Results

Total Results: 1,954 records

Showing results for "failure".

1801. 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.pdf
      April 02, 2020 - The recent NASEM report defines diagnostic error as the “failure to establish an accurate and timely

1802. Appropriate Assertion Call (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
      April 01, 2013 - Well, an interesting quote from Northcote Parkinson is that, “The void created by the failure to communicate

1803. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
      January 01, 2024 - Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health AHRQ Grant Final Progress Report Title of Project Safe delivery of primary care to vulnerable populations: Using simulation (Unanno…

1804. Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
      January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management 1. TITLE PAGE Comprehensive Pediatric Hypertension Diagnosis and Management Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD, Katherine E. Twomb…

1805. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
      January 01, 2024 - Final Progress Report: Building Consensus Among States on Patient Safety Reporting Final Report “Building Consensus Among States on Patient Safety Reporting” William E. Golden, M.D. Vice President for Quality Improvement Health Care Quality Improvement Programs Office of Projects and Analysis Arkansas F…

1806. Final Progress Report: EMR Planning To Improve North Iowa Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
      January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare AHRQ Grant Final Progress Report Title of Project: EMR Planning to Improve North Iowa Healthcare Principal Investigator and Team (Steering Committee) Members: • Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …

1807. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
      January 01, 2024 - Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety PI: Guise, J-M FINAL GRANT REPORT Title: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety Grant Award #: 5U18HS015800-02 Grantee Institution: Oregon Health & Science University…

1808. Methods (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - Guide to Patient and Family Engagement Methods (continued, 2) Previous Page Next Page Table of Contents Guide to Patient and Family Engagement Executive Summary Introduction Methods Findings Implications for the Guide Summary and Discussion Next Steps References Appendix A: Draft K…

1809. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/pichert.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary Ref…

1810. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
      April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson Abstract An electronic barcode medication administration sy…

1811. Development of a Comprehensive Medical Error Ontology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
      June 16, 2008 - Development of a Comprehensive Medical Error Ontology Development of a Comprehensive Medical Error Ontology Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD; Jiajie Zhang, PhD; James P. Turley, RN, PhD Abstract A critical step towards reducing errors in health care …

1812. Improving Your Laboratory Testing Process Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
      December 01, 2017 - . • A failure to monitor automated processes may introduce patient safety risks. 19

1813. Final Progress Report: Clinical importance of the drug interaction between statins and CYP3A inhibitors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
      January 01, 2024 - Hepatic dysfunction was defined as the first READ code for hepatic failure, toxic liver disease, acute

1814. Appendix C: The Health Care Safety Hotline: Operations Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixc.pdf
      July 01, 2015 - The disaster recovery (DR) site was built and tested to handle all of the applications in case of a failure … deficient input to or environment of a care process that increases the risk of an unsafe act, care process failure … deficient input to or environment of a care process that increases the risk of an unsafe act, care process failure

1815. Hybrid Cardiac Rehabilitationi (HYCR) Tools and Resources Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
      June 02, 2025 - In the event of a mechanical failure of the telemedicine equipment, an alternate videoconference system … If none are functioning, appropriate, or available, or if there is a network transmission failure, the

1816. Section 6.B, Validation Studies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-section-6b.pdf
      January 01, 2013 - pneumonia, dehydration, UTIs, perforated appendix, seizure disorders, skin infection/cellulitis, failure … immunization-preventable conditions, tuberculosis, anemia, congenital syphilis, congestive heart failure

1817. Webinar Transcript - National Quality Strategy: Using Payment to Improve Health and Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-payment-to-improve-health-and-health-care-quality.html
      November 01, 2016 - really think that reflecting on my own work, being a founding board member of the NQF, it reflects a failure

1818. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
      January 01, 2024 - Screws placed with a TAD greater than 25 mm have a higher risk of mechanical failure.

1819. Assess and Adapt: Understanding the Science of Safety and Reliability (June 3, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
      December 01, 2017 - investigation was the safety culture at NASA was partially to blame for the occurrence of that event and the failure

1820. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
      June 03, 2014 - investigation was the safety culture at NASA was partially to blame for the occurrence of that event and the failure