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Showing results for "failure".

1. Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/data/infographics/heart-failure-hospital.html
   July 01, 2023 - Health Information Knowledgebase Data Sources Available from AHRQ Heart Failure … Admissions Down but Hospital Deaths Higher in First Year of COVID-19   Heart Failure Admissions … last reviewed July 2023 Page originally created July 2023 Internet Citation: Heart Failure … https://www.ahrq.gov/data/infographics/heart-failure-hospital.html  

2. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
   July 01, 2023 - Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … ◆ Heart failure, including hypertensive heart disease with heart failure (ICD-10-CM I11, I13, I50

3. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/news/newsletters/e-newsletter/899.html
   February 01, 2024 - Newsroom Blog Newsletter AHRQ News Now Events Heart Failure … [PDF, 9 MB]) Today's Headlines: Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … failure admitted to hospitals with higher 30-day readmission rates and deaths from all causes have a … Patients with heart failure admitted to hospitals that perform poorly on mortality and readmission measures

4. Selected Best Practices and Suggestions for Improvement (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
   May 17, 2016 - Why focus on postoperative respiratory failure in children? … Generally, postoperative respiratory failure is the failure to wean from mechanical ventilation within … Why focus on postoperative respiratory failure? [PowerPoint]. … Consultation with the specialist: respiratory failure in children. … Why focus on postoperative respiratory failure in children?

5. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
   October 01, 2017 - the home through a noninvasive interface for the population of patients with chronic respiratory failure … Draft analytic framework for home mechanical ventilators Background Chronic respiratory failure … Many disease conditions may contribute to chronic respiratory failure including, but not limited to … Mechanical ventilation is used to treat chronic respiratory failure. … There is considerable variability regarding the continuum of severity of chronic respiratory failure.

6. Library of PCOR Resources | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/pcor/library-of-resources/index.html
   April 01, 2021 - search , you could find information by entering the following: All words (e.g., "congestive heart failure … An exact word or phrase in relation to another such phrase (e.g., "congestive heart failure" AND "statins … Certain words or phrases (e.g., "heart failure"). … An exact word or phrase and the author's name (e.g., "congestive heart failure" AND "statins" AND "John … An exact word or phrase and the institution name (e.g., "congestive heart failure" AND "statins" AND

7. AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/news/newsroom/case-studies/201522.html
   August 01, 2015 - ’s Medical Center, a 389-bed trauma center in Long Beach, introduced RED in December 2013 for heart failure … Mary’s Medical Center also introduced RED with heart failure patients, which helped the facility reduce … After seeing the success of the RED Toolkit in reducing readmissions among heart failure patients, officials … After seeing initial success with heart failure patients, the hospital instituted nearly all RED Toolkit

8. Selected Best Practices and Suggestions for Improvement (pdf file)
   pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
   May 20, 2016 - hospitalized patients experienced problems with glucose control (if diagnosed with diabetes) or renal failure … Manage Prevention Strategies for Postoperative Patients Avoid risk factors for acute renal failure … • Produce monthly glycemic management outcome and renal failure reports and use to provide group … Prevention of postoperative acute renal failure. J Postgrad Med 2002;48(1):64- 70. 8. … Diagnostic evaluation of the patient with acute renal failure. In Berl T, Bonventre JV, eds.

9. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
   pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
   August 01, 2022 - Could this type of communication failure occur in the future during normal working conditions? … EQUIPMENT DEVICE FAILURE Was all necessary equipment available? … EQUIPMENT DEVICE FAILURE Was all equipment functioning properly?  … EQUIPMENT DEVICE FAILURE If applicable, was this incident reported to the FDA?       … EQUIPMENT DEVICE FAILURE Was there a recall on this device?      

10. Grant Closeout Requirements | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grant-mgmt/closeout.html
    December 01, 2022 - Financial Report Final Invention Statement and Certification Final Progress Report Submission Requirements Failure … Return to Contents Failure to Comply Failure to submit the required reports in a timely manner may

11. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - report, Improving Diagnosis in Health Care, and proposed a new definition of diagnostic error, “the failure … Finally, Dadlez et al,25 looking at diagnostic process errors (i.e., failure points and contributing … Diagnostic error was defined as failure to establish an accurate diagnosis or failure to communicate … to establish an accurate diagnosis or failure to communicate the diagnosis in medical records. … Unavoidable misdiagnosis is a diagnostic labeling failure without a diagnostic process failure.1 Singh11

12. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - Issues Worksheet Learn from Defects Form Sensemaking Tools Discovery Form Root Cause Analysis Failure … The Relationship Between CUSP and Sensemaking 1 , 2 , 3 Concept CUSP Sensemaking Defect or failure … identification Defects Human/active failure Latent/system conditions Ways to identify defects … or failure Staff Safety Assessment Status of Safety Issues Worksheet Discovery Form Root … Cause Analysis Failure Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine

13. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Researchers found significant decreases in in-hospital adverse event rates for heart attack, heart failure … 2010 and 2019, adverse event rates fell 36 percent for heart attack patients, 31 percent for heart failure … for all five patient groups, as follows: 41percent for heart attack patients, 27 percent for heart failure

14. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
    February 02, 2018 - Background and Objectives for the Systematic Review Chronic respiratory failure is a common condition … Chronic respiratory failure is defined as the long-term inability to maintain oxygen and carbon dioxide … Chronic respiratory failure may range from mild to severe and can be characterized as hypoxemic (inability … Mechanical ventilation is used to treat chronic respiratory failure. … In addition, some patients with chronic respiratory failure may benefit from continuous positive airway

15. Selected Best Practices and Suggestions for Improvement (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Rate and IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, Without Transfer Cases] o Heart Failure … 30-Day Mortality Rate [similar to IQI 16 Heart Failure Mortality Rate] o Pneumonia 30-Day Mortality … − End stage AIDS − End stage chronic obstructive pulmonary disease − End stage congestive heart failure … and inadequate equipment  Unit management factor (work environment) communication problems, failure … IQI 16 Heart Failure Mortality Rate • Evaluation of ejection fraction.

16. C1 Prioritization Worksheet (xls file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - Hematoma   PSI 10 Postoperative Physiologic and Metabolic Derangement PSI 11 Postoperative Respiratory Failure … Conditions Quality Indicator Composite Conditions Composite IQI 15 AMI Mortality   IQI 16 Heart Failure … Surgery Volume PDI 08 Perioperative Hemorrhage or Hematoma Rate PDI 09 Postoperative Respiratory Failure

17. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - or bleeding events, condition (i.e., patients with significant left ventricular dysfunction/heart failure … Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure … Valsartan reduces the incidence of atrial fibrillation in patients with heart failure: results from … the Valsartan Heart Failure Trial (Val-HeFT). … Temporal relations of atrial fibrillation and congestive heart failure and their joint influence on

18. Module 5: Situation Monitoring
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
    January 10, 2022 - communication between team members, including between the patient and the care team, as a common point of failure … Failure in information gathering. Failure in information integration. … Failure in information interpretation. Failure to establish an explanation for the health problem. … Failure to communicate the explanation. Failures in treatments and followup.  

19. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/201511.html
    May 01, 2015 - the hospital used AHRQ's RED toolkit to support patients who had been treated for congestive heart failure … As a result, heart failure rate readmissions were reduced from 10 percent to zero," she said.

20. Documentation and Coding for Patient Safety Indicators (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - Coding postoperative respiratory failure: perspectives and possible changes. … PDI 09 Postoperative Respiratory Failure Rate X Postoperative respiratory failure is acute in nature … Guide Post- Operative Respiratory Failure). … X PSI 11 Postoperative Respiratory Failure X Postoperative respiratory failure is acute in nature … Guide Post- Operative Respiratory Failure).