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Showing results for "failure".

121. Penn Medicine Chester County Hospital Implements AHRQ Toolkit to Reduce Readmissions | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201506.html
     April 01, 2015 - "We initially implemented RED for congestive heart failure patients on our telemetry unit," said Carli … Based on the success with congestive heart failure patients—the notable reduction in readmissions and … Since RED's hospital-wide implementation, the average readmission rate for congestive heart failure is

122. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
     January 01, 2024 - and “What is the effect of each failure?” … When a failure is identified, two options exist: reduce the probability of failure to an acceptable level … Failure mode and effects analysis. Healthcare Risk Control System. … Heath care failure mode and effects analysis. In Medication Errors. 2nd ed. … Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction. 2nd ed.

123. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - Rate and IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, Without Transfer Cases] o Heart Failure … 30-Day Mortality Rate [similar to IQI 16 Heart Failure Mortality Rate] o Pneumonia 30-Day Mortality … − End stage AIDS − End stage chronic obstructive pulmonary disease − End stage congestive heart failure … and inadequate equipment  Unit management factor (work environment) communication problems, failure … IQI 16 Heart Failure Mortality Rate • Evaluation of ejection fraction.

124. Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
     January 01, 2024 - California’s staffing improvements were significantly associated with lower surgical mortality and failure … The patient outcomes, 30-day inpatient surgical mortality and mortality after a complication (failure … At the hospital-level, I calculated continuous 30-day risk-adjusted inpatient mortality and failure … I first calculated the risk-adjusted mortality and failure to rescue rates for each hospital in each … I then took the change in adjusted mortality and failure to rescue rates from the pre-implementation

125. Priority Areas Identified by the U.S.-Mexico Border Commission (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm2.html
     October 01, 2015 - comorbidities 1.02 0.89(b) 1.06 0.93 Amputations 1.57(a) 1.52(a) 0.95 0.92 Renal failure … Renal Failure Renal Failure Among Inpatient Stays With Diabetes Source: Agency for Healthcare … A higher percentage of Hispanics in border counties with an inpatient stay for diabetes had renal failure

126. Table 3c. Examples of Evaluation Measures; Additional Categories | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3c.html
     July 01, 2018 - Number of heart failure clinic visits. Ophthalmology visits. … common chronic conditions are defined as asthma, cardiovascular disease, depression, diabetes, heart failure

127. Sampleransferandintakenotes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
     June 02, 2025 - angina  Dizzy/lightheaded  Hypertension/uncontrolled HTN  Hypotension  Rule out congestive heart failure … Diarrhea/gastroenteritis  Dysphagia  GI bleed  G tube  Hematuria  Nausea or vomiting  Renal failure … disorder  Weakness Other Changes in Condition, Not Specified Elsewhere:  Abnormal lab results  Failure

128. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/154-performing-pre-mortem-project-assessment.pptx
     October 01, 2024 - 2 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Performing a Premortem Assessment> 2 Failure … Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment Write down potential reasons for failure … Determine the most likely reasons for failure.

129. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
     June 02, 2025 - angina  Dizzy/lightheaded  Hypertension/uncontrolled HTN  Hypotension  Rule out congestive heart failure … Diarrhea/gastroenteritis  Dysphagia  GI bleed  G tube  Hematuria  Nausea or vomiting  Renal failure … disorder  Weakness Other Changes in Condition, Not Specified Elsewhere:  Abnormal lab results  Failure

130. Mini Presentation: Performing a Premortem Project Assessment
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/108-performing-premortem-project-assessment.pptx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention | Surgical Services Performing a Premortem Assessment 2 Failure … Comprehensive Unit-based Safety Program (CUSP) Premortem Project Assessment Write down potential reasons for failure … Determine the most likely reasons for failure.

131. Section 5, Tables 8 and 9 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
     January 01, 2013 - Structured telephone support or telemonitoring programmes for patients with chronic heart failure. … What works in chronic care management: the case of heart failure. … Randomized controlled trial Investigators studied 239 patients with heart failure at 6 sites to … older adults hospitalized with heart failure: a randomized, controlled trial. … Hospital strategies associated with 30-day readmission rates for patients with heart failure.

132. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-worksheet.pdf
     June 02, 2025 - Discuss the causes of reluctance or failure to seek support when needed. 3. … What might cause reluctance or failure to seek support when it is needed?

133. NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
     June 02, 2025 - ■ Risk factors: premature birth, respiratory failure, O2 supplementation, mechanical ventilation, … ■ More prone to: frequent lower respiratory tract illnesses, feeding difficulties, growth failure,

134. Premortem Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
     April 01, 2025 - So, what if you could determine your team’s possible failure points before you start a new project? … And, most importantly—since you are just at the start of the project—what can you do to keep that failure

135. Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201507.html
     April 01, 2015 - to further reduce the hospital's relatively low readmission rates for patients with congestive heart failure … After 10 months of making follow-up phone calls, the readmission rate for congestive heart failure patients … learn how to use blood-thinning medications safely for long-term conditions such as congestive heart failure

136. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
     December 01, 2014 - Patient failure to access postdischarge/ community services Patient failure to follow up … with specialist ED failure to reconcile medications Patient failure to follow treatment plan … for ED discharge failure. … Younger age was also associated with ED discharge failure. … What are the risk factors for ED Discharge failure?

137. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
     October 01, 2015 - Finally, those patients with respiratory failure may require support through mechanical ventilation. … Ventilators Endotracheal tubes are used to intubate patients with respiratory failure to provide mechanical

138. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
     January 01, 2020 - or bleeding events, condition (i.e., patients with significant left ventricular dysfunction/heart failure … Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure … Valsartan reduces the incidence of atrial fibrillation in patients with heart failure: results from … the Valsartan Heart Failure Trial (Val-HeFT). … Temporal relations of atrial fibrillation and congestive heart failure and their joint influence on

139. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.ppt
     January 01, 2013 - Thrombophilia Decompensated NYHA Class III/IV heart failure Respiratory failure (ventilator-dependent

140. ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
     June 02, 2025 - Tree_with_change.RFP Gate18 Bug moves to SS Q:0.154943 Gate20 Bug moves to SS due to op failure … Q:0.12046 Gate19 Bug moves to SS due to pre-op failure Q:0.00038208 From Page 35 Gate21 … Bug moves to SS due to post-op (30 days) failure Q:0.0341003 From Page 36 Q:0.903 From Page … Tree Diagram File Name: ASC Fault Tree_with_change.RFP Gate19 Bug moves to SS due to pre-op failure … Gate27 Fail to protect pt effectively Q:0.445 Gate239 Antibiotics related failure Event34