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Showing results for "failure".

  1. 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
  2. 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.
  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.
  4. 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
  5. 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?
  6. 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?
  7. 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
  8. 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
  9. 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
  10. 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.
  11. 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.
  12. 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
  13. 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
  14. 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).
  15. Sensemakingnotes (doc file)

    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.
  16. 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.
  17. 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
  18. 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
  19. 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.
  20. 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    

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