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Total Results: 43 records

Showing results for "evidence-based triage acute chest pain".

1. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
   www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
   January 01, 2024 - Though age and sex are fairly straightforward variables to enter, the patient’s chest pain status is … The chest pain status variable for the current ACI-TIPI electrocardiograph identifies the absence or … presence of chest pain as a primary or secondary reason for coming to the ED. … This was done by including those patients with a presenting symptom of chest pain, as documented in … the ED registration system, or an ACI-TIPI chest pain status of primary or secondary.

2. Selected Best Practices and Suggestions for Improvement (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
   May 20, 2016 - significant medical comorbidities (heart disease, metabolic, endocrine or respiratory pathologies; acute … o Use the VTE risk assessment to triage patients into low-, moderate-, or high-risk categories.3,5 … o Assess for symptoms/presence of acute VTE to provide intervention if appropriate. … http://www.outcomes-umassmed.org/dvt/best_practice/ Staff Required • Nurses trained to use tool to triage … National Collaborating Centre for Acute and Chronic Conditions.

3. The “Usually Antibiotics” Diagnoses: Community-Acquired Pneumonia – Facilitator Guide (doc file)
   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. … Patients with Legionella pneumonia generally present with acute signs and symptoms such as those described … For outpatients with no infiltrate on chest x ray, the most common diagnosis in adults is acute bronchitis … Slide 9 Triaging Decisions: CURB-65 SAY: There are additional data that can guide triage decisions … Society of America community-acquired pneumonia guidelines recommend using the PSI score to help with triage

4. Final Progress Report: ED Staffing and Patient Outcomes (pdf file)
   www.ahrq.gov/sites/default/files/2024-09/bickell-report.pdf
   January 01, 2024 - consequence of emergency department overcrowding, affected the prehospital transport time of patients with chest … pain (8). … The ED is divided into five separate patient care areas: acute, sub-acute, urgent, pediatrics, and … Patient triage, assigned by a nurse at registration, follows this classification: 1) critical; 2) acute … Emergency department overcrowding and ambulance transport delays for patients with chest pain.

5. Patient Safety Tools | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
   June 01, 2022 - The Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care, Version 4 is a five-level … emergency department triage algorithm that provides clinically relevant stratification of patients into … Supervision, and Safety is an AHRQ-funded study from the Institute of Medicine that confirms that acute

6. Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department (pdf file)
   www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
   January 01, 2024 - An Empirical Assessment of Boarding and Quality of Care: Delays in Care Among Chest Pain, Pneumonia … The Role of Triage Nurse Ordering on Mitigating Overcrowding in Emergency Departments: A Systematic … Percentage of US emergency department patients seen within the recommended triage time: 1997 to 2006 … association between emergency department crowding and adverse cardiovascular outcomes in patients with chest … pain.

7. Final Progress Report: Emergency Department Overcrowding and Quality of Acute Asthma Care for Children (pdf file)
   www.ahrq.gov/sites/default/files/2024-10/sills-report.pdf
   January 01, 2024 - in the dataset, we used the variable “preferred language,” routinely recorded for all patients at triage … A study of quality of acute asthma care and race/ ethnicity found no difference in acute asthma severity … History elements included second-hand smoke exposure—routinely recorded at triage—and a variable for … For both populations, the primary severity adjusters were triage level and ambulance arrival. … Emergency department overcrowding and ambulance transport delays for patients with chest pain.

8. Appropriate Emergency Department Fever Management for Children With Sickle Cell Disease (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-fullreport.pdf
   February 01, 2018 - Rapid triage and physical assessment should be followed by prompt administration of a broad spectrum … Following rapid triage and blood work, children with SCD should be administered a broad‐spectrum antibiotic … Service – care for acute conditions: Yes. f. … In the ED, fever in children with SCD is a very high‐triage priority because the risk of sepsis is life … Health IT in the triage area could trigger different decision‐making that would allow patients to be

9. Final Progress Report: Pediatric Emergency Assessment Tool (pdf file)
   www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
   January 01, 2024 - scheme divides visits into three levels of increasing priority: nonurgent (or nonacute), urgent (or acute … For example, we have found, in a study of asthma, that the hospitalization rate for children with acute … 3 Alt. mental status 5 5 Asthma/wheezing 4 4 Bites/stings 4 1 Burn 5 3 Cardiac complaint 5 5 Chest … pain 4 3 Chronic disease 5 5 Congestion/URI 1 2 Constipation 1 1 Cough 2 2 Croup 4 1 Crying/colic … Clinical scores for acute asthma in pre-school children: a review of the literature.

10. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
    June 01, 2017 - Communication Practices Section 4: Investigations/Root Cause Analysis of Potentially Preventable Acute … Does your policy and procedure include a provision for regular exchange of information with acute care … Warm handoffs (verbal report to triage nurse) Yes |___| No |___| ii. … Chest pain Yes |___| No |___| H. Pneumonia or bronchitis Yes |___| No |___| I. … Yes |___| No |___| Section 4: Investigations/Root Cause Analysis of Potentially Preventable Acute

11. Appropriate Emergency Department Blood Testing for Children with Sickle Cell Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-215-fullreport.pdf
    August 01, 2017 - hepatic sequestration, and acute splenic sequestration complication. … Service – care for acute conditions: Yes. f. … Service – care for children with acute conditions: Yes. g. Service – other (please specify): No. … In the ED, fever in children with SCD is a very high‐triage priority because the risk of sepsis is life … Health IT in the triage area could trigger different decision‐making that allows these patients to be

12. Appropriate Emergency Department Pain Assessment for Children With Sickle Cell Disease (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0217-fullreport.pdf
    April 01, 2018 - identified as having sickle cell disease (SCD) presenting to an emergency department (ED) with an acute … Service – care for acute conditions: Yes. f. … The other abstractor did not consider documentation of “no pain” as an acute pain episode. … Health IT in the triage area could trigger different decision‐making that would allow these patients … Acute care utilization and rehospitalizations for sickle cell disease.

13. Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
    January 01, 2014 - Tomography (CT) in the Emergency Department (ED) 2012 for Atraumatic Headache Head CT Scan Results for Acute … 2013 Who Received Head CT Scan Interpretation Within 45 minutes of Arrival Troponin Results for ED Acute … Myocardial Infarction (AMI) Patients or Chest 2013 Pain Patients (with Probable Cardiac Chest Pain) … Emergency department crowding and thrombolysis delays in acute myocardial infarction. … The physician in triage would only see a patient after the triage nurse assessed the patient and determined

14. Case Example #5: WellMed | Agency for Healthcare Research and Quality
    www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-5.html
    July 01, 2019 - Accessible patient & lab information Practice-based services Comprehensive care for both acute … Two full-time float MAs act as triage nurses, filling in as needed. … The triage nurse sends the request to a PCP, usually the PA, who reviews items entered by the triage … At the time of the site visit, the PCPs had reviewed new protocols for urine analysis, chest pain, and … MAs and triage nurses can consult PCPs.

15. New Models of Primary Care Workforce - Case Example #5: WellMed (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_5.pdf
    October 01, 2016 - patient & lab information ▌pg. 2 • Practice-based services − Comprehensive care for both acute … Two full-time float MAs act as triage nurses, filling in as needed. … The triage nurse sends the request to a PCP, usually the PA, who reviews items entered by the triage … At the time of the site visit, the PCPs had reviewed new protocols for urine analysis, chest pain, and … MAs and triage nurses can consult PCPs.

16. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
    September 01, 2022 - For example, a patient presenting with acute cough, fever, and shortness of breath who has nonspecific … For example, a 40-year-old woman with no cardiac risk factors and nonspecific chest pain has an abnormal … suggesting broad future application.33, 34 One such game resulted in durable improvement in appropriate triage … educational video game versus traditional educational apps at improving physician decision making in trauma triage

17. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
    www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
    January 01, 2005 - MI but no chest pain or other symptoms that were missed) Group G = Adverse events but not related … aortic aneurysm reveals that it is surprisingly rare, perhaps less than 1 out of 50,000 ED visits for chest … pain, and likely an equally rare cause for back pain.59–62 She did ultimately undergo a recommended … 79 Since, by definition, we expect ED physicians to triage and treat emergencies, not thoroughly work … Missed diagnoses of acute cardiac ischemia in the emergency department.

18. Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
    January 01, 2005 - MI but no chest pain or other symptoms that were missed) Group G = Adverse events but not related … aortic aneurysm reveals that it is surprisingly rare, perhaps less than 1 out of 50,000 ED visits for chest … pain, and likely an equally rare cause for back pain.59–62 She did ultimately undergo a recommended … 79 Since, by definition, we expect ED physicians to triage and treat emergencies, not thoroughly work … Missed diagnoses of acute cardiac ischemia in the emergency department.

19. Final Progress Report: Automated Medical Interviewing for Diagnostic Decision Support in the Emergency Department (pdf file)
    www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
    January 01, 2025 - stroke, myocardial infarction, etc.) of patients with undifferentiated medical symptoms (dizziness, chest … pain, etc.). … including 244 who went on to complete secondary complaint-specific interviews (dizziness 75, headache 89, chest … pain 80). … findings in bivariate and multivariate models taking into account other potential confounders (e.g., triage

20. Chapter-3 - Sepsis Recognition (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
    March 01, 2020 - Prognostic value of early warning scores in the emergency department (ED) and acute medical unit (AMU … J Trauma Acute Care Surg. 2014;76(2):311-7. doi: 10.109/TA. 0000000000000121. … in the post-triage tool group. … Compared with the pre-triage tool cohort, patients in the post-triage tool cohort were more likely … Adult non-ICU patients admitted to acute inpatient units.