Results

Total Results: 7,834 records

Showing results for "failure".

81. Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. | PSNet
    psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
    June 18, 2013 - Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure … Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatment: A Failure Mode and Effects … This study employed failure mode and effect analysis to detect risks in oral chemotherapy regimens . … October 18, 2023 View More Related Resources Using failure mode … December 1, 2011 Failure mode and effects analysis: an empirical comparison of failure

82. Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward. | PSNet
    psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
    June 13, 2011 - Study Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology …  errors and found the tool to be effective in identifying failure. … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … May 27, 2011 Failure mode and effects analysis: an empirical comparison of failure mode

83. Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet
    psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
    August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … May 11, 2014 Augmenting health care failure modes and effects analysis with simulation … February 1, 2013 Failure mode and effects analysis outputs: are they valid?

84. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet
    psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
    January 18, 2013 - Review Emerging Classic Failure to rescue deteriorating … Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies … This systematic review identified three critical points that can contribute to “ failure to rescue … ” among inpatients with serious complications – (1) failure to recognize the complications; (2) failure … Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies

85. Rapid response teams and failure to rescue: one community's experience. | PSNet
    psnet.ahrq.gov/issue/rapid-response-teams-and-failure-rescue-one-communitys-experience
    March 14, 2022 - Study Rapid response teams and failure to rescue: one community's experience. … Rapid response teams and failure to rescue: one community's experience. … This study found no association between rapid response team implementation and mortality from failure … Rapid response teams and failure to rescue: one community's experience. … November 21, 2016 Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue

86. Use of failure mode and effects analysis to improve emergency department handoff processes. | PSNet
    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
    October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department … Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. … This commentary describes a project that used failure mode and effects analysis to identify weaknesses … Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. … November 1, 2017 Application of failure mode effect analysis to improve the care of septic

87. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet
    psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure … Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect … A prospective failure mode and effect analysis identified 57 potential failures that each could lead … Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect … May 11, 2014 The AMÉLIE project: failure mode, effects and criticality analysis: a model

88. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. | PSNet
    psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
    June 08, 2022 - Newspaper/Magazine Article Chronicle of a pandemic foretold: learning from the COVID-19 failure—before … Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … This article examines the COVID-19 pandemic through a system failure  lens. … Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … August 12, 2020 Failure of crisis leadership in a global pandemic: some reflections on

89. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet
    psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
    March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … This commentary describes one hospital's experience implementing  Failure Mode and Effects Analysis … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … May 11, 2014 Augmenting health care failure modes and effects analysis with simulation

90. Rescue Improvement Conference Innovation Summary | PSNet
    psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
    September 23, 2024 - The Rescue Improvement Conference (RIC) 1 was designed at the University of Michigan to address failure … Failure to rescue can lead to a significant adverse event, such as death or disability. 2 The RIC is … . 6 Work to improve failure to rescue has since been ongoing. … Rescue improvement conference: a novel tool for addressing failure to rescue. … [Free full text] Failure to rescue. PSNet. Agency for Healthcare Research and Quality.

91. Anaesthetists' management of oxygen pipeline failure: room for improvement. | PSNet
    psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
    January 28, 2009 - Study Anaesthetists' management of oxygen pipeline failure: room for improvement. … Anaesthetists' management of oxygen pipeline failure: room for improvement. … anesthetists in a simulated environment and analyzed their ability to respond to a central oxygen supply failure … Anaesthetists' management of oxygen pipeline failure: room for improvement.

92. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet
    psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
    September 16, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure … Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes … Health system leadership used failure modes and effect analysis , process mapping, and on-site walkthroughs … Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes … March 25, 2020 Reducing failures in daily medical practice: healthcare failure mode and

93. Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet
    psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
    April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a … Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent … transitional care program produced a 48% reduction in readmission rates for elderly patients with heart failure … Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent … February 18, 2011 Post-discharge medication reviews for patients with heart failure:

94. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. | PSNet
    psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
    August 18, 2021 - Study Missed diagnosis of new-onset systolic heart failure at first presentation … Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known … In this retrospective study, researchers found that the diagnosis of systolic heart failure had been … missed on first presentation for almost 50% of pediatric patients hospitalized with new-onset heart failure … Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known

95. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet
    psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
    September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … Failure to rescue—lack of adequate response to patient deterioration—has been associated with adverse … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … November 18, 2016 Importance of teamwork, communication and culture on failure-to-rescue

96. Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet
    psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
    February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients … Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the … A multidisciplinary team employed failure mode and effect analysis methodology to detect potential … Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the … February 2, 2022 Algorithmic prediction of failure modes in healthcare.

97. Failure to notify reportable test results: significance in medical malpractice. | PSNet
    psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
    April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice … Failure to notify reportable test results: significance in medical malpractice. … malpractice claims over an 18-year period identified more than 300 cases of malpractice attributable to failure … Failure to notify reportable test results: significance in medical malpractice.

98. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. | PSNet
    psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
    April 04, 2011 - Review Importance of teamwork, communication and culture on failure-to-rescue in … Importance of teamwork, communication and culture on failure-to-rescue in the elderly. … Failure-to-rescue is considered a potential contributing factor in the wide variations in surgical … The authors suggest that  teamwork and communication improvement can help reduce failure-to-rescue in … Importance of teamwork, communication and culture on failure-to-rescue in the elderly.

99. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet
    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
    May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy … Failure mode and effect analysis: a technique to prevent chemotherapy errors. … The authors present failure mode and effect analysis (FMEA)  as a tool for understanding errors in the … Failure mode and effect analysis: a technique to prevent chemotherapy errors. … August 9, 2011 Failure mode and effects analysis: an empirical comparison of failure

100. Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet
     psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
     June 22, 2022 - events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure … events and hospital performance on 30-Day all-cause mortality and readmission for patients with heart failure … association of these two indicators with in-hospital adverse events (AE) for patients admitted with heart failure … Results suggest patients with heart failure admitted to hospitals with high rates of 30-day all-cause … events and hospital performance on 30-Day all-cause mortality and readmission for patients with heart failure