-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
December 01, 2012 - Pulmonary Disease
4,020
3,143
2,971
3,070
3,003
2,848
2,922
3,696
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
December 01, 2012 - Obstructive Pulmonary Disease
767
752
674
989
670
669
762
686
Congestive Heart Failure
-
www.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - example, CalHospitalCompare’s Web site has information about heart attack, heart bypass surgery, heart failure
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
December 31, 2022 - default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
12
Common Causes of Failure … The last process failure is uncertainty about the eligibility requirements for CR. … Heart or heart/lung transplant
DIAGNOSIS
(ICD-10 codes)
MI
Chronic stable angina
Chronic stable heart failure … section should be designed to appear for all patients with qualifying diagnoses, for example heart failure … Proceeding without rigorous bench testing is a common cause of implementation failure.
40
Bench testing
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses1.html
August 01, 2022 - National Academies of Sciences, Engineering, and Medicine (NASEM) defines diagnostic error as “the failure
-
www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.html
July 01, 2022 - patients age 66 older to determine (1) continuous use of at least 1 of 5 medication classes and (2) failure … to recommended treatments for certain medical conditions, such as acute myocardial infarction, heart failure … for example:
Incorporating a reconciled medication list into the discharge instructions for heart failure
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.html
July 01, 2022 - patients age 66 older to determine (1) continuous use of at least 1 of 5 medication classes and (2) failure … to recommended treatments for certain medical conditions, such as acute myocardial infarction, heart failure … for example:
Incorporating a reconciled medication list into the discharge instructions for heart failure
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - Failure mode and effects analysis.
Probabilistic risk assessment.
Causal tree worksheet. … Identify shoulder dystocia
___ Failure to deliver the infant with gentle traction.
___ The … "turtle sign" with retraction of the fetal chin and head to the maternal perineum.
___ Failure
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm4.html
October 01, 2015 - transmitted disease)
2.0
100: Acute myocardial infarction
1.9
108: Congestive heart failure
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - Respect probability of failure over time.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18f.html
December 01, 2012 - Pulmonary Disease
6,204
4,252
4,225
5,945
6,439
3,613
6,366
4,092
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
December 01, 2012 - Pulmonary Disease
6,496
4,081
4,181
5,790
6,304
3,513
6,708
3,953
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18.html
December 01, 2012 - Pulmonary Disease
4,994
3,327
3,574
4,220
4,786
2,957
4,990
3,259
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
December 01, 2012 - Pulmonary Disease
5,295
3,493
3,835
4,396
5,031
3,137
5,305
3,416
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
December 01, 2012 - Obstructive Pulmonary Disease
838
669
745
711
821
603
830
658
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
December 01, 2012 - Pulmonary Disease
5,997
4,486
4,795
5,157
5,766
3,959
5,890
4,426
Congestive Heart Failure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
December 01, 2012 - Pulmonary Disease
4,034
2,866
2,829
3,700
4,042
2,461
4,011
2,823
Congestive Heart Failure
-
www.ahrq.gov/talkingquality/plan/partners/healthcare-org.html
July 01, 2011 - The Joint Commission Heart Failure Measures.
The Leapfrog Group Safe Practices.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - to learn from defects and sensemaking:
· Discovery form
· Root cause analysis
· Eindhoven model
· Failure … Identify shoulder dystocia
|_| Failure to deliver the infant with gentle traction
|_| The “turtle sign … ” with retraction of the fetal chin and head to the maternal perineum
|_| Failure of restitution
|_|
-
www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-slides.html
January 01, 2017 - Dre
D iseases
Sepsis, chronic obstructive pulmonary disease, congestive heart failure
D rug … Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement … Early physical medicine and rehabilitation for patients with acute respiratory failure: a quality improvement