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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - PowerPoint Presentation
Spotlight
Errors in Sepsis Management
This presentation is based on the May 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: David Shimabukuro, MD, University of California, San Francisco (UCSF)
Editor, AHRQ WebM&M: Rober…
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - New Patient Mistakenly Checked in as Another
January 1, 2016
Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
The Case
A 55-year-old man, presented to a primary care physician's office for an initial vis…
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psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - Is the Admission Drug Dose Too Low?
Citation Text:
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018167-roberts-final-report-2013.pdf
January 01, 2013 - preventive care nor receive appropriate therapies for chronic conditions
such as diabetes, heart disease, congestive … heart failure and others.6-13
Patient self-management can improve outcomes
There is growing evidence … Protecting patients from harm: taking aim at heart failure. Nursing.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - Spotlight
Spotlight
Do Not Miss Sepsis Needles in Viral Haystacks!
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Michelle Hamline, MD, PhD, MAS and Ulfat
Shaikh, MD, M…
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks!
March 27, 2024
Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - measures, specifically hospital 30-day mortality rates for patients with acute myocardial infarction, heart … failure, and pneumonia. … While rates of adherence to process measures for patients with acute myocardial infarction, heart failure … outcomes, we actually have to get the hospital to rethink its entire approach to acute MI care, or heart … failure care, or pneumonia care.
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - No BP During NIBP
Citation Text:
Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy
Citation Text:
Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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Format:
Google …
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meps.ahrq.gov/data_files/publications/st306/stat306.shtml
December 01, 2010 - STATISTICAL BRIEF #306:
Average Annual Health Care Use and Expenditures for Kidney Disease among Adults 18 and Older, U.S. Civilian Noninstitutionalized Population, 2003-2007
Skip to main content
An official website …
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hcup-us.ahrq.gov/reports/methods/2020-04.pdf
January 01, 2020 - failure, diabetes, and asthma. … • ED visits for heart failure based on PQI 8.
• ED visits for dementia. … IQI16 Deaths per 1,000 hospital admissions with heart
failure (HF),a,b age 18 and over
a Consistent … PQI08 Admissions for heart failure (HF)a,b per 100,000
population, age 18 and over
a Consistent with … failure, diabetes, and hypertension.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
March 01, 2020 - • The 30-day ED revisit rate for
congestive heart failure decreased
from 13.2% (pre) to 2.3% (post … The median length of stay decreased significantly, as did the 30-day ED revisit rate
for congestive … heart failure. … heart failure. … The 30-day ED revisit rate for congestive
heart failure decreased from 13.2% (pre) to
2.3% (post) (
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hcup-us.ahrq.gov/reports/methods/2006_9.pdf
January 01, 2006 - Significant differences in one table were often mirrored in
the other:
• For the DRG “heart failure … and shock” and the diagnosis “congestive heart failure,
nonhypertensive,” the NIS estimates of discharge … heart disease
1,256
(50)
1,208
(58)
3.54
(0.04)
3.35
(0.25)
0.68
(0.02)
0.73
(0.05)
108: Congestive … heart failure,
nonhypertensive
1,119
(25)
1,123
(55)
5.53
(0.04)
5.30
(0.39)
4.17
(0.06) … heart
failure, nonhypertensive
861
(19)
727** 6.06
(0.06)
5.85** 5.58
(0.04)
5.66 4.49
(0.06
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hcup-us.ahrq.gov/db/nation/nis/reports/2003niscomparisonrpt.jsp
May 01, 2016 - Significant differences in one table were often mirrored in the other:
For the DRG "heart failure … and shock" and the diagnosis "congestive heart failure, nonhypertensive," the NIS estimates of discharge … heart failure, nonhypertensive
1,119 (25)
1,123 (55)
5.53 (0.04)
5.30 (0.39)
4.17 (0.06) … MedPAR
NIS
MedPAR
NIS
MedPAR
NIS
MedPAR
NIS
MedPAR
Principal Diagnosis
108: Congestive … heart failure, nonhypertensive
861 (19)
727**
6.06 (0.06)
5.85**
5.58 (0.04)
5.66
4.49
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - Admitting a complex patient with an acute myocardial infarction and heart failure, he failed to
prescribe
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - "Do You Want Everything Done?": Clarifying Code Status
December 18, 2019
Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
Disclosure of Relevant Financial Relationships: As a p…
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hcup-us.ahrq.gov/db/nation/nrd/NRDIntroduction2022.pdf
December 01, 2024 - Consider the
following example:
• A patient with congestive heart failure has a 3-day hospital admission … failure 216,500 21.9
3 END003: Diabetes mellitus with complication 119,700 19.2
4 INF012: COVID-19 … Limited to the
Same State as
the Index
Event
Readmissions
Considered
from Any
State
108: Congestive … heart failure;
nonhypertensive
468,709 25.05 25.70 2.6
122: Pneumonia (except that
caused … heart failure;
nonhypertensive 468,709 25.05 25.70 2.6
109: Acute cerebrovascular
disease 232,510
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2018.pdf
January 01, 2018 - Consider the
following example:
• A patient with congestive heart failure has a 3-day hospital admission … failure 233,276 22.8
3 END003: Diabetes mellitus with complication 123,988 19.9 … heart failure;
nonhypertensive
468,709 25.05 25.70 2.6
122: Pneumonia (except that
caused … 16.73 17.27 3.3
107: Cardiac arrest and
ventricular fibrillation 3,236 18.88 19.96 5.7
108: Congestive … heart failure;
nonhypertensive 468,709 25.05 25.70 2.6
109: Acute cerebrovascular
disease 232,510
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2018.jsp
January 01, 2018 - Consider the following example:
A patient with congestive heart failure has a 3-day hospital admission … failure
233,276
22.8
3
END003: Diabetes mellitus with complication
123,988
19.9 … heart failure; nonhypertensive
468,709
25.05
25.70
2.6
122: Pneumonia (except that caused … 107: Cardiac arrest and ventricular fibrillation
3,236
18.88
19.96
5.7
108: Congestive … heart failure; nonhypertensive
468,709
25.05
25.70
2.6
109: Acute cerebrovascular disease
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2020.pdf
January 01, 2020 - Consider the
following example:
• A patient with congestive heart failure has a 3-day hospital admission … Limited to the
Same State as
the Index
Event
Readmissions
Considered
from Any
State
108: Congestive … heart failure;
nonhypertensive
468,709 25.05 25.70 2.6
122: Pneumonia (except that
caused … 16.73 17.27 3.3
107: Cardiac arrest and
ventricular fibrillation 3,236 18.88 19.96 5.7
108: Congestive … heart failure;
nonhypertensive 468,709 25.05 25.70 2.6
109: Acute cerebrovascular
disease 232,510