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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety
Sara J. Singer, MBA, PhD | September 1, 2013
View more articles from the same authors.
Citation Text:
Singer SJ. What We've Learned About Leveraging Leadership a…
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hcup-us.ahrq.gov/reports/natstats/commdx/table1j.htm
February 11, 2011 - Most Common Diagnoses and Procedures in U.S. Community Hospitals, 1996
Table 1 (continued). The top 100
principal procedures and their associated principal diagnoses: HCUP
Nationwide Inpatient Sample, 1996 -------------------------------------------------------------------------------------------------------…
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - Rapid Response Teams: Lessons from the Early
Experience
November 1, 2005
Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
Perspective
Health care organizations throughout the world have ide…
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2017.pdf
January 01, 2017 - 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
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hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2016.pdf
January 01, 2016 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
January 01, 2018 - with
appendicitis, adults
-16.13 -10.40 HCUP 2016
Deaths per 1,000 adult hospital admissions with congestive … heart failure -49.82 -12.50 HCUP 2016
Deaths per 1,000 adult hospital admissions with pneumonia -34.00 … USC had language assistance
-76.1 -3.25 MEPS 2016
Deaths per 1,000 adult hospital admissions with congestive … heart failure -47.3 -8.95 HCUP 2016
Deaths per 1,000 adult hospital admissions with pneumonia -44.0
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - October 2012 for Medicare patients who
are readmitted to the hospital within 30 days for pneumonia, heart … failure, and/ or myocardial
infarction. … provides care to older adults (65 years and older) who
were admitted to the hospital for pneumonia, congestive … heart failure (CHF), myocardial
infarction, or other conditions as determined by attending physicians … failure clinic
The GTC Team has a “Risk Tool” to help determine if the patient should receive follow-up
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/advanced-care-decision-aids_technical-brief.pdf
July 01, 2014 - ClinicalTrials.gov-
Recruiting)
Using videos to facilitate advance care
planning for patients with heart … failure
(VIDEO-HF)
AE Volandes
Massachusetts General Hospital
University of Colorado, Denver, Vanderbilt … Boston Medical Center
NCT01653938
(ClinicalTrials.gov-
Recruiting)
A trial of a CPR video in heart … failure
patients
A Volandes
Massachusetts General Hospital
HSRP20122281
(HRS-Proj – Ongoing) … Using videos to facilitate advance care
planning for patients with heart failure
A Volandes
Massachusetts
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026189-ko-final-report-2023.pdf
January 01, 2023 - 3997 (11.8) 10435 (10.8)
COPD, n (%) 4283 (3.3) 1092 (3.2) 3191 (3.3) 0.49 <0.01
Acute or chronic heart … failure,
n (%)
3722 (2.9) 899 (2.7) 2823 (2.9) 0.01 <0.01
Disseminated cancer, n (%) 2609 (2.0) … Diabetes
IDDM 0.85 (0.79-0.91)
NIDDM 0.98 (0.92-1.03)
COPD 0.89 (0.82-0.97)
Acute or chronic heart … Size
Acute or chronic heart … failure,
n (%)
189 (2.2) 710 (2.8) 0.004 0.02
Disseminated cancer, n (%) 158 (1.9) 476 (1.9) 0.96
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - SPOTLIGHT CASE
Breakage of a PICC Line
Citation Text:
Dimov V. Breakage of a PICC Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
PATIENT
SAFETY
e
Issue Brief 3
Evidence on Use of Clinical
Reasoning Checklists for
Diagnostic Error Reduction
e
Issue Brief
Evidence on Use of Clinical
Reasoning Checklists for
Diagnostic Error Reduction
Prepared for:
…
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psnet.ahrq.gov/web-mm/other-side
May 01, 2007 - SPOTLIGHT CASE
The Other Side
Citation Text:
Vincent CA. The Other Side. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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hcup-us.ahrq.gov/reports/statbriefs/sb253-Influenza-Hospitalizations-ED-Visits-2006-2016.pdf
January 01, 2016 - cerebral ischemia
CIR002 Acute rheumatic heart disease
CIR001 Chronic rheumatic heart disease
CIR019 Heart … failure
CIR011 Coronary atherosclerosis and other heart disease
CIR009 Acute myocardial infarction
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hcup-us.ahrq.gov/reports/methods/Comparison_Report_NIS11988-92Final.pdf
July 11, 1996 - may partially explain differences for
diagnosis groups ranked 2, 4, and 6 (coronary atherosclerosis, congestive … heart failure [CHF],
and AMI). … diseases)
1,106
(10)
1,121
(43)
8.23
(0.05)
8.39
(0.49)
7.83
(0.07)
7.59
(0.58)
4 108: Congestive … heart failure,
nonhypertensive
866
(10)
* 789
(33)
7.81
(0.04)
7.90
(0.49)
7.41
(0.06)
7.79 … heart failure,
nonhypertensive
630
(29)
607 0.96 8.03
(0.08)
** 8.34 8.11
(0.14)
* 8.45 10,049
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - you start saying, we're talking about acute MIs, or
we're talking about admissions to hospitals for heart … failure.
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www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
January 01, 2024 - Final Progress Report: Pediatric Emergency Assessment Tool
FINAL REPORT
PEAT: Pediatric Emergency A ssessment Tool
Principal Investigator: Marc H. Gorelick, MD, MSCE
Team Members: Kathleen Cronan, MD
Justine Shults, PhD
Jo Bergholte, MS
Organization: Medical College of Wisconsin
PI Contact Information:…
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psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - health care, making sure we're
doing the right x-rays and giving the right medicines for patients with heart … failure.
-
psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - in catheterization or ultrasound reports will be more straightforward than
assigning class 3 or 4 heart … failure status on the basis of symptoms reported in a history of present illness.
-
psnet.ahrq.gov/node/49506/psn-pdf
March 01, 2006 - The Wet Read
March 1, 2006
Arenson RL. The Wet Read. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/wet-read
Case Objectives
Appreciate the limitations of radiology resident emergency coverage.
Understand the rate of discrepancy between radiology resident preliminary reads and attending
radiologists' fina…
-
psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - you start saying, we're talking about acute MIs, or we're talking about admissions to hospitals for heart … failure.