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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS)
325
Developing a Taxonomy of Anesthetists’
Nontechnical Skills (ANTS)
Rona Patey, Rhona Flin, Georgina Fletcher,
Nicola Maran, Ronnie Glavin
Abstract
Safety research in high-reliability industries, such as aviation, has clearly shown
that t…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - The Rural Physician Peer Review Model©: A Virtual Solution
The Rural Physician Peer Review Model©:
A Virtual Solution
Josie R. Williams, MD; Kathy K Mechler, MS, RN, CPHQ; R.B. Akins; John R. Holcomb, MD;
Laura K. Gelderd, RN, BSN; R. Kim Clay; Tracy L. Adams; Janine C. Edwards, PhD
Abstract
Evaluating …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/womenhealth/2014nhqdr-womenhealth.pptx
January 01, 2020 - Indicators for angina, asthma, bacterial pneumonia, chronic obstructive pulmonary disease, congestive heart failure … Hospitalizations for chronic conditions include diabetes and congestive heart failure.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - nephrologist is important for patients with progressive chronic kidney
disease who are approaching kidney failure … Quality and Disparities Report
■ Patients who begin nephrology care more than a year before kidney failure
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety Across Clinical Settings
FINAL REPORT: November 29, 2007
Improving Medication Safety Across Clinical Settings
Principal Investigator: David W. Bates; dbates@…
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www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - Failure to assess your organization’s readiness for the change at multiple levels can lead to
unanticipated … patients
on redundant antibiotic combinations
Defined daily doses
Length of stay
Clinical failure—reinstitution … pseudocholelithiasis
Gentamicin IV 3 mg/kg x1
dose
No adjustment for initial
dose needed for renal
failure
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www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
February 01, 2014 - particular organization or type of organization and/or for a specific
disease, such as congestive heart failure … physicians) is likely to create a nurse care manager program to help patients with congestive
heart failure … admission
or by a small medical practice with limited resources, relatively few congestive heart failure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Unaided smoking
cessation and predictors of failure to quit in a
community sample: effects of gender … Late-term smoking cessation despite initial
failure: an evaluation of bupropion sustained
release, … Smoking cessation in heart failure: it is never
too late. J Am Coll Cardiol 2001;37:1683-4.
406.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slides.ppt
August 01, 2009 - Fear of failure.
Weight gain.
Lack of support.
Depression.
Enjoyment of tobacco. … However, it is difficult to draw firm conclusions from prior failure with a medication. … Rebound hypertension – When stopping clonidine therapy, failure to reduce the dose gradually over a period
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
February 01, 2014 - particular organization or type of organization and/or for a specific
disease, such as congestive heart failure … physicians) is likely to create a nurse care manager program to help patients with congestive
heart failure … admission
or by a small medical practice with limited resources, relatively few congestive heart failure
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Importance: Early detection and treatment of high blood pressure can prevent heart failure, kidney failure … Importance: Failure to identify the presence of pain or to assess its severity and functional impact
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
October 01, 2019 - CMS stopped the measure surveillance
program for heart attack, heart failure, and pneumonia topics at … The IQR sample represents
hospital admissions for four conditions: heart failure (HF), acute myocardial … includes hospital inpatients age 18 years and over admitted for one of
four conditions of interest: heart failure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pptx
April 01, 2011 - Vignette 2: A tougher discharge
Arnold is 84 years old with serious exacerbation of congestive heart failure
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Early activity is feasible and safe in respiratory failure patients.
-
www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
January 01, 2024 - Impact of social factors on risk of readmission or
mortality in pneumonia and heart failure: systematic
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www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
January 01, 2024 - patients, including hospital-acquired pressure ulcers, pneumonia, patient falls,
medication errors, and failure
-
www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - Our data suggest that the failure to appreciate
the need for interpersonal and interdisciplinary communication
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www.ahrq.gov/sites/default/files/2024-07/heritage-report.pdf
January 01, 2024 - hypothesized that the ANY intervention would be less effective than its
SOME counterpart, but the relative failure
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - in-depth review
Common/Low Low Negligible Low Little/Not difficult
Rapid-response systems to prevent
failure-to-rescue
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Early activity is feasible and safe in respiratory failure patients.