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Showing results for "failure".

1841. Two More “Es” and How To Spread (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
      April 01, 2013 - They also felt that there was never any failure in the belief that blood stream infections were preventable

1842. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI (July 9, 2013) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-transcript.html
      December 01, 2017 - So it's a way of conveying to them that we're partners in this, and maybe their failure to understand

1843. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - So it’s a way of conveying to them that we’re partners in this, and maybe their failure to understand

1844. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
      May 13, 2014 - We had this woman present to our unit with diastolic heart failure.

1845. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
      December 01, 2017 - We had this woman present to our unit with diastolic heart failure.

1846. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
      January 24, 2008 - Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training Ramnarayan Paragi Gururaja, MD, MPH; Tong Yang, MD, MS; John T. Paige, MD; Sheila W. C…

1847. 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

1848. 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.

1849. Measure Inventory for Use with All-Payer Claims Databases (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
      January 01, 2020 - measures Measure Condition Subcategory Subcategories within conditions of focus (e.g., Congestive Heart Failure

1850. 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.

1851. 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

1852. 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

1853. 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.

1854. 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

1855. 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

1856. 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

1857. 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

1858. 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

1859. 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

1860. 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