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Showing results for "failure".

161. 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.

162. 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.

163. 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

164. 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.

165. 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.

166. 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

167. 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

168. 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

169. 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

170. 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

171. 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

172. 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).

173. 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.

174. 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

175. 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

176. Changing-System-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
     June 01, 2021 - An example of an active failure is a resident receiving the wrong medication because someone misread … Another example of an active failure is not including a duration for an antibiotic prescription. … Without these defenses, an “active” or human failure can occur, resulting in a poor outcome. … This could have been due to a system failure, such as no universal electronic medical record between … It could also be due to human error, or “active failure”— the long-term care clinician did not count

177. 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.

178. 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.  

179. 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.

180. Evidence Base Supporting Telehealth | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-2.html
     August 01, 2020 - improves health outcomes, utilization, and cost of care for a host of chronic diseases, including heart failure