Results

Total Results: 186 records

Showing results for "failure".

61. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcarae Meeting (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-nov2023.pdf
    March 01, 2024 - related to financial payouts; up to one- third of all cases that end in a claim have a diagnostic failure

62. Fact Sheet on Pediatric Quality Indicators (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - 0340 2012 PDI 08 Perioperative Hemorrhage or Hematoma Rate 5.2 PDI 09 Postoperative Respiratory Failure

63. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/case-studies/201501.html
    March 01, 2015 - then-looming Medicare payment reductions for hospitals whose readmission rates for heart attack, heart failure

64. B3A Combo Chartsforpresentations (xls file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
    January 01, 2006 - Postoperative physiologic and metabolic derangements 1.59 0 PSI 11 Postoperative respiratory failure … (AMI) mortality 0 0 0.0611616 58.783 -100 0 0.104046408 IQI 15 Significantly Lower * IQI 16 Heart failure … PDI 08 Perioperative Hemorrhage or Hematoma Rate 0.00248 0 PDI 09 Postoperative Respiratory Failure

65. Appendix 2: CED Compiled Public Comment Themes (xls file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
    October 12, 2022 - otherwise contraindicated for populations represented by Medicare, (e.g., seniors or patients in renal failure … reasonable timeframes for the CED requirements, substantial burden on participating stakeholders, and failure … reasonable timeframes for the CED requirements, substantial burden on participating stakeholders, and failure … otherwise contraindicated for populations represented by Medicare, (e.g., seniors or patients in renal failure

66. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/prevention/guidelines/archive.html
    July 01, 2018 - Heart Failure Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish 12.

67. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Cross-Cutting: Health Information Technology Cross-Cutting: Other Topics Delirium Diagnostic Errors Failure … Evidence Staff Education and Training (Not reviewed) (Not reviewed) Summary of Evidence Failure

68. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events Report Protocol Failure

69. AHRQ News Now | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/index.html
    April 23, 2024 - Narratives Can Catalyze Staff Improvement and Bolster Survey Scores February 6, 2024 Heart Failure

70. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - of Medicine affirmed the importance of a patient’s understanding of their diagnosis by including the failure

71. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
    August 01, 2022 - National Academies of Sciences, Engineering, and Medicine (NASEM) defines diagnostic error as “the failure … between the nurse and the physician was the dominant issue, and a central problem in this regard was the failure … Communication failure: basic components, contributing factors, and the call for structure.

72. For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
    February 01, 2023 - among “minority” populations—a particularly urgent concern when considering that the risk of heart failure

73. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/case-studies/cp30506.html
    October 01, 2014 - For example, daily home monitoring for congestive heart failure can be done from a distance, eliminating

74. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Post-Op Hemorrhage or Hematoma (PSI 9) 21,000 0.63 20,000 0.60 PSI Post-Op Respiratory Failure

75. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/labor-delivery/index.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

76. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
    January 01, 2016 - When a deep pressure injury develops, it usually reflects a system failure—meaning the pressure injury … prevention plan was not implemented or followed—and not so much the failure of an individual health … Conducting a root cause analysis is a useful technique for understanding reasons for a failure in the

77. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

78. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - Three were represented by the principal diagnosis (acute myocardial infarction [AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … Hematoma 12,285 5,368,607 16,264 7,087,787 15,709 7,044,598 PSI 11, Postoperative Respiratory Failure … or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,143 0.54 15,474 0.52 PSI Post-Op Respiratory Failure … from patients treated for four conditions: • Acute myocardial infarction (AMI), • Congestive heart failure

79. Accelerating Change and Transformation in Organizations and Networks (ACTION) 4 | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/factsheets/translating/action4/index.html
    February 01, 2021 - process of implementing innovations and the contextual factors influencing implementation success or failure

80. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/evidence-based-reports/search.html
    April 01, 2024 - Effectiveness Reviews Affiliation: Southern California EPC—RAND Corporation Report Status: Final Failure