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Total Results: 1,954 records

Showing results for "failure".

1741. Final Progress Report: Making Ambulatory Procedural Care Safer: STAMP-Based Risk Assessment and Redesign (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
      January 01, 2024 - However, high failure rates with implementation decrease confidence in the value and efficacy of

1742. EvidenceNow Key Drivers and Change Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
      February 01, 2019 - Sigma (focused on standardization), and several patient safety approaches (e.g., root cause analysis, failure

1743. A Model-based Approach to Prioritizing Medical Safety Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Marken.pdf
      January 01, 2004 - The model introduces errors (which represent a failure of control), when the process of producing the

1744. Creating Safety in the Testing Process in Primary Care Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Elder_18.pdf
      February 19, 2008 - almost all the cases described, the successful safety practice grew out of experiences with error, failure

1745. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
      January 01, 2020 - Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) Contents On Page 1 of 2: 5.A. Analyze CAHPS Survey Results 5.B. Analyze Other Sources of Information for Related Information Page 2 of 2: 5.C. Evaluate the Process of Care Delivery 5.D. Gather Input From Stakeh…

1746. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
      January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Annual Conference AHRQ Grant Final Progress Report Title of Project: Diagnostic Error in Medicine Annual Conference Principal Investigator: Hardeep Singh, MD Team Members: • Paul L. Epner, M.Ed, MBA, Executive Vice President, Society to Improve Diagnosis in Me…

1747. On-Time Falls Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
      June 02, 2025 - or equipment or attached appliance (cane, walker, crutch, O2) – improper use X X Equipment failure

1748. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
      September 03, 2014 - The failure of staff to recognize clinical signs of infection also places a patient at higher risk.  

1749. Final Progress Report: Incorporating Temporary Health States into Decision Support (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
      January 01, 2024 - because some treatments have severe side effects (e.g., stroke, coronary heart disease (CHD), VTE), failure

1750. Research on Person-Centered Care
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
      June 27, 2024 - observations and personal experience Facilitators and barriers of program implementation Success and failure

1751. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Examples of breaks in policy Transient Working Conditions 61 included failure to verify new medication

1752. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - 17% 21% 13% 13% Advances in Patient Safety: Vol. 2 208 Inaccuracy in patients’ reports, or failure

1753. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
      December 01, 2004 - This results, in part, from failure to gain prior cooperation of the practice administrators in the

1754. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - MEDMARX in nontraditional active and passive surveillance contexts such as root-cause analyses (RCA), failure

1755. Measuring IT Sophistication in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Alexander_10.pdf
      January 20, 2008 - shortfalls.41, 42, 43 Limitations A limitation of this study is the possibility of bias due to the failure

1756. INSTRUCTIONS: Return on Investment Estimation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
      January 01, 2009 - INSTRUCTIONS: Return on Investment Estimation AHRQ Quality Indicators Toolkit INSTRUCTIONS Return on Investment Estimation What is this tool? When your hospital invests in a new program, quality improvement intervention, or technology, management often wants to know what kind of financial return it will…

1757. Return on Investment Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
      January 01, 2013 - Return on Investment Tool Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to know what kind of financial return the investment will yield. A return on investment (ROI) analysis is a way to…

1758. How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
      January 01, 2020 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled …

1759. Section 3: Are You Ready To Improve? | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
      February 01, 2020 - Section 3: Are You Ready To Improve? July 2015 Contents 3.A. Cultivating and Supporting QI Leaders 3.B. Organizing for Quality Improvement 3.C. Training Staff in QI Concepts and Techniques 3.D. Paying Attention to Customer Service 3.E. Recognizing and Rewarding Success References Download Se…

1760. Return on Investment Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
      January 01, 2013 - Return on Investment Tool Return on Investment Estimation What is the purpose of this tool? When your hospital invests in a new program, quality improvement intervention, or technology, leaders often need to know what kind of financial return the investment will yield. A return on investment (ROI) analysis is a way to…