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Total Results: 362 records

Showing results for "failure".

61. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - Tools included process mapping, swim lane diagrams, functional resonance analysis method, failure modes … Failure to Rescue Patient Safety Learning Lab (FTR PSLL) Principal Investigator: George Blike, M.D … Failure to rescue event mitigation system assessment: a mixed-methods approach to analysis of complex … To address the specific safety failure of FTR, hospitals have introduced new tools and processes (e.g … reductions in anesthesia medication errors in operating rooms in order to address three sources of failure

62. AHRQ Awards $45 Million in Grants To Expand Access to Care for People With Long COVID | Agency for Healthcare Research and Quality
    pbrn.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

63. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
    March 01, 2019 - As these data illustrate, failure to communicate effectively as a team significantly increases the risk … Say: Lack of communication among department staff can lead to failure to: Sharing information with … Failure to seek input from the patient.

64. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    pbrn.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

65. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/201501.html
    March 01, 2015 - then-looming Medicare payment reductions for hospitals whose readmission rates for heart attack, heart failure

66. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
    pbrn.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. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - It is important to reinforce what went well and avoid assigning blame or failure to any individual regarding

68. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - views on: Usefulness or value of intervention Barriers and facilitators to implementation success or failure … refinements to implementation strategy Can provide working hypotheses on implementation success / failure

69. What Health Care Quality Measures Will You Report? | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/talkingquality/plan/quality-measures.html
    November 01, 2018 - example, CalHospitalCompare’s Web site has information about heart attack, heart bypass surgery, heart failure

70. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/talkingquality/measures/setting/physician/examples.html
    September 01, 2019 - Education and counseling for patients with certain conditions (e.g., hepatitis, heart failure).

71. AHRQ-Funded Studies Highlight Dental Antibiotic Prescribing Trends | Agency for Healthcare Research and Quality
    pbrn.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

72. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/prevention/guidelines/archive.html
    July 01, 2018 - Heart Failure Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish 12.

73. Home Mechanical Ventilators: Protocol Appendix A (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
    October 11, 2017 - 20526 17 *Spinal Cord Injuries/ 41566 18 *Obesity Hypoventilation Syndrome/ 991 19 *respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure

74. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - 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 … 0.412 PSI Post-Op Hemorrhage or Hematoma (PSI 9) 20,691 32,750,000 0.632 PSI Post-Op Respiratory Failure

75. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…

76. 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/webinar04/formativeevalsl.html
    January 01, 2014 - Barriers and facilitators to implementation success or failure. … Can provide working hypotheses on implementation success / failure.

77. Action Planning Worksheets | Agency for Healthcare Research and Quality
    pbrn.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

78. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
    pbrn.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 |_|

79. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    pbrn.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

80. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/labor-delivery/index.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 Perinatal Care Toolkits, Phase 2 …