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psnet.ahrq.gov/node/46168/psn-pdf
June 14, 2017 - for nonpayment: acute myocardial infarction,
chronic obstructive pulmonary disease, pneumonia, and heart … failure.
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psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - myocardial infarction (MI), renal insufficiency, cardiomyopathy, valvular
disease, poorly compensated heart … failure, severe hypertension, and unstable angina.(2)
The rate of catheterization-related death has
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - would have triggered such
an alert
• Other major risk factors that should trigger alerts include heart … failure, history of stroke, renal failure/creatinine, and emergency
surgery
23
Systems Change
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psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
November 04, 2020 - the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart … failure.
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation.
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psnet.ahrq.gov/issue/predictive-combinations-monitor-alarms-preceding-hospital-code-blue-events
March 18, 2020 - adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart … failure.
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - presented to his primary care clinic for follow-up after a recent hospitalization for exacerbation of heart … failure. … His past medical history was significant for heart failure with reduced ejection fraction and atrial … The physician noted the patient, once again, showed several other signs of decompensated heart failure … failure, hypoxia, and cardiogenic shock.
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - kinds of topics that the government would give us—things like, "what's the role of beta-blockers in heart … failure," or "what's the effect of antibiotics on acute otitis media?" … failure." … PS : When you open up a journal article describing a clinical trial of an intervention for heart failure … failure patients and that you would then be required from an accreditation or regulatory standpoint
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psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
September 01, 2016 - failure telemonitoring reduced all-cause mortality by 15%-40% and heart failure-related hospitalizations … For instance, the heart failure telemonitoring program (Connected Cardiac Care Program) at Partners Healthcare … Effects of home telemonitoring interventions on patients with chronic heart failure: an overview of systematic … Cost comparison between telemonitoring and usual care of heart failure: a systematic review. … Heart failure remote monitoring: evidence from the retrospective evaluation of a real-world remote monitoring
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psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
September 01, 2016 - failure telemonitoring reduced all-cause mortality by 15%-40% and heart failure-related hospitalizations … For instance, the heart failure telemonitoring program (Connected Cardiac Care Program) at Partners Healthcare … Effects of home telemonitoring interventions on patients with chronic heart failure: an overview of systematic … Cost comparison between telemonitoring and usual care of heart failure: a systematic review. … Heart failure remote monitoring: evidence from the retrospective evaluation of a real-world remote monitoring
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psnet.ahrq.gov/node/46571/psn-pdf
October 25, 2017 - incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
https://psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions
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psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
May 11, 2019 - Related Resources From the Same Author(s)
Missed diagnosis of new-onset systolic heart … failure at first presentation in children with no known heart disease.
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psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - presented to his primary care clinic for follow-up after a recent hospitalization for
exacerbation of heart … failure. … His past medical history was significant for heart failure with reduced ejection
fraction and atrial … The physician noted the patient, once again, showed several other signs of
decompensated heart failure … failure, hypoxia, and
cardiogenic shock.
-
psnet.ahrq.gov/issue/common-errors-computer-electrocardiogram-interpretation
May 08, 2024 - the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart … failure.
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 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
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psnet.ahrq.gov/webmm-case-studies
March 25, 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/issue/err-human-apologize-hard
September 28, 2022 - 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/optimising-delivery-remediation-programmes-doctors-realist-review
June 02, 2021 - March 31, 2021
Misdiagnosis of heart failure: a systematic review of the literature.
-
psnet.ahrq.gov/node/49723/psn-pdf
January 01, 2015 - Monitoring Fetal Health
January 1, 2015
Scerbo MW, Abuhamad AZ. Monitoring Fetal Health . PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/monitoring-fetal-health
Case Objectives
Define fetal heart rate monitoring.
Describe the current state of evidence regarding fetal heart rate monitoring.
List the known …
-
psnet.ahrq.gov/node/49453/psn-pdf
July 01, 2004 - Oral sodium phosphate
preparations should not be used in patients with renal disease, congestive heart … failure, or ascites.(3) A
meta-analysis of eight randomized trials comprising 1286 subjects suggested … of the medical conditions
that would preclude the use of this agent, such as renal insufficiency or heart … failure.