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Showing results for "failure".

101. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. | PSNet
     psnet.ahrq.gov/issue/value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
     July 19, 2023 - of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure … of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure … This study, targeting patients with prolonged respiratory failure, involved adding a verbal telephone … of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure … unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure

102. Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. | PSNet
     psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
     November 03, 2021 - Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure … Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure … retrospective, interrupted time-series analysis examined whether reduction in readmissions for heart failure … This study analyzed data from a national clinical registry of patients with heart failure admitted between … Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure

103. Application of failure mode and effect analysis in a radiology department. | PSNet
     psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
     October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department … Application of Failure Mode and Effect Analysis in a Radiology Department. … This commentary introduces the failure mode and effects analysis process developed by the United States … Application of Failure Mode and Effect Analysis in a Radiology Department. … October 13, 2010 Radiology failure mode and effect analysis: what is it?

104. In response to "Failure to Report" (March 2007) | PSNet
     psnet.ahrq.gov/perspective/response-failure-report-march-2007
     June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007  … In response to "Failure to Report" (March 2007). PSNet [internet]. … In response to "Failure to Report" (March 2007). PSNet [internet]. … EndNote 7 XML Endnote tagged PubMedId RIS Download Citation In response to " Failure … In response to "Failure to Report" (March 2007). PSNet [internet].

105. Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
     August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … Failure mode and effect analysis is a tool commonly used to proactively assess the reliability of health … The authors describe the application of failure mode and effect analysis to identify failure modes in … August 2, 2017 Using failure mode and effects analysis to increase patient safety in

106. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. | PSNet
     psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects
     August 02, 2010 - Study Error reduction in pediatric chemotherapy: computerized order entry and failure … Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … This study utilized a multidisciplinary team of oncology providers to conduct a failure mode and effects … May 15, 2019 View More Related Resources Healthcare failure mode … November 18, 2020 Using Failure Mode and Effects Analysis for safe administration of

107. Frequency of failure to inform patients of clinically significant outpatient test results. | PSNet
     psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
     April 24, 2018 - Study Frequency of failure to inform patients of clinically significant outpatient … Frequency of failure to inform patients of clinically significant outpatient test results. … Failure to adequately follow up on test results is a known problem after hospital discharge , in primary … Variations in failure rates among practices, ranging from 0% to 26%, suggest that best practices can … Frequency of failure to inform patients of clinically significant outpatient test results.

108. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet
     psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
     June 27, 2018 - Commentary Critical laboratory value notification: a failure mode effects and criticality … Critical laboratory value notification: a failure mode effects and criticality analysis. … The authors applied failure mode effects and criticality analysis to improve laboratory value notification … Critical laboratory value notification: a failure mode effects and criticality analysis. … April 24, 2015 Failure mode and effects analysis: too little for too much?

109. Risk and Event Assessment. | PSNet
     psnet.ahrq.gov/issue/risk-and-event-assessment
     August 12, 2020 - This issue contains several articles dedicated to Failure Mode and Effects Analysis and other proactive … November 21, 2016 A practical guide to Failure Mode and Effects Analysis in health care … August 31, 2022 Application of failure mode effect analysis to improve the care of septic … June 14, 2017 Health care failure mode and effect analysis to reduce NICU line–associated … October 2, 2013 Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode

110. The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
     October 19, 2022 - Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue … Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue … The results of a human-centered design analysis exploring tactics to reduce failure to rescue were … Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue

111. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet
     psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
     February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis … A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders … by a physician with a common last name during executive walk rounds , the institution conducted a failure … A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders … General Hospitals Quality and Safety Professionals Identification Errors Active Errors Failure

112. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. | PSNet
     psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
     June 05, 2024 - Study Using Healthcare Failure Mode and Effect Analysis in prospective medication … Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in … In this study, a hospital used Healthcare Failure Mode and Effect Analysis (HFMEA) to prospectively identify … Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in

113. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology
     July 14, 2010 - Study Using failure mode and effects analysis to plan implementation of smart i.v … Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. … The authors describe their use of failure mode and effects analysis  to inform the launch of a smart … Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure

114. Failure-to-rescue: comparing definitions to measure quality of care. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
     April 17, 2013 - Study Failure-to-rescue: comparing definitions to measure quality of care. … Failure-to-rescue: comparing definitions to measure quality of care. … This study examined the effectiveness of three different failure to rescue definitions in evaluating … Failure-to-rescue: comparing definitions to measure quality of care. … April 27, 2022 Exploring the association between organizational safety climate, failure

115. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
     September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … Failure mode and effect analysis (FMEA) is a human factors engineering method used to examine a process … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … August 31, 2022 Reducing failures in daily medical practice: healthcare failure mode

116. Heart Failure: The Decline of a Historic Transplant Program. | PSNet
     psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
     July 22, 2020 - Special or Theme Issue Heart Failure: The Decline of a Historic Transplant Program … Citation Text: Heart Failure: The Decline of a Historic Transplant Program. … Linkedin Copy URL Cite Citation Citation Text: Heart Failure

117. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
     August 08, 2018 - Study Using Failure Mode and Effects Analysis for safe administration of chemotherapy … Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … This study discusses the experiences of a single institution in using failure mode and effects analysis … Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … July 2, 2014 View More Related Resources Using failure mode and

118. Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. | PSNet
     psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
     March 18, 2010 - Special or Theme Issue Alarm Interventions During Medical Telemetry Monitoring: A Failure … Citation Text: Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis … This failure mode and effects analysis ( FMEA ) explores factors contributing to near miss and adverse … Citation Citation Text: Alarm Interventions During Medical Telemetry Monitoring: A Failure … Topic Quality and Safety Professionals Information Professionals Safety Scientists Failure

119. Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
     September 23, 2020 - unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure … unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure … In this study, 200 survivors of acute respiratory failure were followed up 7-28 days post discharge to … unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure … of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure

120. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet
     psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
     January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research … The AHRQ Patient Safety Indicator for postoperative respiratory failure accurately identified cases … of clinically diagnosed respiratory failure, with a false-positive rate of approximately 17%. … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research