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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0007_03-17-2008.pdf
January 01, 2008 - 1
Results of Topic Selection Process & Next Steps
Depression treatment after SSRI failure … Population(s): Adults with a diagnosis of depression
Intervention(s): Treatment of depression after failure … effectiveness reviews were identified that compared all the therapies specified by the
nominator after SSRI failure … There are more than a dozen
Depression Treatment after SSRI Failure
Nomination Summary Document
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section2_4.pdf
January 01, 2007 - Disease
Psychoses
Drug Abuse
Alcohol Abuse
Peripheral Vascular Disorders
Obesity
Congestive Heart Failure … Depression
Hypothyroidism
Renal Failure
Deficiency Anemias
Diabetes, Uncomplicated
Chronic Pulmonary … Other notable comorbidities included chronic pulmonary disease, anemia, renal failure, hypothyroidism … ,
congestive heart failure, and obesity.
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psnet.ahrq.gov/node/39929/psn-pdf
July 31, 2012 - The Gift of Failure: New Approaches to Analyzing and
Learning from Events and Near-Misses. … Safety Sci. 2011;49(1):1-106
https://psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses … https://psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
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psnet.ahrq.gov/node/33653/psn-pdf
June 01, 2007 - In response to "Failure to Report" (March 2007)
June 1, 2007
Paparella S, Vaida AJ, Spath P. … In response to "Failure to Report" (March 2007). PSNet [internet]. 2007. … https://psnet.ahrq.gov/perspective/response-failure-report-march-2007
In response to "Failure to Report … the vials that accompanied the commentary, we felt that
https://psnet.ahrq.gov/perspective/response-failure-report-march … -2007
https://psnet.ahrq.gov/web-mm/failure-report
the manufacturers had done a fairly good job of
-
psnet.ahrq.gov/node/44783/psn-pdf
January 13, 2016 - black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
Medicine and aviation are high-risk industries where failure … black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
https://psnet.ahrq.gov/issue/error-management-lessons-aviation
https://psnet.ahrq.gov/issue/failure-and-rescue … https://psnet.ahrq.gov/issue/strategies-learning-failure
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psnet.ahrq.gov/node/45194/psn-pdf
December 14, 2016 - Wounded care: failure at one Indian Health Service
hospital reveals a system in crisis. … https://psnet.ahrq.gov/issue/wounded-care-failure-one-indian-health-service-hospital-reveals-system-crisis … https://psnet.ahrq.gov/issue/wounded-care-failure-one-indian-health-service-hospital-reveals-system-crisis
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_9.pdf
January 01, 2007 - 100.0% 100.0% 27%
Non-specific chest pain 48 91 13.4 20.3 91
Congestive heart failure … Appendicitis 27 46 8.8 11.1 68
Respiratory 527 537‡ 100.0 100.0 2
Respiratory failure … disorders) 147 193 31.0 36.3 32
Genitourinary 152 195 100.0 100.0 28
Acute renal failure … Medicaid hospital stays for some conditions more than doubled from 1997 to 2007:
Acute renal failure … Respiratory failure (up 125 percent).
Anemia (up 118 percent).
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case March 2007
Failure to Report
Source and Credits
This … Case: Failure to Report
Several hours later, when removing another vial of ceftriaxone from the automated … of safe guards
RN failure to confirm med identity prior to administration
An environment predisposed … Case: Failure to Report (cont.) … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=10720336
Failure to Acknowledge Errors
Even when
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psnet.ahrq.gov/node/44190/psn-pdf
June 03, 2015 - health care safety efforts after her daughter died due to a series of medical mistakes, including failure … pulse-center-patient-safety-education-advocacy
https://psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case … https://psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
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psnet.ahrq.gov/node/34728/psn-pdf
December 19, 2016 - Forgive and Remember: Managing Medical Failure. 2nd
ed. … https://psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
In this seminal study … https://psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
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hcup-us.ahrq.gov/reports/statbriefs/sb277-Top-Reasons-Hospital-Stays-2018.pdf
January 01, 2018 - Two circulatory conditions—heart failure and AMI—ranked in the top 10 principal diagnoses in 2018
and … Compared with stays for
heart failure, stays for AMI were far less common but more expensive on average … Heart
failure and osteoarthritis each accounted for 4 percent. … Five circulatory conditions were among the 20 most common principal diagnoses in 2018: heart
failure … Among stays for septicemia, heart failure, pneumonia, and diabetes mellitus with complication, mean
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hcup-us.ahrq.gov/reports/statbriefs/sb278-Conditions-Frequent-Readmissions-By-Payer-2018.pdf
January 01, 2018 - ■ Heart failure was among the top
five conditions at index
admission with the highest
number and … Three respiratory conditions at index admission—COPD,
pneumonia, and respiratory failure—accounted for … Three
genitourinary conditions at index admission—acute and unspecified renal failure, urinary tract … With the exception of septicemia and heart failure, the principal diagnoses at index admission with … 110,000 5 28.0 30,800 4.3
Private insurance 6,532,900 - 8.7 569,800 100.0
Hepatic failure 12,100 1
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psnet.ahrq.gov/node/34737/psn-pdf
November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems
Failure. … https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
This video, produced … https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
https://psnet.ahrq.gov
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digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
January 01, 2005 - Renal failure
f. Thyrotoxicosis
g. Chronic obstructive lung disease
3. … Asymptomatic heart failure, previous MI, LV dysfunction, valvular heart disease III. … Renal failure
f. Thyrotoxicosis
g. Chronic obstructive lung disease
3. … Asymptomatic heart failure, previous MI, LV dysfunction, valvular heart disease III. … The incidence and prevalence of
congestive heart failure in Rochester, Minnesota.
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_section2.pdf
January 01, 2009 - Pneumonia (3.0 percent of all stays) and congestive heart failure (2.6 percent) were the second … In 2009, acute renal failure was the most rapidly growing condition with an increase of 245 percent … Pneumonia (3.0 percent of all stays) and congestive heart failure (2.6 percent) were the second … Stays for both congestive heart failure and coronary atherosclerosis decreased between 1997 and … Congestive heart failure accounted for 37 stays per 10,000 population in 1997 and 33 stays per
10,000
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psnet.ahrq.gov/node/46773/psn-pdf
January 24, 2018 - /issue/patient-safety-complementary-medicine-through-application-clinical-risk-
management-public
Failure … This study describes the application of failure mode and effect analysis to better understand the
patient … patient-safety-complementary-medicine-through-application-clinical-risk-management-public
https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
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hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_4_1b.jsp
January 01, 2008 - AGGREGATE COSTS IN BILLIONS
MEAN COST
Mood disorders
824
$4.2
$5,100
Acute renal failure … 798
$7.4
$9,300
Acute cerebrovascular disease
565
$7.6
$13,400
Respiratory failure … back problems
663
$9.5
$14,400
Pneumonia
1,156
$10.5
$9,000
Congestive heart failure
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit2_2.jsp
January 01, 2009 - 4,159
139
135
-3%‡
Pneumonia
1,232
1,165
45
38
-16%
Congestive heart failure … Pneumonia (3.0 percent of all stays) and congestive heart failure (2.6 percent) were the second and third … Stays for both congestive heart failure and coronary atherosclerosis decreased between 1997 and 2009. … Congestive heart failure accounted for 37 stays per 10,000 population in 1997 and 33 stays per 10,000 … In 2009, acute renal failure was the most rapidly growing condition with an increase of 245 percent,
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hcup-us.ahrq.gov/toolssoftware/comorbidity/comoanaly2004-072904.txt
September 30, 2004 - around this SAS constraint, the comorbidities for */
/* Congestive Heart Failure … , Hypertension Complicated, and */
/* Renal Failure. … ****************/
/* Apply DRG Exclusions to Hypertension Complicated, Con- */
/* gestive Heart Failure … , and Renal Failure comorbidities */
/* using the detailed hypertension flags created above. */
/ … IF HTN=1 OR HTNCX=1 THEN HTN_C=1;
ELSE HTN_C=0;
LABEL CHF = 'Congestive heart failure
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psnet.ahrq.gov/node/45599/psn-pdf
July 02, 2017 - combined the narratives of various critical care nurses into four representative
scenarios demonstrating failure … environments can miss an
important event because of competing attentional tasks, as a key factor in these failure-to-rescue … invisible-gorilla-and-other-ways-our-intuitions-deceive-us
https://psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study