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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/Kenyon2014.pdf
February 01, 2014 - One study of adult heart
failure patients demonstrated that nearly 20% of readmis-
sions occurred at
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-mepsmethods.pdf
January 01, 2020 - Twenty chronic conditions were searched
for: hypertension, hyperlipidemia, congestive heart failure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Masica_112.pdf
November 30, 2010 - populations.8
In isolation, identifying specific drugs to avoid is not sufficient for improving safety.9 Failure
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - accumulates in renal
insufficiency, and patient should be monitored for toxicity (e.g., acute renal failure
-
www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
January 01, 2024 - Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET)
AHRQ Grant Final Progress Report
Title of Project:
REdesigning SystEms to Improve Teamwork and Quality for
Hospitalized Patients (RESET)
Principal Investigator
Kevin J. O’Leary, MD, MS – Northwestern Uni…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0197-fullreport.pdf
November 01, 2019 - poor kidney function are at greater risk for developing CIN
and, in rare cases, will develop renal failure … for children with atraumatic seizure, even for the evaluation of time-sensitive conditions such
as failure
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-196-fullreport.pdf
January 01, 2020 - poor kidney function are at greater risk for developing CIN and, in
rare cases, will develop renal failure … Even for the evaluation of time-sensitive conditions such as failure of a ventricular-
peritoneal shunt
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - Project based collaborative workshops organized around a specific topic, such as heart failure, are also … Now he's saying, 'No, it's only a failure if you don't learn from it and try something different.'"
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
November 01, 2014 - Failure to adhere to the plan by becoming reactive can scatter resources. … commented that there has not been an effective way to communicate to all employees about the success/failure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - iii PDSA = Plan-Do-Study-Act; DMAIC = Define, Measure, Analyze, Improve and Control; FMEA = failure mode … Safety-Net Systems Redesign 39
Failure mode and effects analysis (FMEA): FMEA is a systematic, proactive
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Teamwork and Leadership
According to The Joint Commission, failures in communication and teamwork as well as consist…
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/primer-for-pbrn-business-opportunities.pdf
September 01, 2015 - composite measures
for at-risk populations (2 for diabetes, hypertension, ischemic vascular disease, heart failure … **Includes diabetes, hypertension, ischemic vascular disease, and heart failure.
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/womenh-slides.html
March 01, 2020 - Indicators for angina, asthma, bacterial pneumonia, chronic obstructive pulmonary disease, congestive heart failure … Hospitalizations for chronic conditions include diabetes and congestive heart failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-fullreport.pdf
June 01, 2018 - ) dataset to determine whether a child disenrolled due to loss of
eligibility (a “good” reason) or failure … ) dataset to determine
whether a child disenrolled due to loss of eligibility (a “good” reason) or failure
-
www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
January 01, 2024 - consistently, or less assiduously than required for the potential benefits to be realized,
implementation failure … Health IT Success and Failure: Recommendations from Literature and an
AMIA Workshop.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
September 19, 2015 - nephrologist is important for patients with progressive chronic kidney disease who are approaching kidney failure … Patients who begin nephrology care more than a year before kidney failure are less likely to begin dialysis
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-1.pdf
January 01, 2015 - Often, the perceived failure of surveys to create lasting change is actually due to faulty or
nonexistent … Often, the perceived failure of surveys as a means for creating lasting change is
actually due to faulty
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3.html
May 01, 2018 - Vital Statistics Data
Failure to use standard categories and nonreporting or misreporting of data complicate
-
www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
June 01, 2020 - Sometimes the failure to translate research results into practice was due to a disconnect between statistical
-
www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - Sigma (focused on standardization), and several patient safety approaches (e.g., root cause analysis, failure