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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart
failure. … Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart
failure. … ◆ Heart failure, including hypertensive heart disease with heart failure (ICD-10-CM I11, I13,
I50
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients … 173
Impact of Pharmacy-led Dyslipidemia
Interventions on Medication Safety and
Therapeutic Failure … Of the
310 patients with previous treatment failure whose goal attainment was reviewed,
LDL values … Suboptimal dosing or failure to titrate;
3. Combination regimens and safety; and
4. … Percent of patients with previous failure now at LDL goal
Figure 3.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
June 01, 2018 - Treatment of Congestive Heart Failure:
Outcome: Adult admissions for congestive heart failure per … Treatment of Heart Failure
Admissions With Congestive Heart Failure, by Area Income
Adult admissions … Trends: From 2000 to 2013, the rate of admission for congestive heart failure among adults decreased … Admissions With Congestive Heart Failure, by Race/Ethnicity
Adult admissions with congestive heart … Importance: Racial disparities in care for congestive heart failure have been observed.
-
www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
January 01, 2025 - Aim 2a: To use Failure Mode and Effects Analysis to identify the key failure modes (and
their causes … In order to prioritize failure modes, Risk Priority Numbers
(RPNs) were calculated for each failure … After
calculating a RPN for each failure mode, we sorted all failure modes by their RPN and analyzed … Sample FMEA results among the top 20% of RPNs
# Failure mode Potential causes
of failure
Potential … mode Potential causes
of failure
Potential
effects of
failure
Severity Detection Frequency RPN
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Why focus on postoperative respiratory failure in children? … Generally, postoperative respiratory
failure is the failure to wean from mechanical ventilation within … Why focus on postoperative respiratory failure? [PowerPoint]. … Consultation with the specialist: respiratory failure in children. … Why focus on postoperative respiratory failure in children?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Why focus on postoperative respiratory failure in children? … Generally, postoperative respiratory
failure is the failure to wean from mechanical ventilation within … Why focus on postoperative respiratory failure? [PowerPoint]. … Consultation with the specialist: respiratory failure in children. … Why focus on postoperative respiratory failure in children?
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology1.html
April 01, 2025 - Despite the simplicity of “a correct diagnosis,” terminology and methods differ when defining success and failure … of terms and perspectives that describe aspects of diagnostic success or consequences of diagnostic failure
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heartfailure.pdf
June 02, 2025 - Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays, 2017
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixb.html
December 01, 2017 - the presence of hypertension, diabetes, CVD, amputation related procedures, renal disease, and renal failure … Some persons in Stage 7 have hypertension, amputation related procedures, and renal disease or renal failure … Diabetes and renal failure had CVD. … Diabetes and renal failure b
1,418
0.4%
1
0.0%
170
0.1%
718
1.0%
529
2.1%
1,417 … Diabetes and renal failure c
1,417
0.6%
29.4%
82.1%
87.8%
86.7%
22.7%
27.0
$16,260
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
April 01, 2025 - Slide 2
Failure in Quality Improvement Programs
SAY:
While not many studies have been conducted on … success or failure rates for quality improvement programs in healthcare, several articles in quality … Failure due to one or more of these reasons is possible but not inevitable. … What might cause a failure specifically for your new program? … Determine the most likely reasons for failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
October 01, 2024 - Slide 2
Failure in Quality Improvement Programs
SAY:
While not many studies have been conducted on … success or failure rates for quality improvement programs in healthcare, several articles in quality … So, what if you could determine your team’s possible failure points before you start a new project? … What might cause a failure specifically for your new program? … Determine the most likely reasons for failure.
-
www.ahrq.gov/sites/default/files/2024-12/moyer-report.pdf
January 01, 2024 - number: P-20 HS017122-01 Final Progress Report.doc
Abstract:
Purpose:
We performed a Healthcare Failure … Results:
The HFMEA process identified 40 high-risk failure modes and 75 associated high-risk
causes. … A
mitigation plan was developed to address the failure modes and causes that were
within the control … Healthcare Failure Mode and Effect
Analysis™ (HFMEA) is one such approach to improving patient safety … in the process that was so
critical that its failure would result in system failure, or an immediate
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease
5,012
3,579
4,733
3,578
Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease
5,277
3,778
4,978
3,781
Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease
4,088
3,032
3,893
3,024
Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease
844
702
795
711
Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease
844
702
795
711
Congestive Heart Failure
-
www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
January 01, 2025 - mortality
Risk-adjusted number of deaths in heart failure patients/ number
of heart failure patients … failure patients /
number of heart failure patients. … mortality
Gap between actual and best possible score on heart failure 30-
day mortality rate
SFA … Gaps were lowest for heart failure and pneumonia readmissions. … failure and pneumonia readmission,
and patient safety indicator).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
June 02, 2025 - The Failure Mode and Effects Analysis tool provides a way to conduct a step-by-step analysis staff can … A failure mode and effects analysis is different from a root cause analysis, in that the failure mode … It looks at human failure, technical failure, and organizational failure. … the failure. … On this worksheet, you see both a failure and a recovery side.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - The three main categories are
mistaken action, failure of detection, and failure of reaction. … Level 3: What contributed to the failure? … In theory, the remedial action required to address a given failure not
only depends on what that failure … The row labels are a sampling of the failure classification in the taxonomy. … manifested itself, and the causes of the failure on two
levels.
-
www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
January 01, 2024 - to report 20
Performance – delay or failure to obtain specimen 4
Ordering – delay or failure to order … or failure to report results 5
Performance – wrong study performed 3 (1)
Ordering – delay or failure … For each of the process steps, failure modes were determined. … Once
the failure modes were determined, the hazard analysis was conducted. … The question measures the likelihood of
detecting failure or the effect of the failure before it occurs
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab8.html
December 01, 2017 - Project site
Hypertension
Any cardiovascular diseases (CVD)
Renal disease or failure
Amputations … 31.6%
13.3%
2.4%
23.5%
6.8%
CVD includes ischemic heart disease, congestive heart failure
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
May 01, 2018 - Same
Narrowing
Hospital patients with heart failure and left ventricular systolic dysfunction … Hispanics and Whites had similar rates of admission for congestive heart failure. … Importance: Early detection and treatment of high blood pressure can prevent heart failure, kidney failure … Admissions for Congestive Heart Failure
Adult admissions for congestive heart failure per 100,000 population … Importance: Racial disparities in care for congestive heart failure have been observed.
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapp.html
April 01, 2018 - Degree of spillage/wound contamination
Procedure type
Congestive cardiac failure …
Renal failure
Hepatic disease
Hx chemotherapy