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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/bostrom-ac
January 01, 2023 - depression screenings, and beta-blockers and echocardiograms for all post-myocardial infarction or heart … failure patients."
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psnet.ahrq.gov/issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
May 21, 2019 - Commentary
Classic
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary.
Citation Text:
Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. do…
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psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
May 18, 2022 - Study
Accuracy of interpretation of preparticipation screening electrocardiograms.
Citation Text:
Hill AC, Miyake CY, Grady S, et al. Accuracy of interpretation of preparticipation screening electrocardiograms. J Pediatr. 2011;159(5):783-8. doi:10.1016/j.jpeds.2011.05.014.
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psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
July 13, 2010 - Commentary
Simulation in graduate medical education 2008: a review for emergency medicine.
Citation Text:
McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-271…
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psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
August 04, 2021 - Study
Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study.
Citation Text:
Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…
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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Daily Goals Checklist
CUSP Toolkit
Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
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psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
April 12, 2019 - Study
Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs.
Citation Text:
Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Intensive Care Unit (ICU) Daily Goals Checklist
ICU & Non-ICU
Problem statement:
Clear communication among healthcare providers is essential. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communic…
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psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - life-limiting comorbidities (eg, a
previously diagnosed advanced cancer, severe dementia, class IV congestive … heart failure) and/or poor
functional status that influenced her underlying or baseline prognosis and
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_Core.PDF
January 01, 2006 - Cardiac dysrhythmias 268672 1.04
107: Cardiac arrest and ventricular fibrillation 35675 0.14
108: Congestive … heart failure; nonhypertensive 222957 0.86
109: Acute cerebrovascular disease 117279 0.45
110: Occlusion
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_Core.PDF
April 08, 2010 - Cardiac dysrhythmias 264992 1.03
107: Cardiac arrest and ventricular fibrillation 35191 0.14
108: Congestive … heart failure; nonhypertensive 221194 0.86
109: Acute cerebrovascular disease 117231 0.46
110: Occlusion
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
January 01, 2004 - 34,203
Transfer Admission 0.025
Emergency Room Admission 0.190
Patient Chronic Conditions:
Congestive … Heart Failure 0.064
Arrhythmias 0.153
Valvular Disease 0.055
Pulmonary Circular Disease 0.004
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
…
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - SPOTLIGHT CASE
Errors in Sepsis Management
Citation Text:
Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - following cardiac surgery may result from a variety of factors, such as hypovolemia, pump failure due to heart … failure or shock, or maldistribution of blood flow due to septic shock. 1-3 Severe, systemic vasodilation … effective in the setting of coexistent hypovolemia. 10 However, for patients with pulmonary edema due to heart … failure or acute respiratory distress syndrome, fluids may be cautiously withheld and/or administered
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2018_Core_Weighted.PDF
January 01, 2018 - SUBACUTE ENDOCARDITIS W CC 3,305 0.01%
290: ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 605 0.00%
291: HEART … FAILURE & SHOCK W MCC 554,300 1.56%
please refer to the section on Description of Data Elements. … 2020 25
Weighted Frequency Distribution for DRG_NOPOA
DRG_NoPOA Frequency
Percent
of Total
291: HEART … FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OX 196,020 0.55%
292: HEART FAILURE & SHOCK … W CC 209,905 0.59%
293: HEART FAILURE & SHOCK W/O CC/MCC 79,330 0.22%
294: DEEP VEIN THROMBOPHLEBITIS
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2018_Core.PDF
January 01, 2018 - SUBACUTE ENDOCARDITIS W CC 661 0.01%
290: ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 121 0.00%
291: HEART … FAILURE & SHOCK W MCC 110,860 1.56%
please refer to the section on Description of Data Elements. … October 22, 2020 23
Frequency Distribution for DRG_NOPOA
DRG_NoPOA Frequency
Percent
of Total
291: HEART … FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OX 39,204 0.55%
292: HEART FAILURE & SHOCK … W CC 41,981 0.59%
293: HEART FAILURE & SHOCK W/O CC/MCC 15,866 0.22%
294: DEEP VEIN THROMBOPHLEBITIS
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2019_Core_Weighted_V2.PDF
January 01, 2019 - SUBACUTE ENDOCARDITIS W CC 3,460 0.01%
290: ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 485 0.00%
291: HEART … FAILURE & SHOCK W MCC 205,750 0.58%
291: HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE … 2022 25
Weighted Frequency Distribution for DRG_NOPOA
DRG_NoPOA Frequency
Percent
of Total
292: HEART … FAILURE & SHOCK W CC 190,855 0.54%
293: HEART FAILURE & SHOCK W/O CC/MCC 64,215 0.18%
294: DEEP VEIN
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hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2018_Core_Weighted.PDF
January 01, 2018 - SUBACUTE ENDOCARDITIS W CC 3,209 0.01%
290: ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 571 0.00%
291: HEART … FAILURE & SHOCK W MCC 564,196 1.59%
291: HEART FAILURE & SHOCK W MCC OR PERIPHERAL
EXTRACORPOREAL MEMBRANE … OX
198,443 0.56%
292: HEART FAILURE & SHOCK W CC 216,305 0.61%
293: HEART FAILURE & SHOCK W/O CC/