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psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
July 07, 2021 - Study
Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.
Citation Text:
Masoudi FA, Magid DJ, Vinson DR, e…
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psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
January 29, 2018 - May 31, 2023
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
April 27, 2011 - February 17, 2017
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
August 20, 2018 - September 1, 2021
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
November 01, 2023 - Study
Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced.
Citation Text:
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:10.1…
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psnet.ahrq.gov/node/47823/psn-pdf
March 13, 2019 - https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
https://psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
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psnet.ahrq.gov/node/47914/psn-pdf
May 22, 2019 - clinician response to alarms by proactively
identifying hospitalized patients at the highest risk for heart … failure to trigger emergency response teams
when their condition rapidly declines.
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psnet.ahrq.gov/node/866195/psn-pdf
June 26, 2024 - The exaggerated benefits of failure.
June 26, 2024
Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen.
2024;153(7):1920-1937. doi:10.1037/xge0001610.
https://psnet.ahrq.gov/issue/exaggerated-benefits-failure
Failure can be considered a learning opportunity under …
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psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - pressure is only 56%.(2) The presence of an S3 in a patient older than 40 is widely accepted as a sign of
left-sided … heart failure, but this finding is plagued by high interobserver variability: the chances that an S3
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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - September 4, 2019
Heart Failure: The Decline of a Historic Transplant Program.
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - began in late 2003 with a limited set of 10 quality measures spread across three clinical conditions: heart … failure, acute myocardial infarction, and pneumonia. … hours of arrival in the ED may result in antibiotics being given to some patients who prove to have heart … failure or pulmonary embolism.( 11 ) While less apparent, the problem of indirect harm may be just … Failure Assessment of Left Ventricular Function ACE Inhibitor or ARB for Left Ventricular Systolic
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psnet.ahrq.gov/issue/heart-darkness-impact-perceived-mistakes-physicians
April 24, 2018 - Study
Classic
The heart of darkness: the impact of perceived mistakes on physicians.
Citation Text:
Christensen JF, Levinson W, Dunn PM. The heart of darkness: the impact of perceived mistakes on physicians. J Gen Intern Med. 1992;7(4):424-31.
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…
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psnet.ahrq.gov/node/73522/psn-pdf
July 21, 2021 - issue/pushing-profession-how-news-media-turned-patient-safety-priority
https://psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - SPOTLIGHT CASE
Monitoring Fetal Health
Citation Text:
Scerbo MW, Abuhamad AZ. Monitoring Fetal Health . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNot…
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psnet.ahrq.gov/node/837728/psn-pdf
July 27, 2022 - falls) over time among patients hospitalized for four common conditions – acute myocardial infarction, heart … failure, pneumonia, and surgical procedures.
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency
Jaenic Lee, MD, … Diagnostic tests revealed acute heart failure exacerbation with pulmonary edema, marked elevation of … commentary discusses the contraindications for beta-blockers in the setting of acute decompensated heart … failure and appropriate treatment for hypertensive emergencies in the emergency department and intensive
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - 7% to more than 18%.(5) The most common risk factors for the development of
CIAKI are hypotension, congestive … heart failure, chronic kidney disease, diabetes, age older than 75 years,
anemia, and volume/type of … Providers should screen patients for key risk factors for CIAKI including hypotension, congestive
heart … failure, chronic kidney disease, diabetes, age older than 75 years, anemia, and volume/type of
contrast
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psnet.ahrq.gov/issue/retrospective-analysis-demonstrates-failure-document-key-comorbid-diseases-anesthesia
May 26, 2021 - The quality of hospital work environments and missed nursing care is linked to heart … failure readmissions: a cross-sectional study of US hospitals.
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psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine
October 27, 2021 - Misdiagnosis of heart failure can lead to serious patient harm.
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - can increase risk of TdP in the setting of an already-prolonged QT interval and acute decompensated heart … failure (which increases the pro-arrhythmic effects of class III antiarrhythmics).5
In patients with