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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Slide 2: Learning Objectives
Say:
At the end of this module, you will be able to–
Describe … identify what actions will plug those holes, reengineer the system to catch holes before they line up, and end … Slide 24: Case Study: Renal Transplant
Say:
Let’s consider a case study of a renal transplant patient … Thus, a new care team entered the renal transplant patient’s room at 7 a.m. … Slide 28: Case Study: Renal Transplant
Say:
Look at the system.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Slide 1
Learning Objectives
SAY:
At the end of this module, you will be able to–
Describe the difference … identify what actions will plug those holes, reengineer the system to catch holes before they line up, and end … Slide 23
Case Study: Renal Transplant
SAY:
Let’s consider a case study of a renal transplant patient … Thus, a new care team entered the renal transplant patient’s room at 7 a.m. … Slide 27
Case Study: Renal Transplant
SAY:
Look at the system.
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - psnet.ahrq.gov/primer/digital-health-literacy
https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion … errors, communication errors, patients with serious conditions including diabetic ketoacidosis and end … stage renal disease. … help patients to achieve health literacy:
Ensuring all patients feel welcomed and comfortable at each stage
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
March 01, 2020 - Slide 50
New cases of end stage renal disease due to diabetes, per million population, by ethnicity … , 2003-2012
Image: Graph shows new cases of end stage renal disease due to diabetes, per million population … stage renal disease requiring dialysis or kidney transplantation. … Trends: The percentage of new end stage renal disease (ESRD) patients who began nephrology care at least … USRDS 2013 annual data report: atlas of chronic kidney disease and end-stage renal disease in the United
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Individuals who need chronic care or end-of-life care. … Renal Data System, 2005-2012. http://www.usrds.org/2014/view/v2_02.aspx . … Trends: The percentage of new end stage renal disease (ESRD) patients who began nephrology care at least … Renal Data System. … USRDS 2013 annual data report: atlas of chronic kidney disease and end-stage renal disease in the United
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - exposure to heparin in individuals with HIT
Case: Hidden Heparins
A patient with a history of end-stage … renal disease requiring hemodialysis was admitted for evaluation of non-healing ulcers and leukocytosis … be obtained 4 hours after starting the infusion and at least daily during treatment Patients with renal
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-b2.html
December 01, 2009 - -21
Hemoglobin A1c test for pediatric patients
6
3-7
13
7
4-8
13
6
4-8
15
End-Stage … Renal Disease
No Failed Measures
FAMILY EXPERIENCES WITH CARE
HEDIS CAHPS
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-urinary-retention_research-protocol.pdf
November 19, 2012 - effort to do so.1 AUR
typically is associated with lower abdominal pain and may lead to infection, renal … Commonly performed tests include:
• urinalysis (UA)
• urine culture
• measures of renal function … determine whether the retention is high-pressure or
low-pressure retention (detrusor pressure at the end … At this stage we plan to include all interventions identified
in the literature. … At completion of this stage, we will consult with our TEP to ensure that we
capture only studies examining
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stones-draft-appendi-c.xlsx
January 01, 2024 - J Endourol. 2021 Dec;35(12):1844-51. doi: 10.1089/end.2021.0122. PMID: 34254834. … Results Stone Growth Definition Stone Growth Results Stone Growth Subgroup Results Urinary Obstruction End-Stage … Stage Renal Disease Urinary Tract Infection Sepsis Stone Removal Procedure Procedure-Related Morbidity … Results Stone Growth Definition Stone Growth Results Stone Growth Subgroup Results Urinary Obstruction End-Stage … Results Stone Growth Definition Stone Growth Results Stone Growth Subgroup Results Urinary Obstruction End-Stage
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meps.ahrq.gov/data_files/publications/st561/stat561.shtml
May 01, 2025 - Definitions
Adults
Age 18 or older at the end of the calendar year (or on last date of … MEPS eligibility if person was out of scope at
the end of the year). … the elderly, persons receiving Social Security disability
payments, and most persons with end-stage … renal disease.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-slides.pptx
September 01, 2022 - are considered complicated because they are generally associated with obstructive pathology such as—
Renal … adolescent or adult), catheter-associated UTIs, UTIs occurring in the presence of urologic abnormalities or renal … Significance of bacteriuria in patients with end-stage renal disease on hemodialysis.
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - She had a past medical history of end-stage renal disease (on hemodialysis 3 times/week), hypertension … Since many medications are excreted by the kidneys, patients with renal dysfunction are at even higher
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status … The patient had end-stage liver disease and was not following his home treatment regimen. … Initial therapy was to carefully correct his acute renal injury while using lactulose to improve his
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - medications, who are receiving palliative care, who have hepatic disease or insufficiency, who have end-stage … renal disease, and whose most recent LDL-c result is <70 mg/dL are excepted—that is, they are counted … Value sets needed to be established for computable definitions of ASCVD, end-stage renal disease, hepatic … Patients with end-stage renal disease (ESRD). … However, end users can adjust the notification text and the intensity of statin that is expressed in
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www.ahrq.gov/action-alliance/resources/foundational-area.html
March 01, 2025 - and outpatient hospitals, rural emergency hospitals, ambulatory surgical centers, cancer hospitals, end-stage … renal disease facilities, and inpatient psychiatric facilities.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pptx
July 01, 2015 - stage renal disease (ESRD) due to diabetes per million population Worse No Change
Trends: Most outcomes … stage renal disease due to diabetes, per million population, by ethnicity, 2003-2012
Source: National … Renal Data System, 2003-2012.
Denominator: U.S. resident population. … detected early, medication can slow the disease’s progress; when detected late, it commonly progresses to end … stage renal disease requiring dialysis or kidney transplantation.
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psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - Validity of a clinical decision rule-based alert system for drug dose adjustment in patients with renal … WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage … Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.
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www.ahrq.gov/sites/default/files/2025-05/goldman2-report.pdf
January 01, 2025 - 1
7
Figure 2
8
Established functional relationships between different components for each stage … Each ESD consists of three different component classes:
[1] End state – The end state represents the … Adverse maternal outcomes include massive blood loss, disseminated intravascular
coagulopathy, renal … Though abruption can occur at any stage of gestation, we were interested in modeling
those cases in … subsystem can vary at any time, it is
highly susceptible to failure or stress during the active 1st stage
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - Exclude patients with end-stage renal disease and patients undergoing dialysis.
4. … 50
11.79
190
45
+
TRUE
TRUE
End … Stage Renal Disease
female
50
11.79
190
45
+
TRUE
TRUE … Management Work Group recommendation based on their medical expertise)
Verify completeness
Diagnosis of End … Stage Renal Disease (ESRD) added as an Exclusion
Statins are not indicated for individuals who are
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/q_zxLD9JZFGoSPCrEHNk2g
June 11, 2019 - ART
initiation at CD4 cell counts less than 350/mm3 associated with in-
creased risk of the composite end … tenofovir use associated with increased risk of end-stage liver
disease or hepatocellular carcinoma ( … suicidal
ideation
Hepatic harms: an observational
study found tenofovir associated with
increased risk of end-stage … Use of antiretroviral therapy
and risk of end-stage liver disease and
hepatocellular carcinoma in HIV-positive … baseline renal function: the D:A:D
study.