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Showing results for "heart failure".
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  1. Patient error: a preliminary taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
    June 02, 2010 - April 9, 2009 Post-discharge medication reviews for patients with heart failure: a pilot

  2. Harm From Alarm Fatigue | PSNet

    psnet.ahrq.gov/web-mm/harm-alarm-fatigue
    February 14, 2018 - SPOTLIGHT CASE Harm From Alarm Fatigue Citation Text: Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49454/psn-pdf
    July 01, 2004 - aspirin and beta-blockers in coronary artery disease and angiotensin-converting enzyme inhibitors in congestive … heart failure (15), failure to treat must be viewed as a medication error that leads to unnecessary

  4. Too Many Cooks in the Kitchen | PSNet

    psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - noncardiac surgery found that the factors most consistently predictive of adverse cardiac outcomes were heart … failure, type of surgery, serum creatinine, diabetes, history of stroke or transient ischemic attack

  5. A model of recovering medical errors in the coronary care unit. | PSNet

    psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
    June 02, 2010 - Study A model of recovering medical errors in the coronary care unit. Citation Text: Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002. Copy Citation Format: …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49563/psn-pdf
    May 01, 2008 - https://psnet.ahrq.gov/web-mm/it-safe-be-direct The Case   A 92-year-old man with hypertension and heart … failure (HF) was evaluated by his primary care physician (PCP) for progressive shortness of breath

  7. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-cardiac-catheterisation-laboratory-impact-cardiologists-and-patient-safety
    June 07, 2023 - Study Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Citation Text: Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:…

  8. Surgeon-reported conflict with intensivists about postoperative goals of care. | PSNet

    psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
    September 26, 2012 - Study Surgeon-reported conflict with intensivists about postoperative goals of care. Citation Text: Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403. Co…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60168/psn-pdf
    March 25, 2020 - Right Electrocardiogram, Wrong Patient March 25, 2020 Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…

  10. Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

    psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
    February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

  11. Postoperative handover: problems, pitfalls, and prevention of error. | PSNet

    psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
    September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. Citation Text: Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. Copy Citation …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866395/psn-pdf
    July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49834/psn-pdf
    July 01, 2018 - Case & Commentary—Part 1 A 51-year-old man with history of congestive heart failure (ejection fraction

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…

  15. A systems approach to analyzing and preventing hospital adverse events. | PSNet

    psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
    March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

  16. Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. | PSNet

    psnet.ahrq.gov/issue/my-patient-ready-safe-transfer-lower-intensity-care-setting-nursing-complexity-independent
    April 26, 2023 - Study Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. Citation Text: Sanson G, Marino C, Valenti A, et al. Is my patient ready for a safe transfer to a lower-intensity ca…

  17. Perils in Diagnosing a Stroke | PSNet

    psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
    August 15, 2017 - Perils in Diagnosing a Stroke Citation Text: Schindler JL. Perils in Diagnosing a Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  18. Effect of a hospital-wide measure on the readmissions reduction program. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-wide-measure-readmissions-reduction-program
    February 14, 2017 - Study Effect of a hospital-wide measure on the readmissions reduction program. Citation Text: Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. Copy Ci…

  19. Mortality due to hospital-acquired infection after cardiac surgery. | PSNet

    psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
    February 12, 2020 - Study Mortality due to hospital-acquired infection after cardiac surgery. Citation Text: Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094. Copy C…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46911/psn-pdf
    May 02, 2018 - Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. May 2, 2018 Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin Prescriptions in Patients With Cor…
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