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www.ahrq.gov/funding/grantee-profiles/grtprofile-mahler.html
June 01, 2024 - Maximizing Safety, Value, and Patient Preferences for Treating Chest Pain
Simon A. … Traditionally, when patients come to an emergency department (ED) with chest pain, the hospital’s usual … He joined a team at Wake Forest that tested a Dutch system for scoring patients in the ED with chest … into an accelerated diagnostic protocol at Wake Forest to identify low-risk ED patients with acute chest … allowed the Wake Forest hospital to reduce its admission rate for patients presenting at the ED with chest
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-handout-spanish.docx
September 01, 2022 - Acute Bronchitis (Chest Cold) – Patient and Family Member Handout (Spanish)
Bronquitis aguda (Resfriado
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-handout-english.docx
September 01, 2022 - Acute Bronchitis (Chest Cold) – Patient and Family Member Handout (English)
Acute Bronchitis (Chest
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www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
January 01, 2024 - The morbidity is significant, including improperly placed chest
tubes, repeated pneumothorax after chest … another chest tube. … In two patients after removal of the chest tube, air re-
accumulated, requiring repeat chest tube placement … Chest Tube Insertion Video. … Chest
Tube Insertion; 3) A clip from the TV show “ER” showing a chest tube insertion.
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www.ahrq.gov/sites/default/files/2024-11/mader-poronsky-report.pdf
January 01, 2024 - Final Progress Report: Valuation of a Simple Tool for Chest Pain Patient Risk-Stratification in North … Valuation of a simple tool for chest pain patient risk-stratification in North America
Principal Investigator … clinical trial to determine the value of the HEART score in
discriminating low- from moderate-risk chest … Key Words: HEART score, Cardiac Chest Pain, Emergency Department, Risk stratification,
Decision Aids … Valuation of a simple tool for chest pain patient risk-stratification in North America
2.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dxpages.pdf
June 02, 2025 - Examples of Diagnosis Pages
2
3
4
5
6
Noncardiac Chest … Pain
Noncardiac chest pain is pain that is not caused by a heart problem. … If your chest pain gets different or
worse, call your doctor. … Pneumonia
Chronic Obstructive Pulmonary Disease
Acute Myocardial Infarction
Diarrhea
Noncardiac Chest
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Chest 2001;119(2):590-
602.
• Henry M, Arnold T, Harvey J. … Thorax 2003;58 Suppl 2:ii39-ii52
Policies/Protocols
• University of Iowa Children’s Hospital - Technique … Chest
2009;135:1315-20.
8. Mayo P, Beaulieu Y, Doelken P., et al. … Chest 2009;135:1050-60.
9. Barnes TW, Morgenthaler TI, Olson EJ, et al. … Chest
2003;123:418-23.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4r_combo_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Chest 2001;119(2):590-
602.
• Henry M, Arnold T, Harvey J. … Thorax 2003;58 Suppl 2:ii39-ii52
Policies/Protocols
• University of Iowa Children’s Hospital - Technique … Chest
2009;135:1315-20.
8. Mayo P, Beaulieu Y, Doelken P., et al. … Chest 2009;135:1050-60.
9. Barnes TW, Morgenthaler TI, Olson EJ, et al. … Chest
2003;123:418-23.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/hrccdocumentationhandout_0.pdf
June 02, 2025 - Reports
High-Risk Change in Condition and Documentation Elements
Documentation Element
CHF/Chest … SOB at rest; unable to lie flat
1
3 SOB: Labored breathing 1
4 Wheezing and chest … tightness at rest 1
5 Inability to sleep without sitting up 1
6 Chest pain: … New or unrelieved 1
7 Chest pain: With inspiration or
coughing
1
8 Cough: … focus or
withdrawn or distracted or not attending
activities
1
Documentation Element
CHF/Chest
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-one-pager.pdf
September 01, 2022 - bronchitis can be distinguished from pneumonia by the absence of fever or shortness of
breath and a chest … ‒ If vital signs and chest exam are normal, the probability of pneumonia is low and a chest x ray … Patients should be instructed to recontact the clinic if they develop fever, shortness of breath, or
chest … Acute
Cough Due to Acute Bronchitis in
Immunocompetent Adult Outpatients:
CHEST Expert Panel Report … Chest. 2020
Feb 21;S0012-3692(20)30329-9. PMID:
32092323.
2. Smith SM, Schroeder K, Fahey T.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4c_combo_psi06-pneumothorax-bestpractices.pdf
May 20, 2016 - Chest. February
2001;119(2):590-602
• Henry M, Arnold T, Harvey J. … Thorax 2003;58 Suppl 2:ii39-ii52
Tools
• AHRQ Innovations Quality Tool: Problems and Prevention: Chest … Chest
2009;135:1315-20.
8. Mayo P, Beaulieu Y, Doelken P., et al. … Chest
1994;105:1147-50.
14. Sadeghi B, Baron R, Zrelak P, et al. … Chest
2003;123:418-23.
http://qualitynet.org/dcs/ContentServer?
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www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
January 01, 2025 - Patients
diagnosed without chest imaging presented similarly to matched cough/bronchitis
patients. … Basic laboratory tests, chest x-rays, and initial
administration of antibiotics are available. … Participants
Patients seeking care for acute cough, shortness of breath, chest pain, and fever who … , HR ≥ 100, room air
SpO2 <92%, temperature ≥37.8C (100F), or rales on chest exam. … is prescribed for patients coded as pneumonia
without a chest x-ray or if the chest x-ray is negative
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
June 01, 2021 - Often, a chest x ray will help to distinguish the two. … Obtain a complete blood count or CBC and chest x ray to evaluate for pneumonia, or
3. … requirement, Jonas gets a chest x ray and CBC. … home residents, chest x rays are frequently abnormal. … The chest x rays shown here are from the same resident, taken 2 weeks apart.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dxpages.docx
June 02, 2025 - Examples of Diagnosis Pages
Noncardiac Chest Pain
Noncardiac chest pain is pain that is not … caused by a heart problem.
· If your chest pain gets different or worse, call your doctor.
· Take your
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-slides.pptx
June 01, 2021 - The diagnosis is made, in part, using a chest x ray.
‹#›
Assessment of RTI
3
Upper or Lower … Send a urinalysis and a urine culture, and obtain a chest x ray.
4. … Ask for a set of vitals and assess Jonas
Obtain a CBC and chest x ray to evaluate for pneumonia
Start … x ray and CBC:
Normal WBC
The chest x ray does not show any acute changes to suggest pneumonia
What … Acute bronchitis
Influenza
Pneumonia
Common cold
‹#›
Assessment of RTI
13
Chest X Rays in Older
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
January 01, 2018 - Diagnostic testing
including labwork and
chest x-ray. Diagnosis
CAP?
Pursue other
diagnoses. … Based on
clinical assessment + results
of chest x-ray.
Admit to general
medical ward or ICU. … Diagnostic testing including
labwork and chest x-ray.
Diagnosis CAP?
Pursue other
diagnoses. … Based on
clinical assessment + results
of chest x-ray.
Admit to general
medical ward or ICU. … Diagnostic testing including
labwork and chest x-ray.
Diagnosis CAP?
Pursue other
diagnoses.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Chest 1995;108:312S-334S.
Kearon C, Akl EA, Comerota AJ, et al. … Chest 1998;114S:280S.
Dobesh PP, Stacy ZA. … Chest 2012 Feb;141(2 suppl):7S-47S.
Maynard G, Stein J. … Chest 2012;141:632-41.
Gallagher M, Oliver K, Hurwitz M. … Chest 2013;online first doi:10:1378/chest.13-0267.
Bateman AG, Sheaff R, Child S, et al.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Chest 1995;108:312S-334S.
Kearon C, Akl EA, Comerota AJ, et al. … Chest 1998;114S:280S.
Dobesh PP, Stacy ZA. … Chest 2012 Feb;141(2 suppl):7S-47S.
Maynard G, Stein J. … Chest 2012;141:632-41.
Gallagher M, Oliver K, Hurwitz M. … Chest 2013;online first doi:10:1378/chest.13-0267.
Bateman AG, Sheaff R, Child S, et al.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/cap-guide.docx
September 01, 2022 - Other associated symptoms include fatigue or chest pain. … Slide 7
Moment 2: Chest X Ray
SAY:
In both adults and children in the ambulatory setting who have … Chest x rays, including posteroanterior and lateral views, also should be obtained for patients with … A chest x ray should be obtained to assess for infiltrate and antibiotics should be considered. … Because he is likely to have pneumonia, a chest x ray is not needed.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/bronchitis-guide.docx
September 01, 2022 - that he has pneumonia because the cough has been going on for so long and asks if he should have a chest … The patient described in the case queried whether he needed a chest x ray. … Therefore, a chest x ray is unnecessary. … exam, a chest x ray may be warranted. … should be instructed to return to or call the clinic if they develop fever, shortness of breath or chest