-
cahps.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
October 01, 2014 - Handoff strategies in settings with high consequences for failure: lessons for health care operations
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - When a deep pressure ulcer develops, it usually reflects not so much the failure of an individual clinician … , but rather a system failure. … Root cause analysis is a useful technique for understanding reasons for a failure in the system.
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Postoperative physiologic and metabolic derangements 1.59 0
PSI 11 Postoperative respiratory failure … (AMI) mortality 0 0 0.0611616 58.783 -100 0 0.104046408 IQI 15 Significantly Lower *
IQI 16 Heart failure … PDI 08 Perioperative Hemorrhage or Hematoma Rate 0.00248 0
PDI 09 Postoperative Respiratory Failure
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cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - otherwise contraindicated for populations represented by Medicare, (e.g., seniors or patients in renal failure … reasonable timeframes for the CED requirements, substantial burden on participating stakeholders, and failure … reasonable timeframes for the CED requirements, substantial burden on participating stakeholders, and failure … otherwise contraindicated for populations represented by Medicare, (e.g., seniors or patients in renal failure
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cahps.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Heart Failure Clinical Guide / Quick Reference Guide
Consumer Version: English / Spanish
12.
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1a_combo_iqifactsheet.pdf
October 01, 2015 - Mortality Rate 56.49 0730 2011
IQI 32 AMI Mortality Rate, without transfer cases 58.69
IQI 16 Heart Failure
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cahps.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Cross-Cutting: Health Information Technology
Cross-Cutting: Other Topics
Delirium
Diagnostic Errors
Failure … Evidence
Staff Education and Training
(Not reviewed)
(Not reviewed)
Summary of Evidence
Failure
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cahps.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
April 01, 2024 - Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events
Report
Protocol
Failure
-
cahps.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 23, 2024 - Narratives Can Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure
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cahps.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Narratives Can Catalyze Staff Improvement and Bolster Survey Scores
February 6, 2024
Heart Failure
-
cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule9.pptx
April 10, 2006 - expressing.
19
Performance Improvement
Setting Performance Goals
Rewarding Improvement
Dealing With Failure … - and long-term goals
Rewarding Improvement:
Provide positive reinforcement to others
Dealing With Failure … Don't wait until you see either perfection or failure on the task. … The third area is dealing with failure. … Patience can be a virtue or an enabler of more failure, so use it wisely.
-
cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - used patient charts from only four conditions (acute myocardial infarction
[AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6)
PSI Post-Op Hemorrhage or Hematoma (PSI 9)
PSI Post-Op Respiratory Failure … PSI 6) 10,674 0.36
PSI Post-Op Hemorrhage or Hematoma (PSI 9) 17,670 0.59
PSI Post-Op Respiratory Failure … Hemorrhage or
Hematoma (PSI 9)
17,670 0.59 16,154 0.54 16,154 0.54
PSI Post-Op
Respiratory Failure … charts from patients treated for four conditions:
acute myocardial infarction (AMI), congestive heart failure
-
cahps.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - of Medicine affirmed the importance of a patient’s understanding of their diagnosis by including the failure
-
cahps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - National
Academies of Sciences, Engineering, and Medicine (NASEM) defines diagnostic error as “the failure … between the nurse and the physician was the
dominant issue, and a central problem in this regard was the failure … Communication failure: basic components, contributing factors, and the call
for structure.
-
cahps.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
February 01, 2023 - among “minority” populations—a particularly urgent concern when considering that the risk of heart failure
-
cahps.ahrq.gov/news/newsroom/case-studies/cp30506.html
October 01, 2014 - For example, daily home monitoring for congestive heart failure can be done from a distance, eliminating
-
cahps.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
December 01, 2012 - than $5 million over a 4-year period. 5 Almost all of these claims related to poor communication and failure
-
cahps.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Post-Op Hemorrhage or Hematoma (PSI 9)
21,000
0.63
20,000
0.60
PSI
Post-Op Respiratory Failure
-
cahps.ahrq.gov/research/publications/search.html?page=11
December 01, 2014 - It identifed factors associated with adult patients at high risk for ED discharge failure.
-
cahps.ahrq.gov/patient-safety/settings/labor-delivery/index.html
July 01, 2023 - Skip to main content
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