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hcup-us.ahrq.gov/toolssoftware/comorbidity/Table1-FY2006-V3_1.pdf
December 01, 2006 - Encephalopathy Hypertension - complicated
*5853 Chronic kidney disease Stage III (moderate) Renal failure … *5854 Chronic kidney disease Stage IV (severe) Renal failure
*5855 Chronic kidney disease Stage V … Renal failure
*5856 End stage renal disease Renal failure
*5859 Chronic kidney disease unspec Renal … failure
*29182 Alcohol induced sleep disorders Alcohol abuse
3337 Acquired torsion dystonia Other
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
November 18, 2009 - September 18, 2024
View More
Related Resources
Using Healthcare Failure … Improving Diagnostic Safety and Quality
April 26, 2023
Using failure … September 13, 2017
Using Failure Mode and Effects Analysis for safe administration of … May 4, 2016
Health care failure mode and effect analysis to reduce NICU line–associated … Providers
Medicine
Ordering/Prescribing Errors
Epidemiology of Errors and Adverse Events
Failure
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psnet.ahrq.gov/node/40365/psn-pdf
February 12, 2014 - Strategies for learning from failure.
February 12, 2014
Edmondson A. … Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. … https://psnet.ahrq.gov/issue/strategies-learning-failure
Failures are inevitable in any industry, especially … https://psnet.ahrq.gov/issue/strategies-learning-failure
https://psnet.ahrq.gov//#highreliabilityorganizations
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psnet.ahrq.gov/node/49442/psn-pdf
May 01, 2004 - year-old white female with no past medical history presented to the hospital with fevers, respiratory
failure … The Commentary
This case represents an unfortunate failure to identify tuberculosis (TB) in a young … TB is a relatively infrequent cause of respiratory failure. … Tuberculosis as a primary cause of respiratory
failure requiring mechanical ventilation. … Pulmonary tuberculosis presenting as acute respiratory failure:
radiologic findings.
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hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_11.pdf
January 01, 2007 - 100.0% 100.0% 56%
Non-specific chest pain 39 77 19.2 24.1 96
Congestive heart failure … diabetes) 23 39 13.6 14.9 71
Respiratory 143 161‡ 100.0 100.0 12
Respiratory failure … 55 94 27.2 34.1 75
Genitourinary 71 94 100.0 100.0 32
Acute renal failure … for several conditions billed to the uninsured more than doubled from 1997 to 2007:
Acute renal failure … Several conditions more than doubled:
Respiratory failure (up 175 percent).
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hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit2_2.pdf
January 01, 2009 - STAYS PER 10,000
POPULATION
Congestive heart failure
Osteoarthritis
1997-2009
CUMULATIVE
GROWTH … 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 … In 2009, acute renal failure was the most rapidly growing condition with an increase of 245 percent
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psnet.ahrq.gov/node/34936/psn-pdf
March 12, 2009 - Another fatal failure at King/Drew.
March 12, 2009
Weber T; Ornstein C. … https://psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
This article reports on a death that occurred … https://psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
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psnet.ahrq.gov/node/43262/psn-pdf
April 06, 2015 - Delays in this process can lead to critical failure-to-rescue events, which may
result in preventable … This study used ethnographic observations, a risk assessment survey, and a
formal health care failure … escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
https://psnet.ahrq.gov/primer/failure-rescue … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/46339/psn-pdf
August 20, 2018 - Hospital Readmissions Reduction
Program implementation with readmission and mortality
outcomes in heart failure … Hospital Readmissions Reduction Program
Implementation With Readmission and Mortality Outcomes in Heart Failure … retrospective, interrupted time-series analysis examined whether reduction in readmissions for heart failure … This study analyzed data from a national clinical registry of patients
with heart failure admitted between
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn12.pdf
April 29, 2014 - If only ADHF (Acute Decompensated Heart Failure) data is included, patients with any of the following … ICD-9-CM codes as a principal diagnosis should be included:
- 428.xx heart failure
- 398.91 rheumatic … heart failure
- 402.01, 402.11, 402.91 hypertensive heart failure
- 404.01, 404.03, 404.11, 404.13 … , 404.91, 404.93 hypertensive heart failure and kidney failure
Optionality: R=Required, O=Optional
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - The patient continued to deteriorate, with progressive respiratory failure, and died shortly afterward … The Commentary This case represents an unfortunate failure to identify tuberculosis (TB) in a young … TB is a relatively infrequent cause of respiratory failure. … Tuberculosis as a primary cause of respiratory failure requiring mechanical ventilation. … Pulmonary tuberculosis presenting as acute respiratory failure: radiologic findings.
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psnet.ahrq.gov/node/37107/psn-pdf
May 02, 2018 - Failure to cap IV tubing and disinfect IV ports place
patients at risk for infections. … https://psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections … https://psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
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psnet.ahrq.gov/node/40092/psn-pdf
December 22, 2010 - of adding a verbal report to written handoffs on
early readmission following prolonged respiratory failure … of adding a verbal report to written handoffs on early
readmission following prolonged respiratory failure … This study, targeting patients with prolonged respiratory failure, involved adding a verbal
telephone … value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
https://psnet.ahrq.gov/primer/teamwork-training
https://psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
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psnet.ahrq.gov/node/33955/psn-pdf
June 23, 2015 - Organisational Failure: An Exploratory Study in the Steel
Industry and Medical Domain. … ISBN 9038605897
https://psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain … https://psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
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psnet.ahrq.gov/node/33970/psn-pdf
March 07, 2005 - Failure in Safety-Critical Systems: A Handbook of
Accident and Incident Reporting. … https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting … https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting
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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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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/issue/cutting-edge-efforts-surgical-patient-safety
August 02, 2015 - August 2, 2015
Interpersonal and organizational dynamics are key drivers of failure to … June 18, 2019
Rapid response teams as a patient safety practice for failure to rescue … June 14, 2017
Importance of teamwork, communication and culture on failure-to-rescue … September 12, 2016
Failure to rescue following emergency surgery: a FRAM analysis of … October 4, 2011
The competent surgeon: individual accountability in the era of "systems" failure
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure … The patient had two apparent indications for an ACE inhibitor: type 2 diabetes and congestive
heart failure … predispose to hyperkalemia—diabetes because of
hyporeninemic hypoaldosteronism and congestive heart failure … In the Randomized
Aldactone Evaluation Study (RALES), only 1.7% of heart failure patients treated with … The effect of spironolactone on morbidity and mortality in patients
with severe heart failure.