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Showing results for "failure".

121. 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.

122. 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

123. 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

124. 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

125. 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

126. 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.

127. 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

128. 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.

129. 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.

130. 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,

131. 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?

132. 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

133. 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?

134. 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

135. 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

136. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
     January 01, 2024 - Failure mode and effects analysis We conducted two failure mode and effects analyses (FMEAs), one addressing … Last, actions and outcome measures were determined for failure modes that proceeded. … Failure modes were divided into two groups: failure modes that were resolved through BCMA software upgrade … Failure mode and effects analysis E3.1.1. IV Pump FMEA Over 200 failure modes were identified. … An average of 1.9 solutions was determined per failure mode (mode 1; range 1-5); 23% of failure modes

137. References (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
     October 23, 2013 - Structured telephone support or telemonitoring programmes for patients with chronic heart failure. … What works in chronic care management: the case of heart failure. … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. … Hospital strategies associated with 30-day readmission rates for patients with heart failure. … Hospital nursing and 30-day readmissions among Medicare patients with heart failure, acute myocardial

138. 0129References (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
     October 23, 2013 - What works in chronic care management: the case of heart failure. … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. … Impact of a standardized heart failure order set on mortality, readmission, and quality and costs of … Structured telephone support or telemonitoring programmes for patients with chronic heart failure. … Hospital strategies associated with 30-day readmission rates for patients with heart failure.

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. Presentation: Tools for Sustainability: Premortem and Scorecard
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
     January 01, 2017 - Avoid recidivism, or backsliding Respect probability of failure over time Recognize risks to sustaining … Exercise helps you– Imagine the project has failed Brainstorm contributing factors that led to this failure … Program for Mechanically Ventilated Patients 16 Premortem Exercise Step 2 Generate the reasons for this failure … to sustain improvements Spend 10 minutes recording the reasons that could cause this failure Ask your … Target the potential risks for failure to achieve sustainment goals Remember that sustainability is a