Results

Total Results: 358 records

Showing results for "failure".

121. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
     May 01, 2017 - Prompt recognition and action may prevent “failure to rescue.” … sensemaking using the following tools: · Discovery form · Root cause analysis · Eindhoven model · Failure

122. Rapidresponse Facguide (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
     May 01, 2017 - resources, and another set of “eyes” on the situation in order to prevent further deterioration and “failure … Discovery Form Root Cause Analysis Eindhoven Model Failure Mode and Effects Analysis Probabilistic Risk

123. Dailygoals (doc file)
     cahps.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 …

124. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
     May 30, 2013 - that can be delivered in the event of an accidental rapid infusion (e.g., pump programming error or failure … and sensemaking using the following tools: · Discovery form · Root cause analysis · Eindhoven model · Failure … Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.

125. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
     January 01, 2016 - When a deep pressure injury develops, it usually reflects a system failure—meaning the pressure injury … prevention plan was not implemented or followed—and not so much the failure of an individual health … Conducting a root cause analysis is a useful technique for understanding reasons for a failure in the

126. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - The following are examples of topics that have been discussed during Safe Table events: ■ Failure

127. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/diagnostic-safety/workgroup/index.html
     March 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

128. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - Smith is an 82-year-old gentleman who was admitted to the hospital because of mild congestive heart failure … It would be so nice if people came in with little, you know, “hi, I have congestive heart failure,” sort … Measuring urine output in stable patients, for example, patients with congestive heart failure; assessing … The next slide is another case study and that would be congestive heart failure. … the protocols for tracking urine output, because that is important in patients with congestive heart failure

129. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Three were represented by the principal diagnosis (acute myocardial infarction [AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … Hematoma 12,285 5,368,607 16,264 7,087,787 15,709 7,044,598 PSI 11, Postoperative Respiratory Failure … or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,143 0.54 15,474 0.52 PSI Post-Op Respiratory Failure … from patients treated for four conditions: • Acute myocardial infarction (AMI), • Congestive heart failure

130. TeamSTEPPS: Rapid Response Systems. Specialty Scenarios (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrsspecscen.pdf
     January 11, 2010 - Rapid Response Systems SCENARIO 2 The RRT was called for a patient who had a risk of respiratory failure

131. About the Toolkit Development | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
     July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

132. Accelerating Change and Transformation in Organizations and Networks (ACTION) 4 | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/research/findings/factsheets/translating/action4/index.html
     February 01, 2021 - process of implementing innovations and the contextual factors influencing implementation success or failure

133. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/research/findings/evidence-based-reports/search.html
     May 01, 2024 - Rapid Evidence Product Affiliation: ECRI Institute—Penn Medicine Report Status: Final Failure

134. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
     May 01, 2017 - resources, and another set of “eyes” on the situation in order to prevent further deterioration and “failure … • Discovery Form • Root Cause Analysis • Eindhoven Model • Failure Mode and Effects Analysis

135. Seeking the Right Balance: Addressing Behaviors That Undermine a Culture of Safety (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
     January 01, 2015 - TeamSTEPPS® Behaviors that Undermine Safety Culture Slide 8 Pursuing Reliability Definition: “Failure … 05.2 Mod 1 05.2 Page 26 TeamSTEPPS® Behaviors that Undermine Safety Culture Slide 26 Failure

136. TeamSTEPPS Specialty Scenarios: ED (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
     March 19, 2014 - This failure to delegate and advocate for the patient resulted in a delay. … Instructor Comments  Lacking mutual support and a method for Conflict resolution, a teamwork failure

137. Slide 1 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-december2016.pdf
     January 01, 2016 - Examples of Precipitating Factors  Loss of personal power  Need to maintain self esteem  Fear  Failure

138. Reducing Workplace Violence with TeamSTEPPS® | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/teamstepps/events/webinars/dec-2016.html
     July 01, 2018 - Failure. Attention seeking. Displaced anger. Psychological/physiological causes. Others.

139. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - Three were represented by the principal diagnosis (acute myocardial infarction [AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … 18,948,556 PSI 9, Perioperative Hemorrhage or Hematoma 12,285 5,368,607 PSI 11, Postoperative Respiratory Failure … or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,143 0.54 16,143 0.54 PSI Post-Op Respiratory Failure … from patients treated for four conditions: • Acute myocardial infarction (AMI), • Congestive heart failure

140. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
     cahps.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
     February 01, 2022 - launched in 2013, levied financial penalties on hospitals with unplanned readmissions for congestive heart failure