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Showing results for "failure".

1701. Shared Learning and the Drive to Improve Patient Safety: Lessons Learned from the Pittsburgh Regional Healthcare Initiative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Sirio.pdf
      June 15, 2003 - Information sharing To understand the root cause of each system failure or unsafe condition.

1702. Considerations When Partnering with Health Care Organizations | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/plan/partners/healthcare-org.html
      July 01, 2011 - The Joint Commission Heart Failure Measures. The Leapfrog Group Safe Practices.

1703. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
      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

1704. Table 18A: National HCBS Population | Agency for Healthcare Research and Quality
      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

1705. Table 18G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
      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

1706. Table 18F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
      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

1707. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      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

1708. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
      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

1709. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      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

1710. 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-comm4.html
      October 01, 2015 - transmitted disease) 2.0 100: Acute myocardial infarction 1.9 108: Congestive heart failure

1711. Sustaining and Spreading Surgical Safety Improvements: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
      December 01, 2017 - Respect probability of failure over time.

1712. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
      March 13, 2013 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) Information to Help Hospitals Get Started Guide to Patient and Family Engagement :: 1 Supporting Patient and Family Engagement: Best Practices for Hospital Leaders The Guide to Patient and Family Engagement in Hospital Quality …

1713. 2024 Network of Patient Safety Databases Chartbook (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
      January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events 2024 NETWORK OF PATIENT SAFETY DATABASES CHARTBOOK: MEDICATION AND OTHER SUBSTANCE EVENTS U.S. DEPARTMENT OF …

1714. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
      January 01, 2014 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Presenter: Timothy B. McDonald, MD, JD This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond…

1715. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
      June 02, 2025 - For example, do they have daily weight orders for residents with congestive heart failure?

1716. A Conceptual Model for Disclosure of Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
      January 01, 2004 - Forgive and remember: managing medical failure. Chicago: University of Chicago Press; 1979. 12.

1717. Improving Perioperative Patient Safety Through the Use of Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-StJacques_105.pdf
      March 29, 2008 - These many items are the basis for the complexity of a surgical case, and a failure or delay in any

1718. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - Human detection and diagnosis of system failure. New York: Plenum; 1981. p. 433-49. 2.

1719. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
      June 02, 2025 - For example, do they have daily weight orders for residents with congestive heart failure?

1720. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
      January 01, 2024 - clinical areas determine decile listings, including Acute Myocardial Infarction, Congestive Heart Failure