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Showing results for "failure".

9461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49759/psn-pdf
      May 01, 2016 - Case A 65-year-old woman with cirrhosis presented to the hospital with septic shock and respiratory failure … that one of the root causes of patient falls is poor communication of the fall prevention plan and failure

9462. What Was in Those Platelets? | PSNet
      psnet.ahrq.gov/web-mm/what-was-those-platelets
      August 28, 2024 - She was found to have severe septic shock and developed multiorgan system failure. … December 1, 2011 WebM&M Cases Communication Failure—Who's

9463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - many patients were coming back to the hospital and published a paper looking at patients with heart failure—and … CMS came back to us after we successfully launched publicly reported mortality measures in heart failure

9464. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
      January 01, 2022 - and other fluids via the bone marrow in traumatic shock and other forms of peripheral circulatory failure … Failure of pulse oximetry in the assessment of raised limb intracompartmental pressure.

9465. Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
      August 03, 2020 - improves health outcomes, utilization, and cost of care for a host of chronic diseases, including heart failure … Structured telephone support or non-invasive telemonitoring for patients with heart failure.

9466. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
      January 01, 2024 - with pacing before removing the cannulas. 25 Investigate unexpected events immediately (1) • The failure … • This incident was due to human error rather than equipment failure, although there were likely

9467. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - Underuse of Services: The failure to provide a needed service can lead to additional complications, … Underuse of Services The failure to provide needed health care services often leads to unnecessary

9468. HCUP Statistical Brief #100: Emergency Department Visits for Adults in Community Hospitals, 2008 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb100.pdf
      November 01, 2010 - security disability insurance), and people of all ages with End-Stage Renal Disease (permanent kidney failure … 4,529,287 5.6% Headache, including migraine (84) 10 4,414,780 5.5% Congestive heart failure

9469. Statistical Brief #54: Hospital Stays Related to Asthma for Adults, 2005 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb54.pdf
      August 01, 2008 - associated with asthma-related hospitalizations were conditions of the circulatory system—congestive heart failure … diagnosis Stays with no mention of asthma 1 Pneumonia 123,100 7.6% 3.5% 2 Congestive heart failure

9470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846171/psn-pdf
      July 26, 2022 - psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety evaluation, failure … often represents a manifestation of metabolic derangements (e.g., hypoxia, acidosis, kidney or liver failure

9471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866261/psn-pdf
      July 10, 2024 - be helpful to reduce the chance of myoglobin precipitating in the kidney and causing acute kidney failure … frequently left with foot drop, ankle deformities and claw foot.21 In severe cases hemodialysis for renal failure

9472. Issue Brief - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/telediagnosis.pdf
      August 03, 2020 - improves health outcomes, utilization, and cost of care for a host of chronic diseases, including heart failure … Structured telephone support or non-invasive telemonitoring for patients with heart failure.

9473. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure … WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure

9474. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
      psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
      March 03, 2021 - For example, retrospective studies show increased failure and complication rates when multiple access … Safety November 15, 2023 WebM&M Cases Open wider: Failure

9475. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon | PSNet
      psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
      January 29, 2021 - March 15, 2023 WebM&M Cases Open wider: Failure … WebM&M Cases Hemorrhagic Shock after Elective Spine Surgery: Failure

9476. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
      January 01, 2007 - • Failure to monitor an insulin pump or involve the endocrine staff with management of a diabetic … predominant process-of-care issue was related to clinical services in 27/103 cases (26 percent), with failure

9477. Statistical Brief #46: Hospitalizations for Epilepsy and Convulsions, 2005 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb46.pdf
      January 16, 2008 - Among patients with epilepsy, other principal diagnoses included respiratory failure, rehabilitation … Respiratory failure, insufficiency, arrest 2.0% 2. Pneumonia 4.4% 3. Pneumonia 1.9% 3.

9478. HCUP Statistical Brief #30: Hospital Stays for Prostate Cancer, 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb30.pdf
      May 01, 2007 - circulatory disorders: coronary atherosclerosis (narrowing of the arteries of the heart)), congestive heart failure … (narrowing of the arteries of the heart) 21,500 4.3% 3 Pneumonia 21,400 4.3% 4 Congestive heart failure

9479. HCUP Statistical Brief #28: Procedures with the Most Rapidly Increasing Hospital Costs, 2000–2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb28.pdf
      April 01, 2007 - performed on patients admitted with cardiac dysrhythmias, conduction disorders, and congestive heart failure … Hemodialysis is used for renal failure.

9480. Statistical Brief #28
      hcup-us.ahrq.gov/reports/statbriefs/sb28.jsp
      April 01, 2007 - performed on patients admitted with cardiac dysrhythmias, conduction disorders, and congestive heart failure … Hemodialysis is used for renal failure.