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Total Results: 362 records

Showing results for "failure".

81. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 01, 2022 - 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…

82. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - SHARE: More topics in this section Diagnostic Safety and Quality Research on Diagnostic Safety and Quality Tools To Improve Diagnostic Safety Resources Related to Diagnostic Safety and Quality Federal Interagency Workgroup on Improving Diagno…

83. TeamSTEPPS Limited English Proficiency Module: Evidence Summary (pdf file)
    pbrn.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

84. FileNewTemplate
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module2.pptx
    March 07, 2019 - take that same situation, but in this case there is simply too much work, resulting in an inability or failure

85. Slide 1
    pbrn.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.

86. TeamSTEPPS Fundamentals Course: Module 3. Evidence-Based: Communication | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/fundamentals/module3/ebcommunication.html
    October 01, 2014 - Handoff strategies in settings with high consequences for failure: lessons for health care operations

87. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events Report Protocol Failure

88. AHRQ News Now | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 30, 2024 - Narratives Can Catalyze Staff Improvement and Bolster Survey Scores February 6, 2024 Heart Failure

89. The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
    November 01, 2018 - Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process failure

90. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - For example, daily home monitoring for congestive heart failure can be done from a distance, eliminating

91. Evidence Summary: Why focus on safety for patients with limited English proficiency? | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/teamstepps/lep/handouts/lepevidencesum.html
    December 01, 2012 - than $5 million over a 4-year period. 5 Almost all of these claims related to poor communication and failure

92. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Post-Op Hemorrhage or Hematoma (PSI 9) 21,000 0.63 20,000 0.60 PSI Post-Op Respiratory Failure

93. About the Toolkit Development | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.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…

94. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    pbrn.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

95. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    pbrn.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

96. AHRQ Stats | Agency for Healthcare Research and Quality
    pbrn.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

97. Section 4: Ways To Approach the Quality Improvement Process (Page 1 of 2) | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
    January 01, 2020 - evidence for implementation when people are engaged in making something work rather than focused on the "failure … Psychological barriers such as fear of change, fear of failure, grief over loss of familiar processes … for two of the fundamental barriers to change: the fear of new ways of doing things and the fear of failure

98. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - of Medicine affirmed the importance of a patient’s understanding of their diagnosis by including the failure

99. For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
    February 01, 2023 - among “minority” populations—a particularly urgent concern when considering that the risk of heart failure

100. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - SHARE: Diagnostic Safety and Quality Current State of Diagnostic Safety: Implications for Research, Practice, and Policy Identifying themes related to the curren…