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psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
November 13, 2024 - the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart … failure.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - PowerPoint Presentation
Spotlight Case February 2003
Apnea in a Patient Under General Anesthesia
webmm.ahrq.gov
Source and Credits
This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case
See full case–commentary on webmm.ahrq.gov
CME credit is available online
Commentary by: Paul Barach,…
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psnet.ahrq.gov/issue/safety-culture-cardiac-surgical-teams-data-five-programs-and-national-surgical-comparison
May 24, 2012 - Study
Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.
Citation Text:
Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - Delay in Appropriate Diagnosis and Treatment Leading to
Death from Pulmonary Embolism
February 10, 2021
McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary
Embolism. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leadi…
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psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
October 27, 2021 - Study
Novel approach to cardiac alarm management on telemetry units.
Citation Text:
Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114.
Copy Citation
For…
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psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
May 15, 2024 - May 6, 2009
Post-discharge medication reviews for patients with heart failure: a pilot
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psnet.ahrq.gov/issue/perceptions-hospital-safety-climate-and-incidence-readmission
March 25, 2015 - between lower safety culture and higher 30-day readmission rates for acute myocardial infarction and heart … failure.
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psnet.ahrq.gov/issue/have-we-gone-too-far-translating-ideas-aviation-patient-safety
March 06, 2005 - 2020
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/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - December 21, 2022
Heart Failure: The Decline of a Historic Transplant Program.
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psnet.ahrq.gov/node/49470/psn-pdf
December 01, 2004 - patient safety at discharge
Case & Commentary
Case #1 A 59 year-old man with severe but well-controlled congestive … heart failure, on spironolactone and
other appropriate medications, was discharged following a brief … with intensive nurse follow-up has been demonstrated to
reduce hospital readmissions, especially in heart … failure patients.(7-10) Systematic telephone call contact
with patients by a pharmacist within days
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - between improved safety
climate measures and lower readmission rates for coronary artery disease and congestive … heart failure.(7)
A particularly interesting example of the influence of culture comes from the Rhode
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psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
July 29, 2020 - October 28, 2009
Post-discharge medication reviews for patients with heart failure: a
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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - January 7, 2015
Effectiveness and cost of a transitional care program for heart failure
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psnet.ahrq.gov/issue/ambulatory-medication-reconciliation-using-collaborative-approach-process-improvement
December 04, 2019 - January 30, 2013
Post-discharge medication reviews for patients with heart failure: a
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psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-department
November 16, 2022 - October 19, 2022
Post-discharge medication reviews for patients with heart failure: a
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psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
May 13, 2020 - February 15, 2011
Post-discharge medication reviews for patients with heart failure:
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psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication
September 23, 2020 - Error
March 21, 2009
Post-discharge medication reviews for patients with heart … failure: a pilot study.
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psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
September 20, 2023 - 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/issue/what-have-we-learnt-after-15-years-research-weekend-effect
December 02, 2020 - the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart … failure.
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psnet.ahrq.gov/issue/information-behavior-context-improving-patient-safety
March 24, 2019 - November 3, 2010
Misdiagnosis of heart failure: a systematic review of the literature