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Showing results for "failure".

361. Part 3: National Quality Strategy Priority—Effective Treatment | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html
     June 01, 2018 - nephrologist is important for patients with progressive chronic kidney disease who are approaching kidney failure … Patients who begin nephrology care more than a year before kidney failure are less likely to begin dialysis

362. Peterson, Pamela | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumpete.html
     October 01, 2014 - Peterson's long-term career goal is to improve outcomes for patients with heart failure through comparative

363. Table 3a. Examples of Evaluation Measures for Self-management Support Programs for Common Chronic Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3a.html
     July 01, 2018 - common chronic conditions are defined as asthma, cardiovascular disease, depression, diabetes, heart failure

364. Exhibit 10. Probability variations used in the sensitivity analyses | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraexh10.html
     April 01, 2018 - drinking prior to the operation 0.13 to 0.30 Event 642 Fail to protect patient effectively (failure

365. Introduction to the Quality Indicators Best Practices Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
     June 02, 2025 - PSI 10 Postoperative Physiologic and Metabolic Derangement Rate • PSI 11 Postoperative Respiratory Failure … Mortality Rate • PDI 08 Perioperative Hemorrhage or Hematoma Rate • PDI 09 Postoperative Respiratory Failure

366. Common Cause Analysis: Focus on Institutional Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
     January 20, 2008 - Individually, one active failure or latent condition may not threaten patients, but they can align to … However, failure to recognize and address the system context in which clinicians provide patient care … These individuals work daily within the system and provide authoritative information regarding its failure … Communication failure: Basic components, contributing factors, and the call for structure. … Failure mode and effect analysis: A practical guide; Plymouth Meeting, PA: Emergency Care Research

367. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
     July 01, 2023 - Reviewing reports of root cause analyses and other types of defect investigations like failure modes … What were the causes of the failure? … imagines that the project has failed and brainstorms all of the reasons that could have led to this failure … The team then develops plans to mitigate those reasons for failure. How Should This Tool Be Used? … Level of Concern 1 = lowest level to 5 = greatest level Action Steps To Prevent Failure What can I do

368. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
     July 01, 2023 - Reviewing reports of root cause analyses and other types of defect investigations like failure modes … What were the causes of the failure? … imagines that the project has failed and brainstorms all of the reasons that could have led to this failure … The team then develops plans to mitigate those reasons for failure. How Should This Tool Be Used? … Level of Concern 1 = lowest level to 5 = greatest level Action Steps To Prevent Failure What can I do

369. Module-5-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
     June 02, 2025 - replacement A coronary angioplasty or coronary stent A heart or heart-lung transplant Stable chronic heart failure … 02WA0JZ, 02WA0JZ Current stable angina pectoris I20.1, I20.8, I20.9 Stable*, chronic heart failure … the care encounter and decide whether to refer patients with qualifying diagnoses, for example heart failure … Chronic heart failure patients with a major cardiovascular hospitalization or procedure 5 weeks ago … So this patient would not yet meet the criteria for stable chronic heart failure.

370. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
     January 01, 2023 - to a patient as a result of medical care or occurring within a health care setting, including the failure … patient groups: those with a principal diagnosis of acute myocardial infarction, congestive heart failure … or disruption, or graft failure Dental injury High spinal requiring intubation and/or assisted … Other AE attributed to failure to communicate laboratory, pathology, imaging, and physiologic test … Other Other occurrences Renal failure Unplanned transfer Ventilator support (non-OR) 8.

371. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
     January 01, 2004 - Observation data were used for flow charting the medication use process, identifying failure modes, … and estimating the likelihood of failure mode occurrence as solution generation. … Next, observations were used to confirm the occurrence of failure modes on a day-to- day basis. … Lastly, the human factors approach to the observations led to potential solutions for failure modes … Challenges with the performance of failure mode and effects analysis in healthcare organizations: an

372. Table 17. Adult non-obstetric inpatient admissions at Indian Health Service and Tribal hospitals classified as sensitive to ambulatory services. a Fiscal year 2010 | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab17.html
     December 01, 2017 - uncontrolled 2.4% 3.0% 0.0%    Hypertension 1.3% 1.5% 0.2%    Congestive heart failure

373. Khare, Rahul | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumkhar.html
     October 01, 2014 - Assess quality management characteristics by conducting a Failure Mode Effects and Criticality Analysis

374. TeamSTEPPS Mutual Support Facilitator Bullet Points (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-bullet-points.pdf
     June 02, 2025 - ● What might cause reluctance or failure to seek support when it is needed?

375. Participating in the CAHPS Child Hospital Survey Database | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/child-hcahps-database/participate.html
     March 01, 2025 - Failure to follow these guidelines will result in your data not being included in the database.

376. NICU Family Information Packet, Appendix B, Breast Milk (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-breastmilk.pdf
     June 02, 2025 - and are discharged on unfortified human milk may be at risk for nutritional insufficiency (growth failure

377. Using Home Visits to Understand Medication Errors in Children (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
     May 28, 2008 - Failure to perform some parts of the medication regimen. 4. Failure to follow clinical advice. 5. … Failure to report information to providers. 6. … Failure to adhere to followup.31 Gandhi, et al., used medical record review and patient report to … At what level in the process did the primary failure occur? … Additional levels where failure occurred? PROCESS LEVELS 1.

378. Making Healthcare Safer III Patient Safety Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
     April 01, 2020 - Clinical Decision Support Result Notification Systems Education and Training Peer Review Failure

379. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - In the context of patient safety, errors are defined as a failure of a planned action to be completed … Wrong site surgeries are known to be preventable through use of the universal protocol.48 Failure to … A nurse might be directed to administer a diuretic to a patient who is in congestive heart failure on … A brief look at the new look at complex system failure, error, safety, and resilience. … Safety in the operating theatre - Part 2: Human error and organisational failure.

380. Tool 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
     March 01, 2013 - discharge process, borrowing methodologies from engineering to define the RED, such as process mapping, failure … The result of hospitals' failure to ensure an effective transition has included adverse events, high … Medicare will reduce payments to hospitals with "excess readmission rates" for heart attacks, heart failure