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Total Results: 1,922 records

Showing results for "failure".

141. Table 22. Indian Health Service total treatment cost estimates a by health status. All project sites. Fiscal year 2010 | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab22.html
     December 01, 2017 - use disorder 0.6% 6.9 $14,181 2.7% 0.8% 6.9 $14,216 3.3% With renal disease or failure … b 1.0% 8.6 $14,340 4.8% 1.5% 8.6 $14,339 5.9% With renal failure b 0.3%

142. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - report, Improving Diagnosis in Health Care, and proposed a new definition of diagnostic error, “the failure … Finally, Dadlez et al,25 looking at diagnostic process errors (i.e., failure points and contributing … Diagnostic error was defined as failure to establish an accurate diagnosis or failure to communicate … to establish an accurate diagnosis or failure to communicate the diagnosis in medical records. … Unavoidable misdiagnosis is a diagnostic labeling failure without a diagnostic process failure.1 Singh11

143. Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
     April 01, 2025 - been defined as “freedom from accidental injury” 11  and is rooted in recognition of error  ( the failure … or expenses for patients. 17 Historically, the concept of diagnostic safety has largely focused on failure … to adequately diagnose, in which case, the harm comes from the underlying disease and is due to failure … layers of “defenses” and explains that a confluence of many circumstances often contribute to a final failure … One consequence of defining failure or problems as “errors” is a strong tendency by those unfamiliar

144. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Asthma or Chronic Obstructive Pulmonary Disease (COPD) 3,689 1,424 Congestive Heart Failure

145. Exhibit 4.19. Major Factors that Inhibit Lean Success | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-19.html
     November 01, 2014 - Scope Failure to review the medical evidence base may lead to a focus on improving processes that … Failure to complete all steps of the improvement process can derail the effort Resources

146. Interplay Between Cognitive Load and Diagnostic Accuracy | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load3.html
     May 01, 2024 - be explored by returning to the example of a hospitalist admitting a patient with congestive heart failure … The hospitalist diagnoses the patient with congestive heart failure. … switch into type 2 thinking and miss that this patient has multifocal pneumonia in addition to heart failure … lack of treatment for pneumonia, which can progress to more serious conditions, including respiratory failure

147. 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

148. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/identify.html
     December 01, 2012 - Worksheet Learn from Defects Form Sensemaking Tools Discovery Form Root Cause Analysis Failure … Relationship Between CUSP and Sensemaking 1 , 2 , 3 Concept CUSP Sensemaking Defect or failure … identification Defects Human/active failure Latent/system conditions Ways to identify … defects or failure Staff Safety Assessment Status of Safety Issues Worksheet Discovery … Form Root Cause Analysis Failure Mode and Effects Analysis Probabilistic Risk Assessment

149. Contemporary Emergency Medical Treatment and Labor Act (EMTALA) Clinical Issues Involving Pregnant Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/contemporary-EMTALA-clinical-issues-pregnantpts.pdf
     December 01, 2024 - Common elements identified in cases resulting in CMS EMTALA citations: • Failure to fully assess the … • Failure to make use of available on-call physician specialists to participate in screening and … • Failure to escalate questions or concerns (such as to department chair, hospital administrators … Common elements identified in cases resulting in CMS EMTALA citations: • Failure to provide a complete … • Failure to provide timely transfer for stabilizing treatment, such as surgery for complications

150. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: ICD-9 codes of the chronic conditions included (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-icd-9codes.pdf
     June 02, 2025 - hemolytic anemias (inc. sickle) 283 Acquired hemolytic anemias 284 Aplastic anemia and other bone marrow failure … Chronic glomerulonephritis 583 Nephritis & nephropathy, NOS 585 Chronic kidney disease 586 Renal failure

151. Section 7.B, Table 4 ICD-9 Codes Used in this Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-153-section-7b-table-4.pdf
     June 02, 2025 - anemias (inc. sickle) 283 Acquired hemolytic anemias 284 Aplastic anemia and other bone marrow failure … Chronic glomerulonephritis 583 Nephritis & nephropathy, NOS 585 Chronic kidney disease 586 Renal failure

152. CHIPRA 207: Section 7, ICD Codes Use in the Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-7-icd-codes.pdf
     June 02, 2025 - hemolytic anemias (inc. sickle) 283 Acquired hemolytic anemias 284 Aplastic anemia and other bone marrow failure … Chronic glomerulonephritis 583 Nephritis & nephropathy, NOS 585 Chronic kidney disease 586 Renal failure

153. CHIPRA 157, Section 7.B, ICD-9 Codes for Chronic Conditions Used in this Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-icd-9-codes.pdf
     June 02, 2025 - hemolytic anemias (inc. sickle) 283 Acquired hemolytic anemias 284 Aplastic anemia and other bone marrow failure … Chronic glomerulonephritis 583 Nephritis & nephropathy, NOS 585 Chronic kidney disease 586 Renal failure

154. CHIPRA 155: Section 7.B, ICD-9 Codes Used in this Analysis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-section-7-b-icd-9-codes.pdf
     June 02, 2025 - hemolytic anemias (inc. sickle) 283 Acquired hemolytic anemias 284 Aplastic anemia and other bone marrow failure … Chronic glomerulonephritis 583 Nephritis & nephropathy, NOS 585 Chronic kidney disease 586 Renal failure

155. 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

156. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
     July 01, 2022 - Researchers found significant decreases in in-hospital adverse event rates for heart attack, heart failure … 2010 and 2019, adverse event rates fell 36 percent for heart attack patients, 31 percent for heart failure … for all five patient groups, as follows: 41percent for heart attack patients, 27 percent for heart failure

157. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Failure to thrive is usually not associated with physiologic GER in premature infants. … Symptoms of Pathologic GER Failure to thrive due to malnourishment. … An open ductus may lead to: Congestive heart failure. Pulmonary hypertension. … Failure to thrive. … Mortality of 30-40% from sepsis or liver failure.

158. Appendix B. Clinical Materials to Share With Primary Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
     December 01, 2013 - Failure to thrive is usually not associated with physiologic GER in premature infants. … Symptoms of Pathologic GER Failure to thrive due to malnourishment. … An open ductus may lead to: Congestive heart failure. Pulmonary hypertension. … Failure to thrive. … Mortality of 30-40% from sepsis or liver failure.

159. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - Pulmonary Disease Yes 4,378 3,949 5,218 No 3,688 3,849 3,506 Congestive Heart Failure … Obstructive Pulmonary Disease 3,467 3,916 3,020 3,915 3,852 4,098 Congestive Heart Failure

160. Barriers Associated with Medication Information Handoffs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
     January 01, 2004 - Failure Mode and Effects Analysis (FMEA) Failure Mode and Effects Analysis (FMEA), one approach in … Failure mode scores could range from 1 to 1000. … It should be noted that the probability of a failure-effect combination is generally lower than for … the failure itself. … than methods that simply rate the frequency of failure alone.