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Total Results: 1,922 records

Showing results for "failure".

221. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201511.html
     May 01, 2015 - the hospital used AHRQ's RED toolkit to support patients who had been treated for congestive heart failure … As a result, heart failure rate readmissions were reduced from 10 percent to zero," she said.

222. Facilitator Guide: Tools for Sustainability: Premortem and Scorecard (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
     January 01, 2017 - In fact, sustaining adaptive work has a high failure rate. … The idea is to brainstorm for possible failure points in order to address them. … Use the scale shown here to rank your team’s concerns about each failure. … ASK: What can your team implement to avoid or mitigate these failure points? … SAY: Target potential risks for failure in order to achieve success in sustainment.

223. Chapter 5. Project Findings for Goal 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter5.html
     December 01, 2017 - Over 13 percent had either renal disease or renal failure; the prevalence of renal failure was 3.3 percent … Those for adults with diabetes and renal disease or renal failure, excluding the costs of dialysis, averaged … presence of hypertension, diabetes, CVD, amputation-related procedures, and renal disease or renal failure … diabetes and hypertension, but not with CVD, amputation-related procedures, renal disease, or renal failure … adults with diabetes and CVD, but not with any amputation-related procedures, renal disease, or renal failure

224. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - Coding postoperative respiratory failure: perspectives and possible changes. … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research … PDI 09 Postoperative Respiratory Failure Rate X Postoperative respiratory failure is acute in nature … (UHC Documentation Guide Post- Operative Respiratory Failure). … If there are clinical indicators of failure, query the provider for clarification.

225. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
     September 01, 2017 - Associated With Transfer Risk   Age DNR,DNH, MOLST, or POLST Order in Place Congestive Heart Failure …   Age DNR,DNH, MOLST, or POLST Order in Place Dehydration Circulatory Problems * Renal Failure

226. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - angina pectoris Dizzy/lightheaded Hypertension/uncontrolled HTN Hypotension Rule out congestive heart failure … pain/joint disorder Weakness Other Changes in Condition, Not Specified Elsewhere: Abnormal lab results Failure … worsened urinary incontinence within 7 days of report date and two active high-risk diagnoses: renal failure … Days 31-90 Days For Most Recent Hospital Stay LOS for Most Recent Hospitalization Congestive Heart Failure … or COPD Urinary Tract Infection Sepsis or Fever or Infection Dehydration Circulatory Problems* Renal Failure

227. Chartbook on Hispanic Health Care: Slide Presentation—Part 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
     May 01, 2018 - 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 … Slide 17 Adult admissions for congestive heart failure per 100,000 population, by race/ethnicity, … Importance: Racial disparities in care for congestive heart failure have been observed. … Importance: Diabetes is the most common cause of kidney failure.

228. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
     June 01, 2018 - , by sex and race/ethnicity, 2005-2013 Image: Charts show hospitalized adults with heart failure who … Notes: Importance: Heart failure is the most frequent hospital discharge diagnosis in the older … Trends: From 2005 to 2013, the percentage of hospitalized adult patients with heart failure who … For heart failure and COPD, low share is defined as ≤7% and high as ≥29%. … Rehospitalization for heart failure. Circulation 2012;126:501-6.

229. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
     January 01, 2004 - implemented the “near- miss” reporting system for a general clinical research center to detect latent failure … A latent failure is typically a subtle design flaw that generally goes unreported because in isolation … FMEA is a prospective risk-assessment methodology that identifies a wide range of potential failure … modes and subsequently narrows the analysis using formal methods to address specific failure modes. … Preliminary data suggest that latent failure can be identified and addressed through this method.

230. Trends in Care Coordination Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/trends.html
     June 01, 2018 - measure improved quickly (average annual rate of change >10% per year): Hospital patients with heart failure

231. The Science of Safety:​ Principles in Practice | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/science-of-safety.html
     April 01, 2025 - viewers will be able to— Review the definition of a defect Review the “Swiss cheese model” of system failure

232. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - (HROs) are organizations that operate in complex, high-risk environments where the consequences of failure … A fourth principle of HROs is to cultivate a preoccupation with failure. … Failure to install the software that prevents infusions from running too fast is an example of a latent … failure that enabled the defect to happen. … Latent failures are the “holes in the system”—the weaknesses that could allow an active failure to happen

233. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
     October 01, 2014 - Core measures for asthma, diabetes, and congestive heart failure Previous Page Next Page …   √ 12 mos   Blood Pressure Percentage of members with congestive heart failure

234. Module-5-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-slides.pdf
     December 31, 2022 - stakeholders, including end users (front-line staff, patients) Adequate budget Avoid Common Causes of Failure … /lung transplant DIAGNOSIS (ICD-10 codes) • MI • Chronic stable angina • Chronic stable heart failure … the care encounter  Require providers to act for patients with qualifying diagnoses, e.g., heart failure … Proceeding without rigorous bench testing is a common cause of implementation failure.

235. Foundational Terminology for Diagnosis Relating to Suboptimal Processes and Outcomes | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
     April 01, 2025 - definition embraces provider, health organization, and patient perspectives: Diagnostic error is the failure … Diagnostic Failure A failed process or a wrong or delayed diagnosis. … Diagnostic adverse events commonly include errors of omission (e.g., failure to order or properly interpret

236. Chapter 2. What is Care Coordination? | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
     June 01, 2014 - System representatives will also perceive a failure in coordination when a patient experiences a clinically … Andrews is a 70-year-old man with congestive heart failure and diabetes. … There he was diagnosed with a congestive heart failure exacerbation and was admitted.

237. Phoneroleplay (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/phoneroleplay.docx
     June 02, 2025 - PATIENT: Yes, I was admitted with congestive heart failure. It was the second time this year. … CALLER: Could you tell me your understanding of congestive heart failure? … Since you left the hospital, do you feel your congestive heart failure has improved, worsened, or not

238. Phone Call Role Play (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/phoneroleplay.pdf
     June 02, 2025 - PATIENT: Yes, I was admitted with congestive heart failure. It was the second time this year. … CALLER: Could you tell me your understanding of congestive heart failure? … Since you left the hospital, do you feel your congestive heart failure has improved, worsened, or not

239. C1 Prioritization Matrix (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     June 02, 2025 - Metabolic Derangement 0.9 1.5 4 $120,629 $ 482,516 N 3 3 2 Y Y Y Y Y PSI 11 Postoperative Respiratory Failure … Y Y Y Y IQI 15 AMI Mortality   6.5 5.0 16 $38,000 $ 608,000 N 3 2 2 Y Y Y Y Y IQI 16 Heart Failure … Hemorrhage or Hematoma Rate 0.0 4.9 0 $75,932 $ - 0 N 6 6 6 Y Y Y Y Y PDI 09 Postoperative Respiratory Failure

240. AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/sepsis-report-to-congress.html
     September 01, 2024 - a dysregulated systemic inflammatory response to infection that results in tissue damage and organ failure … comorbidities, impaired immune function, and specific conditions like cancer, chronic lung disease, and heart failure