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Showing results for "failure".

1821. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
      June 02, 2025 - introducing another initiative on the unit would set the staff up for frustration and maybe even failure

1822. Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
      January 01, 2024 - Older patients with chronic heart failure within Swedish community health care: A record review of nursing

1823. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
      January 01, 2024 - or reconciliation errors (i.e., errors in orders despite accurate medication histories, such as the failure

1824. A Toolkit to Engage High-Risk Patients in Safe Transitions: Final Report (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
      November 01, 2017 - “The initial failure of me trying to remember to hand it out, failed.

1825. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
      December 01, 2017 - “The initial failure of me trying to remember to hand it out, failed.

1826. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
      January 01, 2024 - previously demonstrated improvement in home care nurse use of evidence-based practices to improve heart failure

1827. Final Progress Report: The National Quality Forum National Annual Policy Conference 2006 (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
      January 01, 2024 - • Failure to develop consensus across specialties (e.g., when to perform surgery for back pain, orthopedics

1828. Final Progress Report: Trial of Decision Support To Improve Diabetes Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/cebul-report.pdf
      January 01, 2024 - epidemic in the United States and is the most common cause of adult blindness, amputations, kidney failure

1829. Depression Screening and Follow-up for Adolescents and Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
      December 01, 2019 - Enhancing treatment outcome of patients at risk of treatment failure: Meta-analytic and mega-analytic

1830. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/references.html
      May 01, 2023 - Handoff communication: using failure modes and effects analysis to improve the transition in care process

1831. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
      April 01, 2022 - nutrition CVC if hemodynamic monitoring also needed PICC may be appropriate Acute respiratory failure

1832. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
      January 01, 2024 - Determinants of performance failure in the nursing home industry.

1833. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
      January 01, 2024 - the respiratory drive, respiratory rate, and tidal volume6,8-10; this could result in respiratory failure

1834. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
      January 01, 2023 - to the fall, as well as the specific patient outcome of a fall and does not require that a process failure

1835. Chartbook on Healthy Living: National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
      January 01, 2020 - Healthy Living  Importance: Early detection and treatment of high blood pressure can prevent heart failure … , kidney failure, and stroke.

1836. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
      December 01, 2020 - The IQR sample represents hospital admissions for four conditions: heart failure, acute myocardial infarction … includes hospital inpatients age 18 years and over admitted for one of four conditions of interest: heart failure

1837. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…

1838. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
      June 02, 2025 - X Personal device or equipment (cane, walker, crutch) – improper use X X Equipment failure

1839. Final Progress Report: Society for Pediatric Sedation Consensus Meeting: Great Expectations— Defining Quality in Pediatric Sedation (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/connors-report.pdf
      January 01, 2025 - of an “effectiveness scale” will challenge the fundamental nature of how we evaluated success vs. failure

1840. Detailed Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
      August 01, 2022 - Because of the failure of any of the demonstration projects to replicate in non-academic settings despite