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psnet.ahrq.gov/node/866517/psn-pdf
August 14, 2024 - Feedback loop failure modes in medical diagnosis: how
biases can emerge and be reinforced.
August 14, 2024
Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can
emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1177/0272989x241248612.
https://p…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - woman with a history of advanced dementia, chronic obstructive pulmonary disease,
hypertension, and congestive … heart failure (CHF) was brought to the hospital from a nursing facility with
fevers and confusion. … failure is an indication for ECG
monitoring, a history of heart failure is not. … receiving aggressive fluid resuscitation, she was at risk for fluid overload and decompensation of her
heart … failure.
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psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
November 26, 2014 - for several medical diagnoses—acute myocardial infarction, stroke, acute gastrointestinal bleed, or congestive … heart failure—and for general, orthopedic, or vascular surgery.
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psnet.ahrq.gov/issue/evidence-anchoring-bias-during-physician-decision-making
November 17, 2021 - This study measured physicians’ potential anchoring bias regarding patients with congestive heart failure
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psnet.ahrq.gov/node/41763/psn-pdf
October 10, 2012 - Latency of ECG displays of hospital telemetry systems: a
science advisory from the American Heart Association.
October 10, 2012
Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science
advisory from the American Heart Association. Circulation. 2012;126(13):1665-9.
ht…
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psnet.ahrq.gov/issue/medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
February 12, 2020 - Residents who were prescribed 14 or more medications and those with certain comorbidities (e.g., heart … failure, anemia, hypertension) were at greatest risk for discrepancies. … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart … failure: a systematic review of randomized trials and non-randomized intervention studies.
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psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
October 23, 2024 - February 1, 2023
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
March 27, 2024 - April 12, 2023
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/teamwork-errors-trauma-resuscitation
December 22, 2018 - June 3, 2020
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy
August 18, 2021 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart … failure: a systematic review of randomized trials and non-randomized intervention studies.
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - The Case
An 83-year-old man with chronic kidney disease and end-stage congestive heart failure (CHF) … His diuretics, statins, beta-blockers, and
other treatments for his heart failure were stopped. … Dying of end-stage heart failure and renal failure can be relatively peaceful, but it may also require
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psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary
March 12, 2025 - the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart … failure.
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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - Study
Missed diagnosis of critical congenital heart disease.
Citation Text:
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
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Format:
DOI…
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psnet.ahrq.gov/issue/safety-culture-and-mortality-after-acute-myocardial-infarction-study-medicare-beneficiaries
September 13, 2023 - adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart … failure. … the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart … failure.
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - patient was transported to the nearest emergency department (ED), where an initial chest x-ray suggested congestive … heart failure.
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psnet.ahrq.gov/node/860381/psn-pdf
January 10, 2024 - determine the likelihood of whether the patient’s acute respiratory failure was attributable to pneumonia,
heart … failure, or chronic obstructive pulmonary disease (COPD).
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psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-documentation
July 28, 2021 - October 21, 2020
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
September 23, 2020 - January 17, 2024
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/node/36836/psn-pdf
January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry
into Children's Heart Surgery at the Bristol Royal
Infirmary 1984--1995.
January 29, 2015
Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002.
https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
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psnet.ahrq.gov/periodic-issue/periodic-issue-402
August 30, 2023 - failure. … failure. … Results suggest patients with heart failure admitted to hospitals with high rates of 30-day all-cause … failure. … Results suggest patients with heart failure admitted to hospitals with high rates of 30-day all-cause