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Showing results for "failure".

381. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
     February 01, 2017 - Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure.

382. Tool 1: Overview | Agency for Healthcare Research and Quality
     www.ahrq.gov/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

383. Chapter 5. Implement the VTE Prevention Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide5.html
     October 01, 2022 - similarly, flawed implementation of an excellent VTE prevention protocol will result in mediocrity and failure … Effective implementation of the VTE prevention protocol addresses the first four failure modes discussed … LMWH) needs to be spelled out, and the mechanisms and responsibility for dosing adjustments for renal failure … Usability is immensely important, and success or failure may hinge on it. 2 It is far more effective

384. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
     November 01, 2019 - Another example of a technical problem would be failure to administer needed antibiotics to septic … Therapy SAY: A common antibiotic prescribing error that should be a target for improvement is failure … ceftriaxone and azithromycin for possible community-acquired pneumonia and furosemide for possible heart failure … In this case, the diagnosis is highly likely to be heart failure, which can be associated with low-grade

385. Chapter 5. Implement the VTE Prevention Protocol | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
     October 01, 2022 - similarly, flawed implementation of an excellent VTE prevention protocol will result in mediocrity and failure … Effective implementation of the VTE prevention protocol addresses the first four failure modes discussed … LMWH) needs to be spelled out, and the mechanisms and responsibility for dosing adjustments for renal failure … Usability is immensely important, and success or failure may hinge on it. 2 It is far more effective

386. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship2.html
     August 01, 2024 - among the most prominent contributing factors. 1 , 3-5 In contrast to clinical reasoning errors (e.g., failure

387. Exhibit 11. Importance measures on events in rank order of criticality | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraexh11.html
     April 01, 2018 - Criticality Birnbaum Fussell– Vesely Event 642 Fail to protect patient effectively (failure

388. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … sample, and those with a principal diagnosis of acute myocardial infarction (AMI), congestive heart failure … Post-Op Hemorrhage or Hematoma (PSI 9) 20,691 32,750,000 0.632 PSI Post-Op Respiratory Failure

389. Chartbook on Hispanic Health Care: Slide Presentation—Part 4 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
     March 01, 2020 - Slide 44 Renal Failure Among Inpatient Stays With Diabetes Image: Bar chart shows percentage of … hospitalizations for diabetes with renal failure. … Renal failure. Peripheral vascular disease. Paralysis. … Environmental health: Any Dx in CCS 128 (asthma), 127 (COPD), 131 (respiratory failure), 122 and 132 … Renal Failure: Any Dx in CCS 157 (acute) or CCS158 (chronic).

390. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - Failure/delay in presentation b. Failure/denied care access 2. History a. … Failure in weighing critical piece of history data d. … Failure/delay in ordering needed test(s) b. Failure/delay in performing ordered test(s) c. … Failure/delay to recognize/weigh urgency e. … Failure/delay in ordering referral/consult b.

391. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - Failure/delay in presentation b. Failure/denied care access 2. History a. … Failure in weighing critical piece of history data d. … Failure/delay in ordering needed test(s) b. Failure/delay in performing ordered test(s) c. … Failure/delay to recognize/weigh urgency e. … Failure/delay in ordering referral/consult b.

392. Module 1: Overview - Facilitator's Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
     February 01, 2023 - Does the patient have acute respiratory failure that requires invasive ventilation and hourly urine output … One instance is management of patients with acute renal failure, intravenous or IV fluids, or IV or oral … bolus diuretics or fluid management in acute respiratory failure requiring large flow rates of oxygen

393. Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmission Webinar 2
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar2/aspire_webinar2.pptx
     January 01, 2015 - Top 10 Medicare Dx: CHF Sepsis COPD Arrythmia Pneumonia UTI Acute renal failure AMI Complication of … Discharge Diagnoses: Mood disorders Schizophrenia Diabetes Chemotherapy Sickle cell Alcohol Sepsis Heart Failure

394. Potentially Avoidable Hospitalizations | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure3.html
     June 01, 2018 - conditions, such as diabetes, chronic obstructive pulmonary disease (COPD), asthma, and congestive heart failure … of patients with a first myocardial infarction, 77% with a first stroke, and 74% with chronic heart failure

395. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-slides.pptx
     January 01, 2017 - Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure. … Early intensive care unit mobility therapy in the treatment of acute respiratory failure.

396. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
     September 01, 2015 - · Does the patient have acute respiratory failure that requires invasive ventilation and hourly urine … One instance is management of patients with acute renal failure, intravenous or IV fluids, or IV or oral … bolus diuretics or fluid management in acute respiratory failure requiring large flow rates of oxygen

397. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 01, 2023 - Failure to use advocacy and assertion has been frequently identified as a primary contributor to the

398. Improving Diagnosis in the Context of Rurality | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare2.html
     October 01, 2024 - hospital adverse events. 4   The National Academy of Medicine (NAM) defines diagnostic errors as the failure

399. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
     January 01, 2025 - Under high-tempo conditions, three high-risk failure modes were identified for manual status boards, … Page 8 of 20 1P20 HS017141-01 Identification of failure … The external review board noted one additional mechanism leading to this failure mode, that of previously … electronic white board (Degree of shading indicates low-, moderate-, and high-risk conditions) Failure … Page 17 of 20 Proactive Risk Assessment 1P20 HS017141-01 Failure

400. Standardized Simulated Events for Provocative Testing of Medical Care System Rescue Capabilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
     January 01, 2003 - to rescue” and a failure to provide airway and ventilatory support in a timely fashion. … Attending anesthesiologist did not respond because of STAT paging system failure B. … Patient-Apnea Task-Code dispatching failure Practitioner-Attentional error and strategic error. … This latent system failure has since been corrected. … This provocative test uncovered failure opportunities across the full spectrum of resources supporting