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Showing results for "failure".

1861. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
      March 01, 2020 - Area Common consequences of ADEs include drug-related morbidity and mortality, heart and/or renal failure

1862. Overuse of Imaging for the Evaluation of Children with Simple Febrile Seizure: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-192-fullreport.pdf
      November 01, 2019 - poor kidney function are at greater risk for developing CIN and, in rare cases, will develop renal failure

1863. Overuse of Computed Tomography Scans for the Evaluation of Children with a First Generalized Afebrile, Atraumatic Seizure: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-fullreport.pdf
      November 01, 2019 - poor kidney function are at greater risk for developing CIN and, in rare cases, will develop renal failure

1864. CHIPRA 194: Overuse of Imaging for the Evaluation of Children With Primary Headache Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-fullreport.pdf
      April 01, 2019 - poor kidney function are at greater risk for developing CIN and, in rare cases, will develop renal failure

1865. Module 15: Preparing and Presenting Performance Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
      September 01, 2015 - Failure to provide sufficient detail when you report data to the practice team can make the data difficult

1866. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
      January 01, 2024 - Death or serious disability (kernicterus) associated with failure to identify and treat hyperbilirubinimia

1867. CAHPS Moving Forward: Innovations in Tools and Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-webcast.pdf
      October 01, 2017 - hospitals with higher CAHPS scores do better on measures of heart attack treatment, congestive heart failure

1868. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - One way to characterize the problem is the failure in making a hand-off. … successful and failed change efforts to identify five characteristics that differentiated success from failure

1869. Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions, Version 2: Evaluation Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ecareplan/reports/ecare-plan-for-mcc-v2.pdf
      January 01, 2025 - , to discuss managing her MCC, including chronic kidney disease, type 2 diabetes, congestive heart failure … frameworks, it is replicable and practical, and it addresses the factors for implementation success or failure

1870. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - patient participation in cardiac rehabilitation after cardiovascular events such as heart attacks, heart failure

1871. 43-Pathway-Worksheet (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
      June 01, 2023 - recommended for high-risk patients (presence of significant comorbidities such as congestive heart failure

1872. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - PSI (2013) Post-Op Hemorrhage or Hematoma (PSI 9) 20,000 0.61 PSI (2013) Post-Op Respiratory Failure

1873. Summary Background Report on 2013 Retirement of Measures from the Child Core Set (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
      January 01, 2013 - Other SNAC member concerns were what an appropriate C-section rate is, and the measure’s failure to

1874. 2016 AHRQ Nursing Home Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt1.pdf
      January 01, 2016 - Often, the perceived failure of surveys to create lasting change is actually due to faulty or nonexistent

1875. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
      January 01, 2023 - reduce errors of commission (inappropriate use of medications) (p > 0.05) or errors of omission (failure

1876. Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
      January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Principal Investigator: Donald A. Kennerly, MD, PhD Study Team: Kenneth Bruce Bayley, PhD Ashley Collinsworth, MPH Teri Cowlin…

1877. AHRQ Safety Program for Improving Antibiotic Use: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/overall-antibiotic-stewardship-project-final-report.pdf
      September 01, 2022 - AHRQ Safety Program for Improving Antibiotic Use: Final Report AHRQ Safety Program for Improving Antibiotic Use Final Report AHRQ Safety Program for Improving Antibiotic Use Final Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Servic…

1878. AHRQ Transforming Primary Care Grants Bibliography | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
      February 01, 2017 - AHRQ Transforming Primary Care Grants Bibliography This bibliography includes citations for and short summaries of the more than 50 peer-reviewed articles resulting from the AHRQ Transforming Primary Care grants as of January 1, 2015. The evidence generated from this initiative has formed a solid foundation tha…

1879. AHRQ Transforming Primary Care Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
      May 01, 2015 - AHRQ Transforming Primary Care Grants Bibliography This bibliography includes citations for and short summaries of the more than 50 peer-reviewed articles resulting from the AHRQ Transforming Primary Care grants as of January 1, 2015. The evidence generated from this initiative has formed a solid foundation t…

1880. Steps for Increasing Urinary Incontinence Screening: A Guide for Primary Care Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/mui-screening-toolkit.pdf
      April 01, 2025 - • Poor management of chronic conditions (e.g., heart failure, diabetes) with medications that exacerbate … population.[17] – Chronic Disease Management: Unlike UI, certain conditions like diabetes and heart failure