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psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
April 12, 2023 - EMERGING INNOVATIONS
Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.
Citation Text:
Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/spotlight-s7-beal.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
S7: Identifying How to Improve Health Outcomes for Children in Foster Care
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ'…
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effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-search-strategies.ppt
June 01, 2012 - Technology Assessment No. 142: Testing for BNP and NT-proBNP in the Diagnosis and Prognosis of Heart Failure … example, in the AHRQ report, Testing for BNP and NT-proBNP in the Diagnosis and Prognosis of Heart Failure … Testing for BNP and NT-proBNP in the Diagnosis and Prognosis of Heart Failure. … Testing for BNP and NT-proBNP in the Diagnosis and Prognosis of Heart Failure.
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2007v2_MaskedStats_Core.PDF
April 09, 2010 - dysrhythmias 274,836 1.03
107: Cardiac arrest and ventricular fibrillation 36,299 0.14
108: Congestive heart failure … /vomitus 35,873 0.13
130: Pleurisy; pneumothorax; pulmonary collapse 45,429 0.17
131: Respiratory failure … 271,906 1.02
156: Nephritis; nephrosis; renal sclerosis 1,747 0.01
157: Acute and unspecified renal failure … 75,675 0.28
158: Chronic renal failure 8,513 0.03
159: Urinary tract infections 608,621 2.29
160:
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2008_MaskedStats_Core.PDF
January 01, 2008 - dysrhythmias 305,272 1.07
107: Cardiac arrest and ventricular fibrillation 38,136 0.13
108: Congestive heart failure … /vomitus 39,987 0.14
130: Pleurisy; pneumothorax; pulmonary collapse 49,153 0.17
131: Respiratory failure … 292,308 1.03
156: Nephritis; nephrosis; renal sclerosis 1,754 0.01
157: Acute and unspecified renal failure … 84,663 0.30
158: Chronic renal failure 10,438 0.04
159: Urinary tract infections 654,732 2.30
160
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2007_MaskedStats_Core.PDF
January 01, 2007 - dysrhythmias 273,608 1.01
107: Cardiac arrest and ventricular fibrillation 36,760 0.14
108: Congestive heart failure … /vomitus 35,066 0.13
130: Pleurisy; pneumothorax; pulmonary collapse 45,254 0.17
131: Respiratory failure … 273,077 1.01
156: Nephritis; nephrosis; renal sclerosis 1,800 0.01
157: Acute and unspecified renal failure … 76,349 0.28
158: Chronic renal failure 8,746 0.03
159: Urinary tract infections 610,574 2.26
160:
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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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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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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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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - Despite the debridement and
appropriate antibiotics, by hospital day 3, he developed acute renal failure … necessitating peritoneal dialysis
and respiratory failure requiring intubation.
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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - In this patient’s care, the failure of the ED to obtain an accurate weight led to underdosing the insulin … The importance of daily weight measurements in heart
failure patients: a performance improvement project
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psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - His respiratory failure worsened, and he was ultimately
transferred to the intensive care unit (ICU) … Given the failure to wean from mechanical ventilation, the
decision to place a tracheostomy tube was
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - can increase pulmonary artery pressure and right ventricular afterload and can lead to right heart failure … cirrhosis, rheumatological disease, antiphospholipid antibody syndrome, smoking, obesity, and 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
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psnet.ahrq.gov/node/47756/psn-pdf
February 06, 2019 - psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
Complex systems are prone to failure … This book provides a multi-industry discussion of factors that
contribute to failure. … highlight how complexity can exacerbate problems, small glitches can
manifest themselves in large-scale failure
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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/45393/psn-pdf
November 16, 2016 - for Healthcare Research and Quality (AHRQ)
Patient Safety Indicator for Postoperative Respiratory
Failure … for Healthcare Research and Quality (AHRQ)
Patient Safety Indicator for Postoperative Respiratory Failure … independent physician chart review to assess the reliability of PSI 11
(postoperative respiratory failure
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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/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