Results

Total Results: 362 records

Showing results for "failure".

241. Strategy 4: IDEA Discharge Planning (Tool 4) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_4_PPT_508.pdf
     May 22, 2013 - Vignette 2: A tougher discharge • Arnold is 84 years old with serious exacerbation of congestive heart failure

242. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar05/mixedmethods.html
     June 01, 2017 - Provider A Team 5 Led by Provider B Coronary artery disease 77% 91% Diabetes 65% 78% Heart Failure

243. Labor and Delivery Unit Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
     July 01, 2023 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Hospital Labor and Delivery Units Perinatal Safety Toolkit About the Toolkit How To Use the Too…

244. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - Failure to implement change is often the result of under-communicating or communicating poorly, leaving

245. Labor and Delivery Unit Safety (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

246. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
     September 01, 2020 - The most frequent area of concern was a hospital's failure to obtain informed consent in accordance with … Failure to provide language assistance is risky for patients and can serve as the basis for lawsuits.

247. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Section 1: Overview of Key Concepts and Tools Section 2: Explana…

248. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
     December 01, 2012 - Failure to address language and cultural factors in the care of LEP patients has significant implications

249. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
     August 01, 2014 - policy does not create any rights to any particular consultation or a right of action against AHRQ for failure

250. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
     pbrn.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
     January 01, 2004 - and/or at risk for poly-pharmacy if they had 2 or more chronic conditions (e.g., congestive heart failure … Inaccuracy in patients’ reports—or failure on the part of the clinician to verify these reports— could

251. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Umbilical Cord Prolapse (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_cord-prolapse.docx
     May 01, 2017 - sensemaking using the following tools: · Discovery form · Root cause analysis · Eindhoven model · Failure

252. E-Fetal-Monitoring Facguide (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
     May 01, 2017 - communication among team members related to EFM interpretation; and the fear of conflict, intimidation, and/or failure

253. Improving Patient Safety Systems for Limited English Proficiency Patients
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
     January 01, 2011 - communication problems and are more likely to result in serious harm compared to English-speaking patients Failure

254. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
     January 01, 2011 - communication problems and are more likely to result in serious harm compared to English-speaking patients  Failure

255. Facapplycusp (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
     September 04, 2012 - In what has been known as a blame-free culture, there is a general failure to uphold standards of care

256. Platelet-Rich Plasma for Wound Care: Technology Assessment (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
     September 17, 2020 - Finally, failure to detect statistical significance for many of the outcomes could have resulted from … Definition of wound characteristics: definition of “failure to heal”, and definition of a successfully … skin closure with complete re- epithelialization without drainage or dressing requirements versus failure … lower extremity amputations,93 with more than 80,000 amputations annually in the United States for failure … Finally, failure to detect statistical significance for many of the outcomes could have resulted from

257. Webinar 6: Enhance Services for High-Risk Patients | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
     December 01, 2017 - a community health worker (CHW) program to augment their efforts to reduce readmissions among heart failure

258. Spreadnotes (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
     August 28, 2012 - Solutions that are simple and designed with very little risk of failure contribute to the success of

259. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Facilitator Guide | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
     July 01, 2023 - communication among team members related to EFM interpretation; and the fear of conflict, intimidation, and/or failure

260. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.