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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/tool-safe-mgso4.html
July 01, 2023 - Safe Medication Administration: Magnesium Sulfate
AHRQ Safety Program for Perinatal Care
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of magnesium sulfate during labor. The key elements are presented within the framework of t…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Past Research on Patient Perceptions of Safety and Diagnostic Mishaps
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remedia…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case February 2006
Lost in Transition
Source and Credits
This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Christopher Beach, MD; Northwe…
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cds.ahrq.gov/sites/default/files/Lessons%20Learned%20Summary%20Sheet%20CDS%20Connect%20Patient%20Partnering%20Panel%202021.pdf
July 18, 2023 - CDS Connect Patient and Caregiver Partnering Panel - Lessons Learned
CDS Connect Patient and Caregiver Partnering Panel
We aspire to inspire CDS developers to take one more step
to engage and partner with patients and caregivers
What is patient and caregiver partnering?
Patient partnering, patient engagement, a…
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psnet.ahrq.gov/issue/what-patients-complaints-and-praise-tell-health-practitioner-implications-health-care-quality
February 21, 2024 - Study
What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study.
Citation Text:
Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for healt…
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
Copy …
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psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
September 25, 2024 - Study
Implementation of electronic triggers to identify diagnostic errors in emergency departments.
Citation Text:
Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…
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psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
April 24, 2018 - Study
Classic
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.
Citation Text:
Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized …
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psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - Missed Compartment Syndrome after Steep Lithotomy
Position for Laparoscopic Gynecological Surgery
July 10, 2024
Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic
Gynecological Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-compartment-syndrome…
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2015Q1Q3_ED_MaskedStats.PDF
December 14, 2017 - Cardiac dysrhythmias 174,444 0.88
107: Cardiac arrest and ventricular fibrillation 24,251 0.12
108: Congestive … heart failure; nonhypertensive 40,477 0.20
109: Acute cerebrovascular disease 26,636 0.13
110: Occlusion
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www.ahrq.gov/prevention/chronic-care/decision/mcc/mccpublications.html
May 01, 2014 - Risk of arrhythmic and nonarrhythmic death in patients with heart failure and chronic kidney disease.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/accountable-care-registries-guide-3rd-ed-addendum-white-paper-2018-5.pdf
January 01, 2018 - Patients are segmented into
registries by diagnoses, such as chronic heart failure, acute myocardial … Even
measures that address the same clinical area (e.g., 30-day readmission for heart failure) may be … Examples include
identifying all patients with chronic heart failure who have had two or more hospital … Once identified, those patients can be enrolled in a home-based heart failure
management program or … heart failure patients or which patients are most at risk for
an ED visit and what factors might prevent
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effectivehealthcare.ahrq.gov/sites/default/files/s131.pdf
October 01, 2007 - for vascular dis-
ease in the past 6 months were excluded, as were those with
a hospitalization for congestive … heart failure, arrhythmia, or
atrial fibrillation in the past 6 months. … Fracture of wrist, humerous, or spine 805.xx, 812.1x, 812.5x, 813.xx
Gait abnormalities 781.2, 781.3
Heart … failure 428.xx
Hyperlipidemia 272.0, 272.2–272.4, 272.9
Hyperparathyroidism 252.0
Hypertension 401
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Monitoring for Perinatal Safety: Electronic Fetal Monitoring
Slide 2: Learning Objectives
Image: This slide sh…
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psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - The Case
A 94-year-old woman with history of congestive heart failure (CHF), hypertension, and gout
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - patients per year die from
PE.(3)
The most common VTE risk factors include surgery, trauma, cancer, congestive … heart failure, chronic lung
disease, age older than 70 years, obesity, bed rest, prior VTE, thrombophilic
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
January 01, 2017 - Dre
D iseases
Sepsis, chronic obstructive pulmonary disease, congestive heart failure
D rug
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
April 01, 2011 - failure, heart attack, or pneumonia) within the last 30 days. … failure, heart attack, and pneumonia) reported by CMS from the fourth quarter of 2007 through the third … Failure. … failure or high blood pressure, and steps toward discharge in plain language. … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-rapid-review.pdf
December 01, 2024 - Making Healthcare Safer IV Rapid Review: Patient Monitoring Systems To Prevent Failure To Rescue
Making Healthcare Safer IV
Patient Monitoring Systems To Prevent
Failure To Rescue
Rapid Review
Rapid Review
Structured Abstract
Objectives. To review the evidence published after the previous Making Healt…
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - female night float resident was sepsis from a urinary tract source and acutely decompensated diastolic heart … failure.