Results

Total Results: 7,834 records

Showing results for "failure".

301. The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. | PSNet
     psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
     August 07, 2019 - Special or Theme Issue The Gift of Failure: New Approaches to Analyzing and Learning … Citation Text: The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses … Copy URL Cite Citation Citation Text: The Gift of Failure

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35328/psn-pdf
     May 19, 2015 - Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation … Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation … https://psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare- … epidemiology-evaluation This study discusses the practical use of health care failure mode and effects … https://psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35762/psn-pdf
     January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy … - hospitalized This study discusses the experiences of a single institution in using failure mode and … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36609/psn-pdf
     January 14, 2011 - Anaesthetists' management of oxygen pipeline failure: room for improvement. … Anaesthetists' management of oxygen pipeline failure: room for improvement. … https://psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement The investigators … anesthetists in a simulated environment and analyzed their ability to respond to a central oxygen supply failure … https://psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49801/psn-pdf
     August 01, 2017 - Identify the main contributors to failure-to-rescue events. … Failure-to-rescue is the failure to prevent a clinically important deterioration, such as death or permanent … Take-Home Points Failure to rescue is a failure to prevent a clinically important deterioration, such … Variation in mortality after high-risk cancer surgery: failure to rescue. … Conceptual Model for Understanding and Improving Failure to Rescue.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38911/psn-pdf
     September 09, 2009 - Radiology failure mode and effect analysis: what is it? September 9, 2009 Abujudeh H, Kaewlai R. … Radiology failure mode and effect analysis: what is it? … https://psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it This article introduces … the concept of failure mode and effect analysis, outlines the process, and discusses its use in radiologic … https://psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it https://psnet.ahrq.gov

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36057/psn-pdf
     September 24, 2010 - Failure mode and effect analysis: a technique to prevent chemotherapy errors. … Failure mode and effect analysis: a technique to prevent chemotherapy errors. … https://psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors … The authors present failure mode and effect analysis (FMEA) as a tool for understanding errors in the … https://psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors https

308. Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. | PSNet
     psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting
     November 23, 2016 - Book/Report Failure in Safety-Critical Systems: A Handbook of Accident and Incident … Citation Text: Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. … Linkedin Copy URL Cite Citation Citation Text: Failure … December 22, 2010 Forgive and Remember: Managing Medical Failure. 2nd ed.

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37714/psn-pdf
     July 24, 2013 - Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. … https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects … - analysis This failure mode and effects analysis (FMEA) explores factors contributing to near miss … https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis … https://psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35661/psn-pdf
     April 07, 2010 - Critical laboratory value notification: a failure mode effects and criticality analysis. … Critical laboratory value notification: a failure mode effects and criticality analysis. … https://psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis … The authors applied failure mode effects and criticality analysis to improve laboratory value notification … https://psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41483/psn-pdf
     September 12, 2016 - Rapid response teams and failure to rescue: one community's experience. … Rapid response teams and failure to rescue: one community's experience. … https://psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience This … study found no association between rapid response team implementation and mortality from failure to … https://psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience https:

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38358/psn-pdf
     September 12, 2016 - Failure to rescue as a process measure to evaluate fetal safety during labor. … Failure to rescue as a process measure to evaluate fetal safety during labor. … https://psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor This … study discovers that using selected failure to rescue process measures may help identify areas for improvement … https://psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor https:

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854639/psn-pdf
     October 18, 2023 - /psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure … This book explores how failure that happens in new situations provides new insights toward goal achievement … right-kind-wrong-why-learning-fail-can-teach-us-thrive https://psnet.ahrq.gov/issue/strategies-learning-failure

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33582/psn-pdf
     September 15, 2024 - Prospective safety hazard detection methods Failure mode and effect analysis (FMEA) is a common approach … given process to occur ("process mapping") and then identifying how each step can go wrong (i.e., failure … The estimated likelihood of a particular process failure, the chance of detecting such failure, and … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid https://psnet.ahrq.gov … /issue/failure-mode-and-effect-analysis-reliable more qualitative approach termed SWIFT ("structured

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43193/psn-pdf
     June 17, 2014 - in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit- application-failure … This study applied failure mode and effect analysis (FMEA) to identify possible risks associated with … psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35906/psn-pdf
     May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … https://psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure … modes-and-effects This study utilized a multidisciplinary team of oncology providers to conduct a failure … https://psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61031/psn-pdf
     October 14, 2020 - This special section discusses how examination tools such as failure mode and effect analysis and root … cause analysis may be amended to optimize how lessons can be drawn from failure to inform improvement … psnet.ahrq.gov/perspective/rethinking-root-cause-analysis https://psnet.ahrq.gov/issue/strategies-learning-failure

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36554/psn-pdf
     September 27, 2010 - Communication failure: basic components, contributing factors, and the call for structure. … Communication failure: basic components, contributing factors, and the call for structure. … https://psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call- structure … https://psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure … https://psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34923/psn-pdf
     February 27, 2009 - Failure mode and effects analysis application to critical care medicine. … Failure mode and effects analysis application to critical care medicine. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine This … article provides background on failure mode and effects analysis (FMEA) and reviews both the positive … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine https

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37242/psn-pdf
     September 12, 2016 - Failure-to-rescue: comparing definitions to measure quality of care. … Failure-to-rescue: comparing definitions to measure quality of care. … https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care This study examined … the effectiveness of three different failure to rescue definitions in evaluating the quality of care … https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care https://psnet.ahrq.gov