repository_0.xlsx
January 01, 2003 - of the following:
These pull from the active problem list:
• Depression
• Anxiety
• Sleep-disordered breathing … contains qualifying opioid medication (active)
Problem List: Anxiety (active) and Sleep-disordered breathing … of the following:
These pull from the active problem list:
• Depression
• Anxiety
• Sleep-disordered breathing … of the following:
These pull from the active problem list:
• Depression
• Anxiety
• Sleep-disordered breathing … of the following:
These pull from the active problem list:
• Depression
• Anxiety
• Sleep-disordered breathing
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017244-thomas-final-report-2010.pdf
January 01, 2010 - VA Health
Care: Physician Peer Review Identifies Quality of
Care Problems but Actions to Address Them
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - SPOTLIGHT CASE
All in the History
Citation Text:
Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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hcup-us.ahrq.gov/reports/statbriefs/sb53.pdf
June 01, 2008 - disparities and achieve high quality care for all patients is
identifying which types of patient safety problems … relative rates for minority groups compared to whites of medical and other surgical
complications and problems … PSIs screen for problems that patients experience as a result of exposure to the
healthcare system and … 10: Postoperative physiologic and metabolic derangement − How often hospital patients
experienced problems … or kidney failure (if they did not
have previous kidney trouble) after having an operation (these problems
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www.ahrq.gov/hai/tools/mvp/modules/sustainability/communication-strategies-fac-guide.html
February 01, 2017 - For instance, focus on specific tasks of performing spontaneous breathing trials rather than general … Ask:
Since we know spontaneous awakening and breathing trials are proven to reduce time on mechanical
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - The following morning, her breathing was labored and rapid at 50-60 breaths a minute. … tachypneic at 60-80 breaths per minute, hypoxic with oxygen saturation in the high 80% range, grunting while breathing
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - SPOTLIGHT CASE
"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety
Citation Text:
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - The Case A 19-month-old boy was found unresponsive and not breathing by a parent; 911 was called and … An earlier review highlighted practical problems associated with correct performance of double checking
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www.ahrq.gov/news/blog/ahrqviews/long-covid.html
March 01, 2023 - Symptoms vary widely, including fatigue and fever, chest pains, trouble breathing, neurologic symptoms
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/communication-strategies-guide.docx
January 01, 2017 - For instance, focus on specific tasks of performing spontaneous breathing trials rather than general … ASK:
Since we know spontaneous awakening and breathing trials are proven to reduce time on mechanical
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Radiograph Interpretation Error
(8)
Discontinuities, Gaps, and Hand-Off Problems … She heard the conversation among the surgical team members and felt that the breathing tube was pushed
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/introduction-medication-assisted-treatment
February 01, 2025 - );
Difficulty reducing use;
Risky use behaviors;
Failure to fulfill obligations; and
Social problems … Therefore, it results in less euphoria or breathing problems.
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors . … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors .
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - years, English-speaking children were less likely than children speaking other
languages to have problems … group, disparities in quality of care are similar to disparities in access to care,
although access problems … are more common than quality problems. … Report
Improved Medication Management Among Home Health Patients
Importance: Patients who have problems
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www.ahrq.gov/sites/default/files/publications/files/bloodclots.pdf
May 01, 2009 - A blood clot may have gone to your lungs if you suddenly have:
■ A hard time breathing.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - "One of most common leadership mistakes is expecting technical solutions to solve adaptive problems…. … This includes pairing spontaneous breathing trials with spontaneous awakening trials, using non-invasive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docx
January 01, 2017 - “One of most common leadership mistakes is expecting technical solutions to solve adaptive problems…. … This includes pairing spontaneous breathing trials with spontaneous awakening trials, using non-invasive
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - all years, English-speaking children were less likely than children speaking other languages to have problems … group, disparities in quality of care are similar to disparities in access to care, although access problems … are more common than quality problems. … Note:
Importance: Patients who have problems taking their medications as prescribed are at risk
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Slide 29
Prevention: Children's Vision Screening
Vision checks for children may detect problems … health care is not available in the community. 30
Some ED use for mental health and substance abuse problems … Basic activity limitations include problems with mobility, self-care, domestic life, or activities that … Many patients with heart or lung problems experience difficulty breathing and may tire easily or be unable