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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - checklist, the need for a handoff communication tool, and the need to monitor low-volume, high-risk complications … Negative effects can be physical or emotional, and they may include infections, drug reactions, or other complications
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-abnormalities-tests-update_disposition-comments.pdf
February 13, 2012 - The risk of complications from needle
biopsies is very low, based on AHRQ's own report. … We agree that the risk of
complications from needle biopsies is low, although not zero.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/tonsillectomy-disposition-170415.pdf
January 17, 2017 - was no attention to health delivery interventions
to optimize postoperative care and prevention of
complications … for non-bleeding complications (e.g. … that our
KQ did not specifically address health delivery
interventions to optimize care and prevent
complications … However, one major omission is that the
post-operative complications reviewed were limited to
hemorrhage
-
digital.ahrq.gov/sites/default/files/docs/citation/QualityOralHealthCareMedicaid.pdf
January 01, 2016 - including contiguous ear, sinus, neck, and intracranial infections as well as distant inflammatory
complications … clinical guidelines on what changes in dental
care are needed for that patient in order to reduce
complications … including contiguous ear, sinus, neck, and intracranial infections as well as
distant inflammatory complications … decisions.38 Automated alerts generated
by oral EHRs have the potential to remind dentists about medical complications … diseases that start in the mouth, as well as for conditions such as diabetes where
oral disease can cause complications
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hcup-us.ahrq.gov/HCUP_Overview/HCUP_Overview/index508.jsp
October 01, 2022 - NIS
KID
James would like to identify differences in hospitalization rates of children with complications … You could even use it in combination with the SID to examine complications of ambulatory surgeries that … SID and SEDD
SID and SASD
SEDD and SASD
Joe would like to identify serious complications resulting … Patient Safety Indicators (PSIs) focus on potentially avoidable complications and adverse events. … James would like to identify differences in hospitalization rates of children with complications of diabetes
-
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…
-
digital.ahrq.gov/sites/default/files/docs/care-transitions-qas-092619.pdf
September 26, 2019 - AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Q&As
AHRQ National Web Conf…
-
hcup-us.ahrq.gov/reports/statbriefs/sb31.pdf
May 01, 2007 - HCUP Statistical Brief #31: Childbirth-Related Hospitalizations among Adolescent Girls, 2004
HEALTHCARE COST AND
UTILIZATION PROJECT
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-
psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - In Conversation with... Charles Ornstein
October 1, 2009
In Conversation with.. Charles Ornstein . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-charles-ornstein
Editor's note: Charles Ornstein is a senior reporter at ProPublica, a nonprofit news organization in New
York. Formerly with th…
-
psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
January 01, 2022 - Spotlight
Spotlight
Missing a Large Vessel Occlusion Stroke in
a Patient with a History of Seizures
Source and Credits
• This presentation is based on the May 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Kevin Keenan, MD and D…
-
psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Missing a Large Vessel Occlusion Stroke in a Patient with
a History of Seizures.
July 8, 2022
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizure…
-
psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - A Lot of Pain (Medications)
September 1, 2014
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/lot-pain-medications
Case Objectives
Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids.
Describe the importance of understanding th…
-
psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - In Conversation with…Thomas J. Nasca, MD
February 1, 2010
In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
Editor's note: Thomas J. Nasca, MD, is the executive director and chief executive officer of the
Accreditation Council fo…
-
psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - SPOTLIGHT CASE
Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
Citation Text:
Lee J, Fernilius J, Frick W. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
February 01, 2017 - Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change
Say:
This module will cover the Translating Resea…
-
www.ahrq.gov/sites/default/files/2024-11/williams-galimbertti-report.pdf
January 01, 2024 - Final Progress Report: Challenges and Innovations in Evaluation of Quality of Care
AHRQ Grant Final Progress Report
Title of Project: Challenges and Innovations in Evaluation of Quality of Care
Measures Based on Small Counts
“National Conference on Small Numbers”
Principal Investigators and Team Members:
…
-
hcup-us.ahrq.gov/reports/natstats/commdx/table2.pdf
February 11, 2011 - Diabetes mellitus with complications [50] 403,460 100.00 1.16 1.59 6.2 3.6 $11,030 $6,095 … Other complications of birth, puerperium affecting management of 379,223 100.00 1.09 0.03 … Other complications of pregnancy [181] 341,656 100.00 0.98 0.04 2.3 1.4 $4,221 $3,208 … Complications of surgical procedures or medical care [238] 335,365 100.00 0.96 1.63 6.2 3.6 … Hypertension with complications and secondary hypertension [99] 241,745 100.00 0.69 3.46 5.9
-
effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1506.pdf
June 01, 2015 - However, they
warned, lesinurad uptake could be limited by adverse events, such as kidney complications … nausea.24 Some preliminary evidence suggests lesinurad
7
could increase the risk of renal complications … The experts noted that lesinurad
uptake could be limited by adverse events such as kidney complications … However, better gout management could reduce hospitalizations and renal or
cardiovascular complications
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity_hi_impact.pdf
April 17, 2012 - However, some super-morbidly obese patients are ineligible for surgery
because of surgical risks and complications … suggested that a potential shift in infrastructure could
occur if weight loss prevents long-term complications … However, a majority
of experts thought that reducing or eliminating long-term complications from obesity … their excess body weight before bariatric surgery to help reduce surgical
risks and postoperative complications
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/calcineurin-inhibitor_research-protocol.pdf
October 08, 2014 - opportunistic infections
such as cytomegalovirus (CMV), EBV and BK viremia and nephropathy have emerged as
complications … patients
§ Other adverse outcomes (e.g., hyperkalemia, hypomagnesaemia,
hyperuricemia, gastrointestinal complications … post-transplant hypertension
or hyperlipidemia, proteinuria, hematologic side effects, neurologic
complications … KQ3
Adverse events:
• Nephrotoxicity
• New onset diabetes
• Major cardiac events
• Neurologic complications