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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - (Elderly patient in renal failure, secondary to congestive heart failure.)
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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.
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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.
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Fo…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/case-management_research-protocol.pdf
June 06, 2011 - including a review that found improved glycemic
control among patients with diabetes
4
and a review of congestive … heart failure with mixed results
across multiple disease-related and resource-utilization outcomes … AHRQ in 2007,
these investigators reported that case management may improve patient outcomes for heart … failure and diabetes.
3
Their review, however, evaluated only previously published systematic
reviews … Care management interventions for older patients with congestive heart
failure.
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2003_SummaryStats_10PCT_SEVERITY_A.PDF
January 01, 2003 - measure: Chronic
blood loss anemia 756095 41678 0.00 1.00 0.02 0.14
CM_CHF : AHRQ comorbidity measure: Congestive … heart
failure 756095 41678 0.00 1.00 0.06 0.23
CM_CHRNLUNG : AHRQ comorbidity measure: Chronic
pulmonary … FAILURE OR
SHOCK
409 0.05
171: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 2816 … FAILURE 20653 2.59
196: CARDIAC ARREST 257 0.03
197: PERIPHERAL & OTHER VASCULAR DISORDERS 5022 0.63 … FAILURE & SHOCK W/O CC 4590 0.58
1271: HEART FAILURE & SHOCK W CC 11555 1.45
1272: HEART FAILURE &
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psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
April 14, 2021 - racial/ethnic disparities in interhospital transfers (IHT) for common medical diagnoses such as heart … failure, acute myocardial infarction, stroke, and sepsis, impact mortality outcomes.
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www.ahrq.gov/ecareplan/resources-publications/index.html
May 01, 2025 - type 2 diabetes mellitus, common cardiovascular diseases (hypertension, ischemic heart disease, and heart … failure), chronic pain, and Long COVID.
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psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
February 21, 2018 - adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart … failure. … August 2, 2023
Prescribing patterns of heart failure-exacerbating medications following … a heart failure hospitalization.
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - • Is it related to volume (dehydration, hypovolemic shock, fluid overload, hypertension, congestive
heart … failure)? … Contextualizing the Plan or Putting it Into Action
In the case of congestive heart failure (CHF) or … Her
BNP is elevated, indicating congestive heart failure. … She is demonstrating severe congestive heart failure.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - • Is it related to volume (dehydration, hypovolemic shock, fluid overload, hypertension, congestive
heart … failure)? … Contextualizing the Plan or Putting it Into Action
In the case of congestive heart failure (CHF) or … Her
BNP is elevated, indicating congestive heart failure. … She is demonstrating severe congestive heart failure.
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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…
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psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.
Citation Text:
Thompson DA, Marsteller JA, Pronovost P, et al. Locating Errors Through Networked Survei…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - failure therapies to a high of 90.6 for influenza
immunization. … failure. … of heart failure (HF) who
were prescribed ACE inhibitor or ARB therapy
55.4 11.9
Heart Failure … (HF): Beta-Blocker
Therapy
% of patients aged 18 years and older with a diagnosis of heart failure … )
Heart Failure
(HF): Beta-Blocker Therapy
96.5 (13.9) 54.7 (22.1) 56.2*† (27.2) N/A 48.0† (24.8
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements that support the use of electronic fetal monitoring (EFM). The key safety elements are presented within the framework of t…
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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…
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psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
April 01, 2006 - myocardial infarction (MI), renal insufficiency, cardiomyopathy, valvular disease, poorly compensated heart … failure, severe hypertension, and unstable angina.( 2 ) The rate of catheterization-related death
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
January 01, 2003 - SUBJECTS: A total of 706 outpatients with heart failure and/or ischemic heart disease. … practice staff (faculty, residents, fellows, nurse practitioners, and pharmacists) and their patients with heart … failure or ischemic heart disease.
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hcup-us.ahrq.gov/datainnovations/mn.jsp
October 01, 2010 - State: Minnesota
Title: Using Clinically Enhanced Claims Data to Guide Treatment of Acute Heart … Failure
Principal Investigator: Mark Sonneborn
Organization: Minnesota Hospital … analysis of alternative drug regimens used to treat patients hospitalized with acute decompensated heart … failure will be performed using the clinically enhanced administrative hospital discharge database. … Because of the complexity of heart failure and the therapies used to manage it, this study will be an
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn17.jsp
September 01, 2014 - If only ADHF (Acute Decompensated Heart Failure) data is included, patients with any of the following … ICD-9-CM codes as a principal diagnosis should be included:
428.xx heart failure
398.91 … rheumatic heart failure
402.01, 402.11, 402.91 hypertensive heart failure
404.01, 404.03, 404.11 … , 404.13, 404.91, 404.93 hypertensive heart failure and kidney failure
Optionality: R=Required,
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psnet.ahrq.gov/node/866080/psn-pdf
June 05, 2024 - Giving up learning from failures? An examination of
learning from one's own failures in the context of heart
surgeons.
June 5, 2024
Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the
context of heart surgeons. Strat Manage J. 2024;45(10):2063-2094. doi:10.100…