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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Trask, RN, Kathleen M Carlsen, PA, Brooks T Kuhn, MD
Background
This case exemplifies the multiple problems … The patient in this case experienced cascading problems that ultimately led to clinical decompensation … This commentary will discuss the various components of this case that contributed to the problems that … components: A ssess, prevent, and manage pain; B oth spontaneous awakening trials (SAT) and spontaneous breathing … clinicians’ ability to observe patients, which may cause safety issues. 20 Methods to mitigate these problems
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - Transfer Risk
Age
DNR,DNH, MOLST, or POLST Order in Place
Dehydration
Circulatory Problems …
1
Total Residents
2
4
2
2
2
1
3
3
* Circulatory problems … (SOB): Unrelieved or new SOB at rest; unable to lie flat
1
SOB: Labored breathing … That Result in Observation Stays or ED Visits or Hospital Visits
Total Counts
Asthma
Circulatory Problems
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary29/obstructive-sleep-apnea-in-adults-screening
November 15, 2022 - Increased prevalence of sleep-disordered breathing in adults. … Prevalence of sleep-disordered breathing in women: effects of gender. … Egea CJ, Aizpuru F, Pinto JA, et al; Spanish Group of Sleep Breathing Disorders. … Barbé F, Durán-Cantolla J, Capote F, et al; Spanish Sleep and Breathing Group. … Respiration . 2011;81(5):411-419. doi:10.1159/000319595 121.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.pdf
September 01, 2012 - CALLER: Have any new medical problems come up since you left the hospital? … Have you had any concerns or problems taking this medicine? … you’re having an emergency, for example [give disease-specific examples, e.g.,
chest pain, trouble breathing … He says I’ve
been breathing easier too. … Problems
F. Additional Notes
G.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - He is hypotensive, having trouble breathing, and delirious.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - 67.8 69.3
Percent
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
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/redtoolkitforms.docx
September 01, 2012 - CALLER: Have any new medical problems come up since you left the hospital? … Have you had any concerns or problems taking this medicine? … you’re having an emergency, for example [give disease-specific examples, e.g., chest pain, trouble breathing … He says I’ve been breathing easier too. … CALLER: Have any new medical problems come up since you left the hospital?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
April 02, 2025 - hospital-acquired infections, and procedural
complications
• Many complications can be attributed to problems … to succeed at home • Want to know the name and phone number of the one
person to call if they have problems … patient and family as full partners
• Discuss with the patient and family five key areas
to prevent problems … write down followup appointments and
give the name and contact information of someone to call
if problems
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www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
January 01, 2020 - maintain the ability to walk and perform most
activities independently. eIncreasing muscle weakness and breathing … problems necessitating wheelchair use and ventilator dependence. … maintain the ability to walk and perform most activities independently. cIncreasing muscle weakness and breathing … problems necessitating wheelchair use and ventilator dependence. dSince the focus of this study is on
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hcup-us.ahrq.gov/reports/statbriefs/sb154.jsp
April 01, 2013 - Tracheostomy, temporary and permanent (surgical placement of a hole in the trachea—passage to lung—to assist breathing … 11.5
37
Diagnostic bronchoscopy and biopsy of bronchus (procedure to view and biopsy the breathing … Arthroscopy (procedure to view the inside of a joint through a lighted tube and to diagnose and treat problems … Are you having problems viewing or printing pages on this website?
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/obesity-in-children-and-adolescents-screening-2005
July 12, 2005 - Behavioral counseling interventions
Potential eating problems or weight management behaviors were the … Polysomnography in obese children with a history of sleep-associated breathing disorders. … Sleep-associated breathing disorders in morbidly obese children and adolescents. … Behavior problems of obese children enrolling in a weight reduction program. … tests
Obese children referred for history of sleep disordered breathing
N=32
Ages 2.7-13.8 years
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017270-fricton-final-report-2011.pdf
January 01, 2011 - Baum (2007) recently reviewed the importance of
dentists’ understanding of medical conditions and the problems … in these curricula is focused on how to manage medically compromised patients. 6
This has lead to problems … for dentists in identifying medical problems during routine dental care as well as
modifying their … Meeting the needs of an aging population with more complex health problems will require that
dental … attention similar to
patients with CHF during dental care, including avoiding procedures that can limit breathing
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - I also research some of the pressing problems around patient experience,
patient-centered care, burnout … They intentionally deferred to the expertise of the respiratory therapists in all
things breathing, … failure to think thoroughly enough about
the complex, organizational determinants that condition the problems … ” we have to work on how we are going to marshal tools in a high
reliability-oriented way to solve problems
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Z6Rfj-qwfoMbuLp-hBmhzS
May 01, 2021 - Increased prevalence of
sleep-disordered breathing in adults. … Prevalence of sleep-disordered breathing in
women: effects of gender. … Egea CJ, Aizpuru F, Pinto JA, et al; Spanish
Group of Sleep Breathing Disorders. … Barbé F, Durán-Cantolla J, Capote F, et al;
Spanish Sleep and Breathing Group. … Respiration. 2011;81(5):411-419. doi:10.1159/
000319595
121.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - component
of PVC maintenance is ensuring that the site does not show signs of infection or mechanical
problems … changed
after 96 hours of use (or per hospital policies), or if signs of mechanical or infectious
problems … daily with spontaneous awakening trials, daily assessment of
readiness for extubation, and pairing breathing
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnection Leading to Arterial Thrombosis
Citation Text:
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citation
Format:
Google Scholar Bib…
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Radiograph Interpretation Error
(22)
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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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - Copy and Paste
Citation Text:
Hersh WR. Copy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
April 02, 2025 - Strategy 3: Bedside Shift Report (Tool 3)
Guide to Patient & Family Engagement
Insert hospital logo here
Nurse Bedside
Shift Report Training
[Hospital Name | Presenter name and title | Date of presentation]
Strategy 3: Nurse Bedside Shift Report (Tool 3)
Today’s session
• What is patient and famil…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/6desD2XJCQKF8ZDPMS-NU_
July 01, 2005 - Behavioral counseling interventions
Potential eating problems or weight management behaviors were … Polysomnography in
obese children with a history of sleep-
associated breathing disorders. … Sleep-associated breathing disorders in
morbidly obese children and
adolescents. … Behavior
problems of obese children enrolling in
a weight reduction program. … tests
Obese
children
referred for
history of
sleep
disordered
breathing
N=32
Ages