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psnet.ahrq.gov/periodic-issue/periodic-issue-435
April 10, 2024 - Study
Exploring the causes of COPD misdiagnosis in primary care: a mixed methods … This mixed methods study examined the prevalence and features of patients misdiagnosed with chronic obstructive … pulmonary disease (COPD). … Among 1,458 patients, researchers found that 14% had been misdiagnosed with COPD, primarily due to challenges
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
January 01, 2015 - Top 10 Medicare Dx:
CHF
Sepsis
COPD
Arrythmia
Pneumonia
UTI
Acute renal failure
AMI
Complication of … disorder
Schizophrenia
Diabetes complications
Comp. of pregnancy
Alcohol-related
Early labor
CHF
Sepsis
COPD … Diagnoses:
Mood disorders
Schizophrenia
Diabetes
Chemotherapy
Sickle cell
Alcohol
Sepsis
Heart Failure
COPD
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
January 01, 2015 - Top 10 Medicare Dx:
CHF
Sepsis
COPD
Arrythmia
Pneumonia
UTI
Acute renal failure
AMI
Complication of … disorder
Schizophrenia
Diabetes complications
Comp. of pregnancy
Alcohol-related
Early labor
CHF
Sepsis
COPD … Diagnoses:
Mood disorders
Schizophrenia
Diabetes
Chemotherapy
Sickle cell
Alcohol
Sepsis
Heart Failure
COPD
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www.ahrq.gov/prevention/guidelines/guide/section2a.html
June 01, 2014 - Return to Contents
Chronic Obstructive Pulmonary Disease
Title
Screening for Chronic Obstructive … Pulmonary Disease Using Spirometry
Population
Adult general population
Recommendation
Do not … screen for chronic obstructive pulmonary disease using spirometry
Grade: D
Additional Population … Risk Assessment
Risk factors for COPD include:
Current or past tobacco use. … the Prevention of Pulmonary Illnesses
These services should be offered to patients regardless of COPD
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www.ahrq.gov/research/findings/studies/index.html?page=435
January 01, 2024 - of Care, Women
Shah T , Churpek MM , Coca Perraillon M Understanding why patients with COPD … Readmissions Reduction Program (HRRP) penalizes hospitals for 30-day readmissions and was extended to COPD … risk factors and reasons for readmission in order to guide hospitals in initiating programs to reduce COPD … They found that patients discharged home without home care were more likely to be readmitted for COPD … Understanding why patients with COPD get readmitted: a large national study to delineate the Medicare
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/carecoordination/qdr2015-chartbook-carecoordination.pdf
June 16, 2016 - AMI Pneumonia Stroke
Key: COPD = chronic obstructive pulmonary disease; AMI = acute myocardial infarction … = chronic obstructive pulmonary disease. … = chronic obstructive pulmonary disease. … = chronic obstructive pulmonary disease. … = chronic obstructive pulmonary disease.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
September 11, 2017 - Rule out congestive heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD … Angina
Asthma
Atrial fibrillation
Acute MI
Cellulitis
CHF
Circulatory problems
COPD
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - |___| Rule out deep vein thrombosis
Respiratory
|___| Abnormalities of breathing
|___| COPD … fibrillation
|___| Acute MI
|___| Cellulitis
|___| CHF
|___| Circulatory problems
|___| COPD
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Hypotension
Rule out congestive heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD … Example: A resident with an ED visit within 90 days of report date and a high-risk diagnosis of COPD … Urinary Tract Infection Sepsis or Fever or Infection Skin Ulcers or Cellulitis Dehydration or
Metabolic Chronic … Obstructive Pulmonary Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis … Angina
Asthma
Atrial Fibrillation
Acute MI
Cellulitis
CHF
Circulatory Problems
COPD
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Hypotension
Rule out congestive heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD … Example: A resident with an ED visit within 90 days of report date and a high-risk diagnosis of COPD … Urinary Tract Infection Sepsis or Fever or Infection Skin Ulcers or Cellulitis Dehydration or
Metabolic Chronic … Obstructive Pulmonary Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis … Angina
Asthma
Atrial Fibrillation
Acute MI
Cellulitis
CHF
Circulatory Problems
COPD
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effectivehealthcare-admin.ahrq.gov/health-topics/steroids
October 10, 2018 - 2018
Pharmacologic and Non-pharmacologic Therapies in Adult Patients with Acute Exacerbation of COPD … the Prevention of Preterm Birth
Research Report December 4, 2009
Mortality Risk in Chronic … Obstructive Pulmonary Disease Patients Using Theophylline
Research Report Archived December … 4, 2009
Outcomes Associated With Tiotropium use in Chronic Obstructive Pulmonary Disease Patients
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www.ahrq.gov/antibiotic-use/long-term-care/best-practices/respiratory-assess.html
June 01, 2021 - One-Page Document – Viral Respiratory Infections (PDF, 214.2 KB)
One-Page Document – COPD Exacerbation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - Rule out congestive heart failure
Rule out DVT
Respiratory
Abnormalities of breathing
COPD … Angina
Asthma
Atrial fibrillation
Acute MI
Cellulitis
CHF
Circulatory problems
COPD
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digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients/annual-summary/2012
January 01, 2012 - Target Population: Chronic Care*, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - =chronic obstructive pulmonary disease; GI=gastrointestinal; ADL=activities of daily living … congestive heart failure (CHF),
myocardial infarction (MI), angina, pneumonia or bronchitis, asthma or chronic … obstructive pulmonary disease (COPD), urinary tract infection (UTI), sepsis or fever or
infection, dehydration … obstructive pulmonary disease
• Asthma
• Circulatory problems
• Hypertension
• Gastroenteritis
• Angina … obstructive
pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina,
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-roadmap-interventions.pdf
November 01, 2020 - to the Constructs
Constructs Addressed in the
Statement (in order as
underlined)
Resolution of COPD … Antibiotics given for 3 to 14 days probably
increase the resolution of exacerbations in
patients with COPD … events
Rate Ratio: 1.10 (95% CI,
0.70 to 1.71)
Low SOE
In patients with acute exacerbation of
COPD … = chronic obstructive pulmonary disease; OR = odds ratio; RR = risk ratio;
SMD = standardized mean … Pharmacologic and Nonpharmacologic Therapies
in Adult Patients With Exacerbation of COPD: A
Systematic
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effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/white-paper-roadmap-interventions.pdf
November 01, 2020 - to the Constructs
Constructs Addressed in the
Statement (in order as
underlined)
Resolution of COPD … Antibiotics given for 3 to 14 days probably
increase the resolution of exacerbations in
patients with COPD … events
Rate Ratio: 1.10 (95% CI,
0.70 to 1.71)
Low SOE
In patients with acute exacerbation of
COPD … = chronic obstructive pulmonary disease; OR = odds ratio; RR = risk ratio;
SMD = standardized mean … Pharmacologic and Nonpharmacologic Therapies
in Adult Patients With Exacerbation of COPD: A
Systematic
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CAP-one-page.docx
November 01, 2019 - Short-course antibiotic treatment in acute exacerbations of chronic bronchitis and COPD: a meta-analysis … extended-release clarithromycin tablets for short-course treatment of acute exacerbations of non-severe COPD
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - Kotter’s 8 steps to leading change
Case: Triple Handoff
An 83-year-old man with a history of COPD … At 5:00 p.m. the patient stated he was short of breath and requested his COPD inhaler. … ANTICipate
Administrative data Name, MR number
New information 83-year-old man, history of COPD … If the patient is short of breath, try an albuterol inhaler, given COPD, but consider pneumothorax since
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www.ahrq.gov/workingforquality/reports/priorities-in-focus/care-coordination.html
November 01, 2016 - standardized readmission rate (%) for certain conditions, July 2010 – June 2013
Key: HF = heart failure; COPD … = chronic obstructive pulmonary disease; AMI = acute myocardial infraction; PN = pneumonia.