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  1. 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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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.…
  8. 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 …
  9. Psn-Pdf (pdf file)

    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…
  10. 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: Congestiveheart failure; nonhypertensive 40,477 0.20 109: Acute cerebrovascular disease 26,636 0.13 110: Occlusion
  11. 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.
  12. 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
  13. S131 (pdf file)

    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 congestiveheart 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 Heartfailure 428.xx Hyperlipidemia 272.0, 272.2–272.4, 272.9 Hyperparathyroidism 252.0 Hypertension 401
  14. 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…
  15. Psn-Pdf (pdf file)

    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
  16. Psn-Pdf (pdf file)

    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, congestiveheart failure, chronic lung disease, age older than 70 years, obesity, bed rest, prior VTE, thrombophilic
  17. 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
  18. 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.
  19. 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…
  20. 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 heartfailure.