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digital.ahrq.gov/ahrq-funded-projects/evidence-based-contingency-planning-electronic-health-record-downtime
January 01, 2023 - Evidence-based Contingency Planning for Electronic Health Record Downtime
Project Final Report ( PDF , 733.42 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - SPOTLIGHT CASE
Some Patients Can't Wait: Improving Timeliness of Emergency Department Care
Citation Text:
Chang R, Barnes DK. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
February 04, 2022 - Teams and individuals familiar with the diagnostic process and diagnostic failure who want
to learn more … � I’ve documented that this could be pneumonia, but I know they have a
history of congestive heart failure … � Alternatively, symptoms could also be explained by congestive
heart failure, pulmonary embolism, … � If this is heart failure, additional fluids may be counterproductive.
� Anchoring on a single diagnosis … TeamSTEPPS To Improve Diagnosis uses the National Academy of Medicine definition of
diagnostic error: “the failure
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effectivehealthcare.ahrq.gov/sites/default/files/s66.pdf
October 01, 2007 - Nonadherence to and discontinuation of pharmacolog-
ical therapies are important contributors to treatment failure … also assessed clinical diagnoses including chronic obstructive
pulmonary disease, congestive heart failure … The epidemiology of drug treatment failure in rheumatoid
arthritis. … Toward a definition and
method of assessment of treatment failure and treatment effectiveness:
the case
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digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
May 01, 2010 - reform, the popular press daily inundates the public with stories of yet another deficiency in, or
failure … Common wisdom suggests that this failure is due to the lack of use, instead
of any inherent limitation … Failure to use these tools has been attributed to a
lack of awareness, resources, or motivation to … There is reason to believe, however, that this failure is also the result of a combination of
assumptions
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section5.pdf
January 01, 2008 - tract infections
Spondylosis, intervertebral disc
disorders, and other back problems
Congestive heart failure … These conditions included congestive heart failure (133,300 stays), cardiac dysrhythmias
(111,200 stays … obstructive pulmonary
disease and bronchiectasis
Diabetes mellitus
with complications
Congestive heart failure … skin and subcutaneous tissue infections (45,700 stays),
pneumonia (44,600 stays), congestive heart failure
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-omega-3_research-protocol.pdf
September 02, 2016 - kw, kf, px, rx, ui, an, tx, sh, ct,
bt, id, cc]
54. or/25-53
55. 24 and 54
56. exp heart failure … Heart failure$.mp. … having non-CVD, non-DM related disease (eg, cancer, gastrointestinal disease, dialysis, chronic
renal failure … ° PVD, others
o coronary/cardiac disease
o peripheral vascular disease (PVD)
o congestive heart failure
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/palliative-care-research-amended-protocol.pdf
November 21, 2019 - illness
of key interest for palliative care include, but are not limited to, those with advanced heart failure … Identifying/addressing barriers/facilitators
Populations to target
Mechanisms for success/ failure … These include
advanced heart failure, advanced chronic obstructive pulmonary disease, end-stage renal … These include advanced heart failure, advanced chronic obstructive pulmonary disease, end-stage
renal
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www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
January 01, 2025 - Some
of the categories in the report were:
Infection control
Surgery
Pneumonia
Heart failure … showed how his practice fared using
performance measures for coronary artery disease patients, heart failure … cessation counseling for high-risk
patients (e.g., patients with acute myocardial infarction, heart failure … revision, rates of
smoking cessation counseling for patients with acute myocardial infarction,
heart failure
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www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
January 01, 2025 - The clinical areas are: heart attack, coronary artery bypass graft, heart
failure, community-acquired … patients with left ventricular systolic dysfunction complicating acute coronary
syndrome and heart failure … Ken
Kizer responding to its concerns about the existing ACE
heart failure measure and the need for … Kizer’s response said
there would be a workshop on the heart failure measure in
November.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - Communication failure: basic components, contributing factors, and the call for structure. … They do so by helping to reduce errors associated with miscommunication and failure to share relevant … with the assessment that the patient has viral cardiomyopathy, frequent episodes of congestive heart failure … Communication failure: basic components, contributing factors, and the call for structure.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias_methods.pdf
February 01, 2013 - for Review
Possible Biased Result
Population
Population is
described as
patients with
heart failure … The reviewer may have to decide
which classes of heart failure the
question was meant to whether … Reviewer chooses to include only
Class III and IV heart failure and finds
that the intervention is … Table 2 illustrates one such
example of how inadequate description of inclusion criteria for a heart failure
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
January 01, 2018 - adults
-16.13 -10.40 HCUP 2016
Deaths per 1,000 adult hospital admissions with congestive heart failure … a blood cholesterol measurement in the last 5 years 19.30 2.46 NHIS 2017
Postoperative respiratory failure … assistance
-76.1 -3.25 MEPS 2016
Deaths per 1,000 adult hospital admissions with congestive heart failure … calendar year who received breastfeeding through 3 months 27.1 2.80 NIS 2015
Postoperative respiratory failure
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2011_MaskedStats_Core.PDF
January 01, 2011 - Frequency Percent
107: Cardiac arrest and ventricular fibrillation 37,469 0.13
108: Congestive heart failure … /vomitus 37,397 0.13
130: Pleurisy; pneumothorax; pulmonary collapse 49,192 0.17
131: Respiratory failure … 334,092 1.14
156: Nephritis; nephrosis; renal sclerosis 1,956 0.01
157: Acute and unspecified renal failure … 103,264 0.35
158: Chronic renal failure 8,772 0.03
159: Urinary tract infections 723,089 2.46
160
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2010_MaskedStats_Core.PDF
January 01, 2010 - Frequency Percent
107: Cardiac arrest and ventricular fibrillation 37,492 0.13
108: Congestive heart failure … /vomitus 36,409 0.13
130: Pleurisy; pneumothorax; pulmonary collapse 49,365 0.17
131: Respiratory failure … 309,332 1.08
156: Nephritis; nephrosis; renal sclerosis 1,728 0.01
157: Acute and unspecified renal failure … 82,665 0.29
158: Chronic renal failure 11,228 0.04
159: Urinary tract infections 699,982 2.45
160
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2011v2_MaskedStats_Core.PDF
November 03, 2014 - Frequency Percent
107: Cardiac arrest and ventricular fibrillation 36,283 0.13
108: Congestive heart failure … /vomitus 35,136 0.12
130: Pleurisy; pneumothorax; pulmonary collapse 47,858 0.17
131: Respiratory failure … 329,279 1.14
156: Nephritis; nephrosis; renal sclerosis 1,906 0.01
157: Acute and unspecified renal failure … 96,774 0.34
158: Chronic renal failure 8,578 0.03
159: Urinary tract infections 710,190 2.47
160:
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2009_MaskedStats_Core.PDF
January 01, 2009 - dysrhythmias 307,949 1.07
107: Cardiac arrest and ventricular fibrillation 36,539 0.13
108: Congestive heart failure … /vomitus 37,760 0.13
130: Pleurisy; pneumothorax; pulmonary collapse 49,716 0.17
131: Respiratory failure … 296,751 1.03
156: Nephritis; nephrosis; renal sclerosis 1,730 0.01
157: Acute and unspecified renal failure … 77,874 0.27
158: Chronic renal failure 12,233 0.04
159: Urinary tract infections 665,724 2.31
160
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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-Jones_29.pdf
February 23, 2008 - changing the culture of health care from one in which errors are viewed as the
result of individual failure … A belief that although health care processes are high risk, they can be designed to prevent
failure … Such organizations achieve high reliability,
because they are preoccupied with failure, sensitive to … Learning from failure in health care:
Frequent opportunities, pervasive barriers.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - Failure to followup abnormal tests and failure of care providers to adhere to recommended
guidelines … Failure to followup on the increasing
number and variety of diagnostic testing options is one of the … to systems errors such as poor tracking of diagnostic tests, inadequate patients monitoring, and
failure
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hcup-us.ahrq.gov/reports/CountyHighOpioidHospitalRates.pdf
December 01, 2020 - Hospitalizations with diabetes with chronic complications (%) 2016 J
Hospitalizations with renal failure … of
hospitalizations with chronic pulmonary disease, diabetes with chronic complications, and renal
failure … 17.5 20.6 24.3 1.39 <.0001
Diabetes with chronic
complications 9.0 10.3 11.9 1.31 <.0001
Renal failure … Chronic pulmonary disease 1.246 1.153–1.346
Diabetes with chronic complications 1.168 1.030–1.324
Renal failure