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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - 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/node/35620/psn-pdf
February 03, 2011 - populations such as elderly patients with specific comorbidities (eg, diabetes, renal insufficiency,
and heart … failure).
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - failure (CHF), exacerbation of chronic obstructive pulmonary disease (COPD), or cellulitis, and who … failure
exacerbation, COPD, or asthma) found 30-day hospital readmission rates among Hospital at Home … , and
endoscopy).6
A randomized trial (91 elderly patients admitted via the ED with an infection, heart … failure
exacerbation, COPD, or asthma) found that Hospital at Home patients had fewer laboratory orders … failure
exacerbation, COPD, or asthma) found that the cost per patient day was 38 percent lower for
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psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
September 20, 2011 - Electrocardiographic changes / biomarker elevation • Recurrent ischemia • Low left ventricular ejection fraction • Heart … failure (Killip II-IV) • Prior ventricular arrhythmia • Occurrence more than 12–24 hours after ACS
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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - Communication Failure—Who's in Charge?
October 1, 2011
Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge
The Case
A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - WebM&Ms
WebM&M Cases
Spotlight Case
Mismanagement of Acute Decompensated Heart … Failure with Hypertensive Emergency Jaenic Lee, MD, Josh Fernelius, MD and William Frick, MD | December … 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/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
February 17, 2021 - May 8, 2024
Missed diagnosis of new-onset systolic heart failure at first presentation
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk
April 12, 2019 - June 12, 2019
Missed diagnosis of new-onset systolic heart failure at first presentation
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psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
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/issue/prioritizing-patient-safety-efforts-office-practice-settings
October 12, 2022 - March 23, 2022
Missed diagnosis of new-onset systolic heart failure at first presentation
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - March 19, 2019
Heart Failure: The Decline of a Historic Transplant Program.
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psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
May 08, 2024 - 2017
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/node/40072/psn-pdf
April 04, 2011 - between lower safety culture and higher 30-day readmission
rates for acute myocardial infarction and heart … failure.
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psnet.ahrq.gov/node/43313/psn-pdf
April 22, 2015 - increased for six high-risk conditions drawn from AHRQ Quality Indicators—acute
myocardial infarction, heart … failure, gastrointestinal hemorrhage, hip replacement, pneumonia, and stroke.
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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/node/45724/psn-pdf
July 21, 2017 - Remembering to learn: the overlooked role of
remembrance in safety improvement.
July 21, 2017
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual
Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
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psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
October 31, 2023 - 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/web-mm/near-miss-bedside-medications
February 01, 2006 - WebM&M Cases
Mismanagement of Acute Decompensated Heart … Failure with Hypertensive Emergency
December 31, 2024
WebM&M Cases
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-need-commitment-transparency-and-research
June 17, 2020 - 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/medicine-self-administration-errors-older-adult-population-systematic-review
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.