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

41. 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.

42. The NSTEMI Curbside Consultation | PSNet
    psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
    August 04, 2021 - Over-reliance on the Presence of Chest Pain and ECG Changes for the Diagnosis of MI Chest pain, elevated … prematurely closing on a fixed diagnosis of CAP) and confirmation bias (i.e., misinterpreting the absence of chest … pain and ECG findings as confirmation of CAP). … heart failure can also result from acute myocardial ischemia. … efficiency. 37 The “bidirectional” communication between physicians facilitates effective patient triage

43. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
    psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
    September 27, 2023 - The triage nurse documented pain intensity 8 of 10, blood pressure 150-160 mm Hg systolic, and heart … Diagnostic imaging of acute abdominal pain in adults. … ACR Appropriateness Criteria ® Acute Nonlocalized Abdominal Pain. … Diagnostic value of lactate levels in acute abdomen disorders. … The value of C-reactive protein and lactate in the acute abdomen in the emergency department.

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - The triage nurse documented pain intensity 8 of 10, blood pressure 150-160 mm Hg systolic, and heart … Cope’s Early Diagnosis of the Acute Abdomen. 22nd ed. … Diagnostic imaging of acute abdominal pain in adults. Am Fam Physician. 2015;91(7):452-459. … ACR Appropriateness Criteria® Acute Nonlocalized Abdominal Pain. … Diagnostic value of lactate levels in acute abdomen disorders.

45. Executive Summary CER 171: Noninvasive Testing for Coronary Artery Disease (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/coronary-artery-disease-testing_executive.pdf
    March 01, 2011 - chest pain. … Coronary CT angiography versus standard evaluation in acute chest pain. … chest pain? … The CT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients … chest pain.

46. Missing Trauma | PSNet
    psnet.ahrq.gov/web-mm/missing-trauma
    March 03, 2011 - Missing an acute arrhythmia that leads to an automobile crash probably tops this list, followed closely … Pulse February 1, 2011 WebM&M Cases Crushing Chest … Pain: A Missed Opportunity January 1, 2004 WebM&M Cases … Triage Time Bomb January 1, 2004 WebM&M Cases

47. 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

48. 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

49. 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.

50. Use of Mobile Technology to Improve Acute Care Utilization in Sickle Cell Disease - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs023989-shah-final-report-2019.pdf
    January 01, 2019 - Use of Mobile Technology to Improve Acute Care Utilization in Sickle Cell Disease - Final Report … Nirmish Shah, MD R21 HS23989 Use of Mobile Technology to Improve Acute … Primary outcomes included 30- day acute care utilization rates and secondary outcomes included number … The specific goal of this R21 project was to perform a pilot study implementing an acute care model … Pattern of pain interventions post-acute care discharge.

51. Updates in the Management of High-Risk Pulmonary Embolism | PSNet
    psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
    December 02, 2020 - Dyspnea is the most common symptom, followed by chest pain, cough, low grade fever, and syncope.( 5 ) … Estimated annual numbers of US acute-care hospital patients at risk for venous thromboembolism. … Hospital costs of acute pulmonary embolism. Am J Med. 2013;126:127-132. [go to PubMed] 5. … Prognostic models in acute pulmonary embolism: a systematic review and meta-analysis. … Early anticoagulation is associated with reduced mortality for acute pulmonary embolism.

52. Procedure Complications – Who is Responsible for Follow up? | PSNet
    psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
    July 31, 2023 - case, the proceduralist consulted both the hospitalist and thoracic surgery teams and asked them to triage … transferred to the emergency department (ED) for expedited imaging and close monitoring with subsequent triage … The gastroenterology proceduralist is responsible for making this triage decision and requesting either … Sealing the hole: endoscopic management of acute gastrointestinal perforations.

53. Returning Home Safely | PSNet
    psnet.ahrq.gov/web-mm/returning-home-safely
    December 22, 2018 - Skilled nursing facility patients are a frail, medically complex population, in whom the toll of serious acute … window for calling patients at home.( 12 ) Follow-up contact is essential to reinforce the plan and triage … Restarting the cycle: incidence and predictors of first acute care use after nursing home discharge. … May 1, 2008 WebM&M Cases Crushing Chest Pain: A

54. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
    psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
    April 29, 2020 - Consensus-based triage protocols may be helpful for physicians’ office or clinic staff to recommend the … One such effort identified the following concerns as inappropriate for video visits: chest pain, shortness … Supraventricular Tachycardia Masquerading as Panic Attacks June 30, 2021 Missed acute … coronary syndrome during telephone triage at out-of-hours primary care: lessons from a case-control

55. Suicidality | The Academy
    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/suicidality
    January 01, 2024 - Assess suicide risk just as you would evaluate chest pain—determine who needs immediate intervention … either locally or via telehealth; 7 or Emergency care (911 or the nearest emergency department) in acute … Web Page SAFE-T Suicide Assessment Five Step Evaluation and Triage … resource gives a brief overview on conducting a suicide assessment using a five-step evaluation and triage

56. Disposition of Comments Report for Noninvasive Technologies for the Diagnosis of Coronary Artery Disease in Women (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-women-diagnosis_disposition-comments.pdf
    June 12, 2012 - This indicates women without chest pain could be included in the group charactericized as having chest … , perpetuating the idea that chest pain is the key indicator of CHD in most/all women. … We agree that the definition of chest pain syndrome can be difficult to characterize. … pain in the setting of normal coronary arteries, which in many situations, the of the chest pain, … However, CAC has been used in the acute chest pain setting with multiple published reports.

57. Evidence-based Practice Center Systematic Review Protocol (pdf file)
    effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
    September 29, 2011 - Many more are hospitalized for unstable angina and for evaluation and treatment of stable chest pain … However, women have a worse prognosis than men for manifestations of CAD such as acute MI, and some … Acute myocardial ischemia occurs when an atheromatous plaque ruptures or splits. … The ―invasive strategy‖ triages patients to undergo an invasive diagnostic evaluation without first … Benefit of an early invasive management strategy in women with acute coronary syndromes.

58. 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

59. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
    psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
    January 01, 2009 - While the surgery itself was uncomplicated, she developed an acute infection (abscess) associated with … audit of messages exchanged among health care providers (including preliminary impressions), and even triage … Stopped Here June 1, 2004 WebM&M Cases Crushing Chest … Pain: A Missed Opportunity January 1, 2004 WebM&M Cases

60. 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.