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Showing results for "failure".

161. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
     March 01, 2013 - of the h3H initiative is to reduce all-cause readmission rates among patients discharged with heart failure … readmission rate. 30-day all-cause risk standardized readmission rate following congestive heart failure … readmissions 2 percentage points for one of these measures HCAHPS measures 8 percent reduction in failure … rate MD visit between admission and readmission 8 percent reduction in failure rate Percentage

162. Tool 6 (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
     March 01, 2013 - of the h3H initiative is to reduce all-cause readmission rates among patients discharged with heart failure … readmission rate. 30-day all-cause risk standardized readmission rate following congestive heart failure … readmissions 2 percentage points for one of these measures HCAHPS measures 8 percent reduction in failure … rate MD visit between admission and readmission 8 percent reduction in failure rate Percentage

163. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
     May 01, 2016 - It will help your team address all the failure modes in the process of VTE prevention, and how persistence … Beyond the Basics—Addressing Failure Modes and Layering Interventions A variety of failure modes commonly … Table 7.1 outlines the failure modes introduced in Chapter 2 , along with strategies and solutions … Table 7.1: Common Failure Modes in Providing Optimal VTE Prophylaxis and Strategies and Solutions To … Address Them # Failure Mode Strategies and Solutions 1 No standardized protocols

164. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
     May 01, 2016 - It will help your team address all the failure modes in the process of VTE prevention, and how persistence … Beyond the Basics—Addressing Failure Modes and Layering Interventions A variety of failure modes commonly … Table 7.1 outlines the failure modes introduced in Chapter 2 , along with strategies and solutions … Table 7.1: Common Failure Modes in Providing Optimal VTE Prophylaxis and Strategies and Solutions To … Address Them # Failure Mode Strategies and Solutions 1 No standardized protocols

165. Continuity of Coverage: Duration of First Observed Enrollment: Appendix Table 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-table1.pdf
     June 02, 2025 - anemias (including sickle) 283 Acquired hemolytic anemias 284 Aplastic anemia and other bone marrow failure … Nephritis and nephropathy, not specified as acute or chronic 585 Chronic kidney disease 586 Renal failure

166. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Pulmonary Disease Yes 5,230 3,549 920 No 3,793 3,878 4,079 Congestive Heart Failure … Obstructive Pulmonary Disease 743 6,626 1,445 4,219 3,418 3,921 Congestive Heart Failure

167. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - Coding postoperative respiratory failure: perspectives and possible changes. … PDI 09 Postoperative Respiratory Failure Rate X Postoperative respiratory failure is acute in nature … Guide Post- Operative Respiratory Failure). … X PSI 11 Postoperative Respiratory Failure X Postoperative respiratory failure is acute in nature … Guide Post- Operative Respiratory Failure).

168. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - Organizational Influences – Latent failures Unsafe acts – Active failures Unsafe supervision – Latent failure … Form an intervention to address an identified failure.

169. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
     January 01, 2025 - Finally, parents and staff participated in failure modes and effects analyses. … Failure Mode and Effects Analysis (FMEA). … Table 3 shows the highest risk failure modes and suggested interventions for each FMEA. … Failure modes were layered onto the SEIPS-based process maps. … Process steps Failure Mode Intervention FMEA* #1.

170. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
     March 01, 2013 - Predicted readmission is the number of readmissions (following discharge for heart attack, heart failure … Expected readmission is the number of readmissions (following discharge for heart attack, heart failure … also adjusts readmission rate results for small hospitals or hospitals with few heart attack, heart failure

171. How CMS Measures the "30-Day All Cause Rehospitalization Rate" on the Hospital Compare Web Site | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
     March 01, 2013 - Predicted readmission is the number of readmissions (following discharge for heart attack, heart failure … Expected readmission is the number of readmissions (following discharge for heart attack, heart failure … also adjusts readmission rate results for small hospitals or hospitals with few heart attack, heart failure

172. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
     March 30, 2008 - ordering process could fail, how likely failure was, and the consequences of failure.14 A team consisting … effect(s), and the detection method of the potential failure points. … failure occur); occurrence (i.e., an estimate of how often this potential failure might occur); and … the likelihood of detecting a failure prior to completion of the process. … Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.

173. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
     May 01, 2025 -   High Reliability  Human Factors Engineering (Human-Centered Design) Individual Factors/Individual Failure … and Longer-Term/Systemic Follow-up  Safety Reporting  Situational Awareness Systems Factors/System Failure

174. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guidesum.html
     March 01, 2016 - This guide targets these failure modes in the process of preventing VTE in the inpatient setting and … Throughout this guide, multiple failure modes are described, as are strategies to address potential lapses

175. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.html
     March 01, 2016 - This guide targets these failure modes in the process of preventing VTE in the inpatient setting and … Throughout this guide, multiple failure modes are described, as are strategies to address potential lapses

176. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
     April 04, 2008 - ), postoperative physiologic and 2 metabolic derangements (PSI 10), postoperative respiratory failure … complications of anesthesia (PSI 1), death in low-mortality DRGs (PSI 2), decubitus ulcer (PSI 3), failure … The comorbidities include congestive heart failure, valvular disease, pulmonary circulation disorders … diabetes without chronic complications, diabetes with chronic complications, hypothyroidism, renal failure … Impact of race on health care utilization and outcomes in veterans with congestive heart failure.

177. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Yes 3,770 4,287 3,570 3,910 No 6,548 3,550 4,740 3,316 Congestive Heart Failure … Disease 3,813 3,829 3,225 4,158 5,308 6,071 4,418 4,029 Congestive Heart Failure

178. Assess-Resident-Rti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
     June 01, 2021 - Sandy is a 75-year-old resident with moderate dementia and congestive heart failure who is wheelchair … Peter is an 83-year-old resident with a history of congestive heart failure. … He is having a heart failure exacerbation 4. … Sometimes, a heart failure exacerbation can be difficult to distinguish from pneumonia. … We have also discussed how a heart failure exacerbation can be distinguished from pneumonia.

179. Module 5: Situation Monitoring
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - communication between team members, including between the patient and the care team, as a common point of failure … Failure in information gathering. Failure in information integration. … Failure in information interpretation. Failure to establish an explanation for the health problem. … Failure to communicate the explanation. Failures in treatments and followup.  

180. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
     January 10, 2022 - communication between team members, including between the patient and the care team, as a common point of failure … • Failure in information gathering. • Failure in information integration. … • Failure in information interpretation. … • Failure to establish an explanation for the health problem. … • Failure to communicate the explanation. • Failures in treatments and followup.