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Total Results: 357 records

Showing results for "failure".

61. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - to learn from defects and sensemaking: · Discovery form · Root cause analysis · Eindhoven model · Failure … Identify shoulder dystocia |_| Failure to deliver the infant with gentle traction |_| The “turtle sign … ” with retraction of the fetal chin and head to the maternal perineum |_| Failure of restitution |_|

62. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 29, 2016 - Derangement 0.9 1.5 4 $120,629 $ 482,516 N 3 3 2 Y Y Y Y Y PSI 11 Postoperative Respiratory Failure … Y IQI 15 AMI Mortality 6.5 5.0 16 $38,000 $ 608,000 N 3 2 2 Y Y Y Y Y IQI 16 Heart Failure … 0.0 4.9 0 $75,932 $ - N 6 6 6 Y Y Y Y Y PDI 09 Postoperative Respiratory Failure

63. What's New on the AHRQ Web Site | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/whatsnew.html
    April 01, 2024 - Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms  (4/15/24) Failure

64. Mourning the Loss of Deputy Director David Meyers, M.D. | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/871.html
    July 01, 2023 - of COVID-19 A new Data Spotlight (PDF, 1 MB) from AHRQ shows that hospital admissions for heart failure … decreased by 15 percent from 2019 to 2020, while deaths from heart failure more than doubled.

65. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepevidencesum.pdf
    January 01, 2012 - $5 million over a 4-year period. 5 Almost all of these claims related to poor communication and failure

66. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
    March 01, 2020 - Failure to consider these questions is likely to undermine the success of the reminder system. … Failure to keep clinic appointments: Implications for residency education and productivity.

67. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … sample, and those with a principal diagnosis of acute myocardial infarction (AMI), congestive heart failure … Post-Op Hemorrhage or Hematoma (PSI 9) 20,691 32,750,000 0.632 PSI Post-Op Respiratory Failure

68. Slide 1
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/news/events/conference/2011/naylor/naylor.pptx
    January 01, 2011 - Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial.

69. Strategy 6C: OpenNotes | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6c-opennotes.html
    March 01, 2020 - For example, a patient whose chart includes an unfamiliar reference to "congestive heart failure" might … think it refers to an actual failure rather than a manageable heart condition.

70. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - three individual factors identified were chronic medical conditions, substance abuse, and delay and/or failure … identified were chronic medical conditions, substance abuse, and A-25 | P a g e delay and/or failure … These 18 events included those occurring during surgeries and other procedures (e.g., failure of sterility … wrong body part); pregnancy, labor and delivery, and newborn care (e.g., nondetection of Rh factor, failure

71. AHRQ Awards $45 Million in Grants To Expand Access to Care for People With Long COVID | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/882.html
    September 01, 2023 - Among 20 indicators of severe maternal morbidity, acute kidney failure had the greatest increase, from … Literature Postdischarge noninvasive telemonitoring and nurse telephone coaching improve outcomes in heart failure

72. Action Planning Worksheets | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
    November 01, 2018 - Study the flowchart and then: Mark potential failure points in the redesigned processes. … Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process failure

73. AHRQ Stats | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/ahrq-stats.html
    November 01, 2023 - Among 20 indicators of severe maternal morbidity, acute kidney failure had the greatest increase, from … Increased Hospital Stays for Kidney Failure While the overall rate of hospital stays for acute kidney … failure increased 66 percent nationwide between 2005 and 2014, the increase was higher for low-income … Cost of Hospital Stays for Kidney Failure The cost for a hospital stay in 2014 involving acute kidney … failure averaged $19,200, nearly twice the $9,900 average cost for stays not involving kidney failure

74. Why Evaluate a Health Care Quality Reporting Project? | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/talkingquality/assess/why-evaluate.html
    May 01, 2019 - All participants in a report card project will reach conclusions about the relative success or failure

75. AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/877.html
    August 01, 2023 - Evaluating the implementation of patient-reported outcomes in heart failure clinic: a qualitative assessment

76. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar04/formativeevalsl.html
    January 01, 2014 - Barriers and facilitators to implementation success or failure. … Can provide working hypotheses on implementation success / failure.

77. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Hemorrhage PDF [76.1 KB] PSI10 Postoperative Derangement PDF [86 KB] PSI11 Postoperative Respiratory Failure … Surgery PDF [74.18 KB] PDI08 Perioperative Hemorrhage PDF [81 KB] PDI09 Postoperative Respiratory Failure

78. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
    January 01, 2013 - Analysis of sentinel events reported to The Joint Commission over 10 years identified communication failure … The VA’s National Center for Patient Safety database shows similar results with communication failure

79. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
    July 14, 2023 - related to financial payouts; up to one- third of all cases that end in a claim have a diagnostic failure

80. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - PSI Post-Op Hemorrhage or Hematoma (PSI 9) 21,000 0.63 20,000 0.60 PSI Post-Op Respiratory Failure