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Showing results for "failure".

61. Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet
    psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
    October 19, 2022 - Study 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. … This study discovers that using selected failure to rescue process measures may help identify areas … Failure to rescue as a process measure to evaluate fetal safety during labor. … May 4, 2022 Prevention of failure to rescue in obstetric patients: a realist review.

62. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
    psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
    May 01, 2018 - Intravenous fluids in acute decompensated heart failure. … Acute decompensated heart failure update. … Role of high-dose intravenous nitrates in hypertensive acute heart failure. … CR/XL Randomised Intervention Trial in Congestive Heart Failure (MERIT-HF). … The role of the clinical examination in patients with heart failure.

63. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
    psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
    January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect … Their system, Health Care Failure Mode Effects Analysis (HFMEA), is documented in detail, including a … July 31, 2013 Failure mode and effects analysis outputs: are they valid? … August 15, 2012 Healthcare Failure Mode and Effect Analysis. … March 1, 2011 Failure mode and effects analysis: an empirical comparison of failure mode

64. Mistakes, Errors and Failures across Cultures. | PSNet
    psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
    January 20, 2021 - ISBN 9783030355739 Human error , mistakes and failure have cultural aspects that are important … While broader  in its scope than health care, this book discusses failure psychology in a variety of

65. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet
    psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
    November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a … November 21, 2016 A review of current and emerging approaches to address failure-to-rescue … September 12, 2016 Rapid response teams and failure to rescue: one community's experience

66. Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet
    psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
    February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training … Allowing failure for educational purposes in postgraduate clinical training: A narrative review. … Learning from failure is more appropriate in some contexts than others. … Allowing failure for educational purposes in postgraduate clinical training: A narrative review. … 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure

67. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet
    psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
    January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … December 22, 2010 Failure mode and effects analysis: an empirical comparison of failure … January 4, 2010 Radiology failure mode and effect analysis: what is it?

68. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet
    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
    May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … This publication provides strategies for organizations to utilize the Failure Mode and Effects Analysis … December 1, 2017 The role of failure mode and effects analysis in health care. … May 19, 2015 Failure mode and effects analysis: an empirical comparison of failure mode

69. Impact of System Failures on Healthcare Workers | PSNet
    psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
    August 30, 2023 - professionals to reflect on the impact that the conviction may have on the healthcare system, safety failure … adverse events result from a series of circumstances in environments with underlying system flaws and failure … individuals emotionally, resulting in a lack of motivation, lack of empathy for patients, a sense of failure … Consistent collection of data may allow continuous monitoring and early recognition of system failure … and refer to the traumatic effects that are felt by healthcare workers after involvement in a system failure

70. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet
    psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
    June 13, 2011 - Review A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … February 2, 2022 Algorithmic prediction of failure modes in healthcare. … February 1, 2011 Radiology failure mode and effect analysis: what is it?

71. Failure mode and effects analysis to reduce risk of heparin use. | PSNet
    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
    July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. … Failure mode and effects analysis to reduce risk of heparin use. … This study used a failure mode and effects analysis (FMEA) to prospectively analyze various steps in … The FMEA identified 233 potential failures and 737 potential causes of failure. … Failure mode and effects analysis to reduce risk of heparin use.

72. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet
    psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
    March 09, 2022 - 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 … This study applied failure mode and effect analysis (FMEA) to identify possible risks associated with … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … January 5, 2017 Health care failure mode and effect analysis to reduce NICU line–associated

73. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? | PSNet
    psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
    August 04, 2021 - Review Failure to rescue as a patient safety indicator for neurosurgical patients … Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? … Failure to rescue (FTR) quality metrics measure the ability of healthcare teams and hospitals to prevent … Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? … November 24, 2021 Prevention of failure to rescue in obstetric patients: a realist review

74. Rapid response teams as a patient safety practice for failure to rescue. | PSNet
    psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
    January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue … Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. … evidence included in the AHRQ Making Healthcare Safer III report about the use of RRTs to decrease failure … widespread, the authors conclude that definitive evidence that RRTs are associated with reduced rates of failure … Rapid Response Teams as a Patient Safety Practice for Failure to Rescue.

75. Strategies and tips for maximizing failure mode and effect analysis in your organization. | PSNet
    psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
    January 13, 2016 - Book/Report Strategies and tips for maximizing failure mode and effect analysis in … Citation Text: Strategies and tips for maximizing failure mode and effect analysis in your organization … Risk managers provide pearls from their experience, applying failure mode and effects analysis (FMEA … December 1, 2017 Using Health Care Failure Mode and Effect Analysis: the VA National … May 28, 2014 Failure mode and effects analysis outputs: are they valid?

76. Failure to rescue female patients undergoing high-risk surgery. | PSNet
    psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
    October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. … Failure to rescue female patients undergoing high-risk surgery. … Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable … Failure to rescue female patients undergoing high-risk surgery. … November 24, 2021 Failure events in transition of care for surgical patients.

77. Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. | PSNet
    psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
    October 19, 2022 - Study Applicability of Healthcare Failure Mode and Effects Analysis to healthcare … Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation … This study discusses the practical use of health care failure mode and effects analysis (HFMEA) by … Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation … December 1, 2010 Use of failure mode and effects analysis for proactive identification

78. Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies. | PSNet
    psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
    December 22, 2021 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … involving pharmacists to reduce polypharmacy and inappropriate medications for patients with heart failure … successful when specific guidelines or recommendations to assess appropriate prescribing of heart failure … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure

79. Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. | PSNet
    psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection
    April 05, 2023 - Study Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism … Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effective Mechanism in Preventing Infection … This article describes the use of healthcare  failure mode and effects analysis  (HFMEA) 4-step model … Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effective Mechanism in Preventing Infection … September 28, 2022 Reducing failures in daily medical practice: healthcare failure mode

80. A review of current and emerging approaches to address failure-to-rescue. | PSNet
    psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
    March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. … A review of current and emerging approaches to address failure-to-rescue. … Describing failure to rescue as a key area for improvement in patient safety, this piece reviews efforts … A review of current and emerging approaches to address failure-to-rescue.