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Total Results: 186 records

Showing results for "failure".

81. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - 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 … 18,948,556 PSI 9, Perioperative Hemorrhage or Hematoma 12,285 5,368,607 PSI 11, Postoperative Respiratory Failure … or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,143 0.54 16,143 0.54 PSI Post-Op Respiratory Failure … from patients treated for four conditions: • Acute myocardial infarction (AMI), • Congestive heart failure

82. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
    February 01, 2022 - launched in 2013, levied financial penalties on hospitals with unplanned readmissions for congestive heart failure

83. Comparative Reports on Hospitals | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
    December 01, 2022 - Users can filter measures by angioplasty, blood clots, heart attack, heart failure, mother and baby,

84. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
    April 01, 2011 - readmissions rates for Medicare patient who had been treated for at least one of three conditions (heart failure … readmission rates in the lowest 3 percent among all U.S hospitals for at least two of three conditions (heart failure … Improvement, developed the How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure … educational materials with patient and family advisors to describe common conditions, such as heart failure … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial.

85. Accelerating Change and Transformation in Organizations and Networks III | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/factsheets/translating/action3/index.html
    February 01, 2021 - process of implementing innovations and the contextual factors influencing implementation success or failure

86. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/907.html
    April 01, 2024 - New Research and Evidence From AHRQ Rapid Evidence Product: Failure To Rescue – Rapid Response Systems

87. Preventing Pressure Injuries in Hospitals
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
    June 16, 2017 - Create an organizational culture that focuses on safety; they are constantly aware of the possibility of failure

88. TeamSTEPPS, Module 8: Change Management (Instructor Guide) (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module8/igchangemgmt.pdf
    February 25, 2014 - While listening, they should take notes about things that were critical to either the success or failure … Failure to implement change is often the result of undercommunicating or communicating poorly.

89. Nonadherence With Guidelines Associated With Cardiac Surgery Infection | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/873.html
    July 01, 2023 - Failure to comply with the antibiotic timing and weight-adjusted dosing guidelines was associated with

90. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - In what has been known as a blame-free culture, there is a general failure to uphold standards of care … Institute for Healthcare Improvement's Model for Improvement Plan-Do-Study-Act Root Cause Analysis Failure

91. Key Driver 2: Implement a Data-driven Quality Improvement Process to Integrate Evidence into Practice Procedures | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html
    November 01, 2018 - Sigma (focused on standardization), and several patient safety approaches (e.g., root cause analysis, failure

92. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/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 …

93. TeamSTEPPS Fundamentals Course: Module 5. Situation Monitoring | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps/instructor/fundamentals/module5/slsitmonitor.html
    July 01, 2018 - Return to Contents   Slide 14: Conditions That Undermine Situation Awareness Failure to— Share

94. Hospital Resources | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - ED discharge failure, such as ED return within 72 hours or more, carries significant clinical implications

95. Preventing Falls in Hospitals
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - Create an organizational culture that focuses on safety; they are constantly aware of the possibility of failure

96. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 01, 2017 - Create an organizational culture that focuses on safety; they are constantly aware of the possibility of failure

97. Study Finds Racial and Ethnic Inequities in End-of-Life Prescription Opioid Access | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/875.html
    August 01, 2023 - events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure

98. 2019 National Healthcare Quality and Disparities Report Introduction and Methods (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
    December 01, 2020 - measure’s latest data year is 2013 or earlier, except for the Patients with treated chronic kidney failure … who received a transplant within 3 years of date of renal failure measure. … An exception is applied to the measure of Patients with treated chronic kidney failure who received … a transplant within 3 years of date of renal failure. … patients” refers to a population consisting of a sample of acute myocardial infarction, congestive heart failure

99. Food Assistance Linked to Improved Health and Reduced Emergency Care Among Low-Income Children | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/853.html
    March 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality

100. Applying Human Factors to Make it Easier for Clinicians to Do Their Jobs | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
     August 01, 2022 - “This discipline is always anticipating failure, looking for things to go wrong, and applying a systems