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Total Results: 186 records

Showing results for "failure".

21. Strategy 6P: Service Recovery Programs | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
    April 01, 2022 - dissatisfied or lost members or patients by identifying and fixing the problem or making amends for the failure … Letting the person tell their story and describe the impact of the failure is essential. … Commit to identifying failure points in the system Using complaint data, identify failure points

22. TeamSTEPPS Specialty Scenarios: Neonatal ICU (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/neonatalicu.pdf
    March 19, 2014 - Instructor Comments  The case represents teamwork failure, a missing shared mental model, poor communications … , and failure of Conflict resolution.

23. Long COVID is a Case Study of Our Fractured Healthcare System | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/blog/ahrqviews/long-covid.html
    March 01, 2023 - Each represented a failure of our healthcare system to handle a new and growing challenge that requires … But our failure to address Long COVID has revealed severe, life-threatening gaps in care.

24. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
    November 02, 2017 - dissatisfied or lost members or patients by identifying and fixing the problem or making amends for the failure … Letting the person tell their story and describe the impact of the failure is essential. … Commit to identifying failure points in the system • Using complaint data, identify failure points

25. Specific Tools To Support Change (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
    January 01, 2011 - 20download/St akeholder%20analysis.do c Institute for Healthcare Improvement Analysis Tool Failure … Modes and Effects Analysis Tool Failure Modes and Effects Analysis (FMEA) is a systematic, proactive … FMEA includes review of the following: • Steps in the process • Failure modes (What could go wrong … • Failure causes (Why would the failure happen?) … • Failure effects (What would be the consequences of each failure?)

26. Data Infographics | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/data/infographics/index.html
    March 01, 2024 - 2020 Adult Opioid Fills by Race Expenditures for COVID-19 Care in 2020 Heart Failure … Disease Declining Hospital Costs for Seniors with Traditional Medicare 2020 Heart Failure

27. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - PSI 10 Postoperative Physiologic and Metabolic Derangement Rate • PSI 11 Postoperative Respiratory Failure … Mortality Rate • PDI 08 Perioperative Hemorrhage or Hematoma Rate • PDI 09 Postoperative Respiratory Failure

28. NPSD Dashboards | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - Dashboard Details the type of device; type of device by residual harm to the patient; device defect, failure … , or user error; device defect, failure, or user error by residual harm to the patient; type of health

29. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - experience, history and tradition Slide 7 The Culture of Safety and Assessment of Harm Believe that failure … to follow guidelines may cause harm Built in alerts Consequences for failure to implement Slide … feeding žPressors with minimal titration žChronic Lasix žMildly sedated or drowsy Respiratory failure

30. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - views on: Usefulness or value of intervention Barriers and facilitators to implementation success or failure … refinements to implementation strategy Can provide working hypotheses on implementation success / failure

31. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - Tools included process mapping, swim lane diagrams, functional resonance analysis method, failure modes … Failure to Rescue Patient Safety Learning Lab (FTR PSLL) Principal Investigator: George Blike, M.D … Failure to rescue event mitigation system assessment: a mixed-methods approach to analysis of complex … To address the specific safety failure of FTR, hospitals have introduced new tools and processes (e.g … reductions in anesthesia medication errors in operating rooms in order to address three sources of failure

32. Home Mechanical Ventilators: Protocol Appendix A (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
    October 11, 2017 - 20526 17 *Spinal Cord Injuries/ 41566 18 *Obesity Hypoventilation Syndrome/ 991 19 *respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure … Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary fibrosis" or "respiratory failure

33. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
    March 01, 2019 - As these data illustrate, failure to communicate effectively as a team significantly increases the risk … Say: Lack of communication among department staff can lead to failure to: Sharing information with … Failure to seek input from the patient.

34. Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/publications/search.html
    January 01, 2024 - Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic failure

35. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
    June 01, 2023 - Failure to use advocacy and assertion has been frequently identified as a primary contributor to the

36. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 29, 2016 - Derangement 0.9 1.5 4 $120,629 $ 482,516 N 3 3 2 Y Y Y Y Y PSI 11 Postoperative Respiratory Failure … Y IQI 15 AMI Mortality 6.5 5.0 16 $38,000 $ 608,000 N 3 2 2 Y Y Y Y Y IQI 16 Heart Failure … 0.0 4.9 0 $75,932 $ - N 6 6 6 Y Y Y Y Y PDI 09 Postoperative Respiratory Failure

37. What's New on the AHRQ Web Site | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/whatsnew.html
    April 01, 2024 - Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms  (4/15/24) Failure

38. Mourning the Loss of Deputy Director David Meyers, M.D. | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/871.html
    July 01, 2023 - of COVID-19 A new Data Spotlight (PDF, 1 MB) from AHRQ shows that hospital admissions for heart failure … decreased by 15 percent from 2019 to 2020, while deaths from heart failure more than doubled.

39. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
    March 01, 2020 - Failure to consider these questions is likely to undermine the success of the reminder system. … Failure to keep clinic appointments: Implications for residency education and productivity.

40. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … sample, and those with a principal diagnosis of acute myocardial infarction (AMI), congestive heart failure … Post-Op Hemorrhage or Hematoma (PSI 9) 20,691 32,750,000 0.632 PSI Post-Op Respiratory Failure