Results

Total Results: 1,922 records

Showing results for "failure".

401. 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.

402. 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.

403. 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

404. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - potentially be the first opportunity to identify and resolve a discharge medication reconciliation failure

405. USER GUIDE: Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/ppe-covid19-audit-tracking-tool-userguide.pdf
     April 01, 2021 - USER GUIDE: Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities USER GUIDE: Personal Protective Equipment (PPE) COVID-19 Observational Audit Data Tracking Tool for Use in Skilled Nursing Facilities Introduction This user guide p…

406. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
     January 01, 2024 - Risk Assessment Tool Healthcare systems have traditionally relied on root cause analysis (RCA) and failure … The ST-PRA team then quantifies the probability of failure or the frequency of occurrence for each event … Tables that provide evidence- based error rates, at-risk behavior rates, and failure rates for capturing … differences in scores may also suggest that leaders need to apprise frontline staff of technology failure … The Scorecards represent a tool for shared understanding of the failure pathways that lead to harm,

407. Final Progress Report: Changes in Hospital Care Organization and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
     January 01, 2024 - Two primary patient outcomes were studied, including 30-day mortality and failure-to-rescue. … Using the patient discharge data, two primary outcome variables were examined: 30-day mortality and failure-to-rescue … their nurses’ educational composition was associated with changes in surgical patient mortality and failure-to-rescue … proportion of baccalaureate- prepared nurses were associated with reduction in 30-day surgical mortality and failure

408. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Intr…

409. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
     September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Why Checklists for Diagnosis Are Not Performing as Expected Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use C…

410. 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

411. 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.

412. Implementing the SPPC-II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
     July 01, 2023 - • Reviewing reports of root cause analyses and other types of defect investigations like failure … o What were the causes of the failure? … The team then develops plans to mitigate those reasons for failure. … Hospital AIM Team Leads SPPC‐II Exercise: Barrier Analysis (Input Sheet) 11 Reasons for Failure … Level of Concern Action Steps to Prevent Failure What could have been the cause?

413. Implementing the SPPC‐II Teamwork Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
     July 01, 2023 - • Reviewing reports of root cause analyses and other types of defect investigations like failure … o What were the causes of the failure? … The team then develops plans to mitigate those reasons for failure. … Hospital AIM Team Leads SPPC‐II Exercise: Barrier Analysis (Input Sheet) 11 Reasons for Failure … Level of Concern Action Steps To Prevent Failure What could have been the cause?

414. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
     May 01, 2016 - Maintain and Spread the Gains After successfully addressing the failure modes and putting in place

415. Chapter 8. Continue To Improve, Hold the Gains, and Spread the Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
     May 01, 2016 - Maintain and Spread the Gains After successfully addressing the failure modes and putting in place

416. Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
     August 01, 2022 - three individual factors identified were chronic medical conditions, substance abuse, and delay and/or failure

417. Making Healthcare Safer III | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
     August 01, 2024 - Chapters Diagnostic Errors (PDF, 2.6 MB) Failure To Rescue (PDF, 1.8 MB) Sepsis Recognition (PDF,

418. AHRQ Pediatric Quality Indicators Prioritization Worksheet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
     June 02, 2025 - Surgery Volume PDI 08 Perioperative Hemorrhage or Hematoma Rate PDI 09 Postoperative Respiratory Failure

419. Participating in the CAHPS Home and Community-Based Services Survey Database | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/hcbs-database/participate.html
     December 01, 2024 - Failure to follow these guidelines will result in your data not being included in the database.

420. Participating in the CAHPS Health Plan Survey Database | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/cahps-database/hp-database/participate.html
     December 01, 2024 - Failure to follow these guidelines will result in your data not being included in the database.