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Showing results for "failure".

1. Enhancing-Care-Heart-Failure-Patients (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/enhancing-care-heart-failure-patients.pdf
   June 02, 2025 - TAKEheart Affinity Group: Enhancing Care for Heart Failure Patients in Cardiac Rehabilitation H i … of today’s conversation: explore how CR programs can better recruit and support the needs of heart failure … 6 Audience Question 2 7 Question 2: What is your top priority for improving the care of heart failure … are eligible. • Beneficiaries must be stable for six weeks with an LVEF of 35% or less and heart failure … CR eligibility criteria 9 What Medicare beneficiaries with heart failure are eligible for CR?

2. Chapter-2 - Failure-To-Rescue (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/failure-to-rescue-1.pdf
   March 01, 2020 - Chapter-2 - Failure-To-Rescue Failure To Rescue 2-1 2. Failure To Rescue Authors: Kendall K. … Introduction Background Failure to rescue (FTR) is failure or delay in recognizing and responding to … to Rescue, Health Care") OR (AB "Failure-to-Rescue" OR "Failure to Rescue" OR "Patient Deterioration … Failure To Rescue PRISMA Diagrams Appendix B. Failure To Rescue Evidence Tables Appendix C. … Failure To Rescue Search Terms

3. Medical Failure-to-Rescue Final Report (pdf file)
   www.ahrq.gov/sites/default/files/2025-05/silber-report.pdf
   January 01, 2025 - Medical Failure-to-Rescue Final Report Medical Failure-to-Rescue Final Report November 13, 2018 … Failure-to-rescue for pneumonia hospitalizations. 20 References 1. … Failure to rescue. Am J Nurs 2003; 103:42-47. 25. … Failure-to-rescue: Comparing definitions to measure quality of care. … The impact of nursing surveillance on failure to rescue.

4. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
   January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and … The impact of diagnostic failure on patient safety does not appear to have been fully recognized. … Benchmark studies on medical error found diagnostic failure more common in the three disciplines in … Diagnostic Failure: A Cognitive Approach 245 calibration. … Diagnostic Failure: A Cognitive Approach 253 3. Brennan TA, Leape LL, Laird NM, et al.

5. Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
   April 07, 2008 - add new failure modes), and revised the list of failure modes accordingly. … The FMEA team also categorized each failure mode as either an active failure or a latent condition.1 … Failure modes and effects analysis with risk priority number Failure mode (What could/does go wrong … ) Type of failure Effect (Outcome from failure) L S D RPN Lack of identified role for all team … Results of root cause analysis Rank Failure mode (What could/does go wrong) Type of failure

6. Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 | Agency for Healthcare Research and Quality
   www.ahrq.gov/data/infographics/heart-failure-hospital.html
   July 01, 2023 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19   Heart … Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 (PDF, 490 KB) Key:

7. Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays | Agency for Healthcare Research and Quality
   www.ahrq.gov/data/infographics/heart-failure.html
   November 01, 2020 - Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays Heart Failure

8. Table A.4.1. Verisk condition classifications | Agency for Healthcare Research and Quality
   www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
   December 01, 2017 - Fiscal year 2010 Liver Hepatic Coma Acute Liver Failure and Disease … (All) Renal Failure:    Kidney Transplant    End Stage Renal Disease    Chronic … Renal Failure, Stage V    Dialysis ( but without Small Kidney or Acute Kidney Failure) Diabetes … Renal Failure:   Kidney Transplant   End Stage Renal Disease   Chronic Renal … Failure, Stage V   Dialysis ( but without Small Kidney or Acute Kidney Failure) Amputation

9. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
   October 01, 2014 - Management Evidence Base Appendix: State Overviews Review Synopsis: Congestive Heart Failure … To evaluate the effect of care management on congestive heart failure (CHF), we reviewed 18 relevant … Scores from the Minnesota Living with Heart Failure and Kansas City Cardiomyopathy questionnaires. … An evidence-based approach to improving care of patients with heart failure across the continuum. … Effectiveness of the clinical pathway in the management of congestive heart failure.

10. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
    February 01, 2016 - Every improvement effort faces obstacles—both barriers and failure modes. … One common failure mode is the lack of standardized protocols or order sets for VTE prevention. … Too many order sets is a variant of this failure mode worth special mention. … These failure modes encompass the top two sources of breakdown in the process in Figure 2.1. … Interventions can then be designed to address these failure modes and their underlying causes.

11. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
    February 01, 2016 - Every improvement effort faces obstacles—both barriers and failure modes. … One common failure mode is the lack of standardized protocols or order sets for VTE prevention. … Too many order sets is a variant of this failure mode worth special mention. … These failure modes encompass the top two sources of breakdown in the process in Figure 2.1. … Interventions can then be designed to address these failure modes and their underlying causes.

12. RED Lowering Hospital Readmissions and Improving Patient Satisfaction at Euclid Hospital in Ohio | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201415.html
    September 01, 2014 - Re-Engineered Discharge (RED) toolkit and seeing patient satisfaction improve and avoidable heart failure … Based on the success of that pilot project, the hospital expanded RED to all heart failure patients. … The hospital now hopes to reduce the readmission rate for all heart failure patients to less than 20 … The United States national rate of readmission for heart failure patients is 23 percent, according to … While in the hospital, a registered nurse appointed as a care advocate sees heart failure patients by

13. Premortem Tool | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
    January 01, 2017 - The team then develops plans to mitigate these reasons for failure. … "Spend the next 10 minutes writing down all the reasons you believe this failure occurred. … The team will then develop plans to mitigate these reasons for failure. … Please spend the next 10 minutes writing down all the reasons you believe this failure occurred. … REASONS FOR FAILURE What could have caused this?

14. Failure to Rescue Patient Safety Learning Lab (FTR PSLL) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
    April 01, 2021 - Failure to Rescue Patient Safety Learning Lab (FTR PSLL) Principal Investigator: George Blike … Minimizing failure to rescue (FTR)—death following a major complication—is critical to reducing mortality … Association between hospital staffing models and failure to rescue . … Interpersonal and organizational dynamics are key drivers of failure to rescue . … Importance of teamwork, communication and culture on failure-to-rescue in the elderly .

15. Performing a Premortem Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/premortem-assessment.html
    October 01, 2024 - Unlike a postmortem, which analyzes a project after a failure, a premortem is conducted proactively before … During a premortem, the team brainstorms all conceivable reasons that could lead to failure, identifying … By anticipating challenges in advance, the likelihood of failure is reduced.

16. Device or Medical/Surgical Supply, Including HIT Dashboard | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/dashboard/devices.html
    September 01, 2024 - 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

17. Table 4. Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three Study Sites (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-4.pdf
    June 02, 2025 - 3 100% 1.00 Having congestive heart failure 3 100% 1.00 Severe sepsis 7 86% 0.72 Septic shock … 7 86% 0.70 Hospital #2 Timely fluid bolus 3 67% 0.00 In the NICU 4 100% 1.00 Having renal failure … 3 100% 1.00 Having congestive heart failure 3 100% 1.00 Severe sepsis 4 75% 0.00 Septic shock … 4 75% 0.00 Hospital #3 Timely fluid bolus 4 75% 0.50 In the NICU 4 100% 1.00 Having renal failure … 4 100% 1.00 Having congestive heart failure 4 100% 1.00 Severe sepsis 4 100% 1.00 Septic shock

18. Health and Economic Outcomes of Newborn Screening for Infantile-onset Pompe Disease | Agency for Healthcare Research and Quality
    www.ahrq.gov/priority-populations/publications/richardson-et-al-2020.html
    January 01, 2021 - depending on the form and severity, can result in cardiomyopathy, progressive muscle weakness, respiratory failure … , and heart failure.

19. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
    August 01, 2024 - References Diagnostic errors include missed, delayed, and wrong diagnosis, as well as failure … The total testing process (Figure 1) is a model that can help identify and classify failure points in … While the failure to correctly interpret a diagnostic test result may reflect knowledge gaps or cognitive

20. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
    May 20, 2016 - Why Focus on Postoperative Respiratory Failure? … Generally, postoperative respiratory failure is the failure to wean from mechanical ventilation within … Postoperative Respiratory Failure Risk Calculator http://www.qxmd.com/calculate-online/respirology/postoperative-respiratory-failure-risk … Why focus on postoperative respiratory failure? [PowerPoint]. … Why Focus on Postoperative Respiratory Failure?