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Total Results: 1,954 records

Showing results for "failure".

1781. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - membership information could help us ascertain if the lack of followup was due to membership termination or failure

1782. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - improvement projects are also taught and include: • The plan-do-study-act improvement method • Failure

1783. The Impact of Standardized Order Sets on Quality and Financial Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
      February 02, 2008 - requiring inpatient medical rather than surgical management—such as pneumonia,15, 16, 17 congestive heart failure

1784. Final Report: Translating simulation-based team leadership training into patient-level outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-rosenman-report.pdf
      January 01, 2024 - contributes to frequent breakdowns in team interactions, resulting in poor communication and coordination, failure

1785. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
      June 01, 2012 - In addition to dehydration or kidney failure causing decreased urine production, people can retain urine

1786. Return on Investment Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
      January 01, 2013 - Return on Investment Tool Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool F.1 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 kn…

1787. Return on Investment Estimation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
      January 01, 2013 - Return on Investment Estimation Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool F.1 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 …

1788. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
      January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing Title Page Title of Project: Team-Based Safe Opioid Prescribing Principal Investigator: Michael L. Parchman, MD, MPH Other team members: Laura Mae Baldwin, MD, MPH Kelly Ehrlich, MS Brooke Ike, MPH Doug Kane, MS Robert Penfold, PhD Kari Stephens, PhD…

1789. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
      January 01, 2024 - Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training Virtual Healthcare Environments Versus Traditional Interactive Team Training Principal Investigator: Jeffrey M. Taekman, MD Investigative Team: Noa Segall, PhD David Turner, MD Gene Hobbs, CHT Cheryl Jacobs Barb…

1790. The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/3-are-you-ready/cahps-ambulatory-care-guide-section-3.pdf
      May 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Are You Ready To Improve? The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 3: Are You Ready To Improve? Visit the AHRQ Website for the full Guide. May 2017 (updated) https://www.ahrq.gov/cahps/quality-improve…

1791. Meeting Minutes (Draft), November 2023 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2023-11-nac/nacmtg111623-minutes.html
      January 01, 2024 - Meeting Minutes (Draft), November 2023 Minutes from the November 16, 2023, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of July 12, 2023, Meeting Summary AHRQ Director’s Highlights Consumer Experience Measurement: C…

1792. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Identifying Barriers to the Success of a Reporting System 167 Identifying Barriers to the Success of a Reporting System Michelle L. Harper, Robert L. Helmreich Abstract Spurred by a controversial report from the Institute of Medicine on the prevalence of medical error, To Err Is Human, the medical profe…

1793. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - Effect of nosocomial bloodstream infection on the outcome of critically ill patients with acute renal failure … Sanchez-Velazquez LD, 2006 The burden of nosocomial infection in the intensive care unit: effects on organ failure

1794. AHRQ Individual Research Career Development (K) Award Program (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
      August 01, 2016 - Cardiovascular Interventions Circulation: Cardiovascular Quality and Outcomes Circulation: Heart Failure … Biopharmaceutical Statistics Journal of Cancer Education Journal of Cancer Survivorship Journal of Cardiac Failure

1795. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
      January 01, 2016 - Often, the perceived failure of surveys to create lasting change is actually due to faulty or nonexistent … • 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

1796. Final Progress Report: An expert-guided machine-learning approach to estimate the incidence, risk, and harms associated with diagnostic delays for infectious diseases (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/polgren-miller-report.pdf
      January 01, 2025 - Thus, failure to diagnose an individual with an infection in a timely manner may result in transmission

1797. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
      January 01, 2025 - The main limitation of the initial design was the unanticipated failure of a cluster randomized study

1798. Appendixes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-appendix.html
      November 01, 2017 - Mesh] OR "Ventricular Fibrillation"[Mesh] OR "Disseminated Intravascular Coagulation"[Mesh] OR "Heart Failure

1799. Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
      January 08, 2008 - promoting safety Staff patient safety award Organizational learning/continuous improvement Root cause and failure

1800. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science-brief1.pdf
      April 02, 2020 - The recent NASEM report defines diagnostic error as the “failure to establish an accurate and timely