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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/ambulatory-safety-and-quality-program
January 01, 2023 - R18 HS017281)
The development of DVD segments on topics such as insomnia, depression, heart failure,
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digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
June 01, 2006 - Percutaneous Transluminal Coronary Angioplasty (PTCA)
• Acute Myocardial Infarction (AMI)
• Congestive Heart Failure
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
June 16, 2021 - either in terms of
presentation to the user or calculation of total dose; the potential for a repeated failure … those thought there was
financial harm to the patient as well because he was left with chronic renal failure
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
January 01, 2017 - Failure to get the right information to the right person in the right place at the
right time to intervene … defined as individuals without major chronic disease, those with chronic disease, and
those with system failure … chronic obstructive pulmonary
disease (COPD), diabetes (DM), coronary artery disease (CAD), heart failure
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
June 01, 2014 - • Echocardiography for heart failure: Recommends ordering an echocardiogram for
patients with a diagnosis … of heart failure who have no previous echocardiogram recorded … Angiotensin-converting enzyme inhibitor (ACEI)/angiotensin receptor blocker (ARB)
therapy in heart failure … Although many investigators have found GEM to be valuable, others
criticized its failure to clarify … The failure to keep up with such
alerts can have huge implications for patient safety.
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digital.ahrq.gov/sites/default/files/docs/citation/EHR_Usability_Toolkit_Background_Report.pdf
January 26, 2006 - chronological or clustered by clinical relevance or severity listing of results.24,36,48,69,70
• Failure … These
approaches include Failure Mode Effects Analysis (FMEA) and critical incident
techniques.90,97,164 … Failure Mode Effects Analysis (FMEA). … (continued)
Method
Description of
Method Advantages Disadvantages
Appropriateness
Ranking
Failure … Modes and Effects
Analysis (FMEA)90
Analyzes human
reliability, identifies
potential failure
modes
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digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
May 01, 2010 - reform, the popular press daily inundates the public with stories of yet another deficiency in, or
failure … Common wisdom suggests that this failure is due to the lack of use, instead
of any inherent limitation … Failure to use these tools has been attributed to a
lack of awareness, resources, or motivation to … There is reason to believe, however, that this failure is also the result of a combination of
assumptions
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - Failure to followup abnormal tests and failure of care providers to adhere to recommended
guidelines … Failure to followup on the increasing
number and variety of diagnostic testing options is one of the … to systems errors such as poor tracking of diagnostic tests, inadequate patients monitoring, and
failure
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digital.ahrq.gov/sites/default/files/docs/behavior-change-qas-07172025.pdf
July 17, 2025 - QUESTION: What metrics were you recording and collecting regarding the success (or failure)
of … , there were programs for BP Monitoring remotely, but they are
very specific (e.g., heart failure
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digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - Collection
• Quantification of performance
– unacknowledged abnormal test results (identified
by failure … testing)
– unacknowledged patients with ‘no-show’ status
for their scheduled appointments (identified by
failure
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - For example, a referral document with only the ICD-10 code for heart failure. would not communicate other … Clinical implications of an accurate
problem list on heart failure treatment. … Patient
characteristics predicting readmission among individuals hospitalized for heart failure. … Medication problems occurring at hospital discharge
among older adults with heart failure. … Reducing Readmissions among Heart Failure Patients Discharged to Home Health Care:
https://www.cms.gov
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
January 01, 2009 - Title Page
Grant Final Report
Grant ID: 1UC1HSO16130-01
Metro DC Health Information Exchange (MeDHIX):
Strategies for Successful Planning and Implementation of
HIE Solutions in Safety Net Clinic Communities
Inclusive dates: 09/30/05 - 09/29/29
Principal Investigator:
Thomas L. Lewis, MD
…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017786-ritchie-final-report-2012.pdf
January 01, 2012 - subsequent refinement; and 4) formal testing through a RCT of the E-coach intervention in
congestive heart failure … errors—complex older adult
patients discharged alive after a hospitalization with congestive heart failure
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022938-mitchell-final-report-2017.pdf
January 01, 2017 - Scope: Comorbid depression among individuals with chronic illness such as heart failure (CHF) or chronic … Depression-related costs in heart failure care. Arch Intern
Med. 2002; 162(16):1860-1866.
2.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024100-rao-final-report-2018.pdf
January 01, 2018 - diastolic BP).15 (2) Incorrect Interpretation and Poor Knowledge: Hansen et al cite 2 factors in the failure … Observations of BP Measurement Technique:
We uncovered widespread problems related to cuff size, failure
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digital.ahrq.gov/sites/default/files/docs/survey/engaging-diverse-patients-in-hit-use.pdf
January 01, 2004 - Heart
Disease
Diabetes
High Blood
Pressure
Heart Failure
Asthma or
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
June 16, 2021 - And looking at a more specific level, once again
inadequate monitoring led the pack and failure to … statin, ACE-inhibitor-ARB, Solfunylurea, metformin, Insulin, anti-
depressants, and they have heart failure … So we actually developed an algorithm for diabetes heart
failure, sleep problems, insomnia, depression … Ninety-five percent said it was just right,
even though I think heart failure was 42 minutes long and
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022894-pratt-final-report-2020.pdf
January 01, 2020 - Patients as Safeguards: Understanding the Information Needs of Hospitalized Patients in Voicing Safety Concerns - Final Report
AHRQ Final Report
Patients as Safeguards: Understanding the
Information Needs of Hospitalized Patients
in Voicing Safety Concerns
Principal I…
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
January 01, 2011 - physicians may not initially perceive the
empowering aspects, after use in a small study involving heart failure … Hypertension-related congestive heart failure and end-
stage renal disease are also more prevalent. … Several limitations were present suggesting that the reason for failure to find
differences is not clear … et al. , Use of a Patient-Accessible
Electronic Medical Record in a Practice for
Congestive Heart Failure
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026189-ko-final-report-2023.pdf
January 01, 2023 - 11.8) 10435 (10.8)
COPD, n (%) 4283 (3.3) 1092 (3.2) 3191 (3.3) 0.49 <0.01
Acute or chronic heart failure … Diabetes
IDDM 0.85 (0.79-0.91)
NIDDM 0.98 (0.92-1.03)
COPD 0.89 (0.82-0.97)
Acute or chronic heart failure … Acute or chronic heart failure