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Total Results: 362 records

Showing results for "failure".

161. Large-Scale Program To Reduce Heart Disease Risk Could Have Meaningful Health Benefits | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsletters/e-newsletter/857.html
     March 01, 2023 - Healthcare Increases Infection Risk Following Ventricular Device Implantation, Study Finds Among heart failure

162. Research on Patient-Clinician Communication | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/questions/resources/research.html
     November 01, 2020 - Physician patient communication failure facilitates medication errors in older polymedicated patients

163. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/scenarios/ed.html
     March 01, 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

164. Information Items | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/readiness/informationitems.html
     April 01, 2016 - originate from a variety of sources, including adverse event and near-miss reports, root cause analyses or failure

165. 1. Are you ready for this change? | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/ready-change.html
     January 01, 2013 - Failure to assess your organization's readiness for change can lead to unanticipated difficulties in … implementation, or even the complete failure of the effort.

166. In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
     March 01, 2023 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders In Pandemic’s Wake, We Must Recommit to Patient and Workforce Safety DEC…

167. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
     March 01, 2017 - Failure Mode Effect Analysis.

168. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
     pbrn.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

169. TeamSTEPPS Specialty Scenarios: ED (pdf file)
     pbrn.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

170. Seeking the Right Balance: Addressing Behaviors That Undermine a Culture of Safety (pdf file)
     pbrn.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

171. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     pbrn.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

172. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
     March 01, 2017 - In failure, you are given an opportunity to learn from your mistakes and continue to improve processes

173. Engineering High Reliability Learning Lab (EHRLL) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
     April 01, 2022 - 1 These tools included process mapping, swim lane diagrams, functional resonance analysis method, failure

174. Previous TeamSTEPPS Webinars: 2015 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2015.html
     September 01, 2017 - Describe the consequences of failure to address undermining behaviors.

175. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/instructor/scenarios/dental.html
     March 01, 2014 - This communication failure results in an adverse event.

176. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - readmissions rates for Medicare patient who had been treated for at least one of three conditions (heart failure … readmission rates in the lowest 3 percent among all U.S hospitals for at least two of three conditions (heart failure … Improvement, developed the How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure … educational materials with patient and family advisors to describe common conditions, such as heart failure … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial.

177. Emerging Measures | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/emerging/index.html
     June 01, 2020 - Heart failure. Pneumonia (community acquired).

178. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Failure Mode and Effects Analysis Based on In-Situ Simulations: A Methodology to Improve Understanding

179. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - 2015 MPSMS 4-condition sample (based on patients with acute myocardial infarction, congestive heart failure … (2014) Post-Op Hemorrhage or Hematoma (PSI 9) 19,000 0.58 PSI (2014) Post-Op Respiratory Failure

180. Previous TeamSTEPPS Webinars: 2013 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/webinars/previous-webinars-2013.html
     August 01, 2017 - SHARE: More topics in this section TeamSTEPPS® About TeamSTEPPS® Curriculum Materials TeamSTEPPS® 2.0 Online Master Trainer Course Research/Evidence Base TeamSTEPPS® Webinars Previous TeamSTEPPS Webinars: 2013 …