Results

Total Results: 1,922 records

Showing results for "failure".

441. Webinar 1: Introduction & Overview: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
     December 01, 2017 - Limited, Diagnosis-Specific Focus: Heart failure, heart attack, pneumonia, COPD, hip/knee replacement … Medicaid heart failure readmission rates are higher than Medicare rates: 29.1% versus 23.7%.

442. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     June 02, 2025 - ■ Failure to thrive is usually NOT associated with physiologic GER in premature infants. … Symptoms Of Pathologic GER ■ Failure to thrive due to malnourishment. … ■ An open ductus may lead to: – Congestive heart failure. – Pulmonary hypertension. … ■ Failure to thrive. … ■ Mortality of 30-40% from sepsis or liver failure.

443. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
     January 01, 2024 - Scope: Using the Congestive Heart Failure (CHF) Disease Management program within the eight- hospital … established in 2000 within this HCSD context for HIV/AIDS, Diabetes, Asthma, and Congestive Heart Failure … This approach allows for three different providers to use “CHF,” “congestive heart failure,” and “NYHA … What is the prevalence of the metabolic syndrome in ambulatory systolic heart failure patients? … J Cardiac Failure 8:suppl 1:S65. Hebert K, Arcement L, Liz D, Ferguson T, Ventura H. 2001.

444. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
     October 01, 2016 - development of Clostridium difficile infections, the emergence of multi-drug resistant organisms, antibiotic failure

445. ICU-to-Ward Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions3.html
     June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action ICU-to-Ward Transitions Previous Page Next Page Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Intr…

446. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
     January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety Final Progress Report Title: Effects of Extended Work Hours on ICU Patient Safety Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Organization: Brigham and Women's Hospital Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…

447. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.pdf
     October 01, 2016 - development of Clostridium difficile infections, the emergence of multi-drug resistant organisms, antibiotic failure

448. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
     January 01, 2024 - of simultaneous, continuous MeTeOR acquisition of live ED unit-wide multiple-monitor datastreams; failure … rates (hardware [device failure]; network [transmission/communication failure]; software [data loss … for blinded chart review include death, severe cardiopulmonary events (cardiac arrest, respiratory failure … rates (hardware [device failure]; network [transmission/communication failure]; software [data loss … , data corruption; algorithm failure]) Task 3.3: Deliverables from continuing research conducted with

449. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
     January 01, 2024 - Failure to administer an ordered dose (omission error) and incorrect administration time of medication … In one study of hospitalized patients, failure to specify the controlled-release formulation was the … , we found that the same types of system failures that plague inpatient medical settings (e.g., failure

450. Module-7-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
     November 18, 2021 - Significance Proceeding without rigorous bench testing is a common cause of implementation failure. … Implementation Team mid-day huddle until implemented • Snacks 18 Go-Live: Avoid Common Causes of Failure … 2d47b0cd80f3d9d62ff45c15b99ec49 November 2nd 1:00-2:00 pm ET TAKEheart Affinity Group: Enhancing Care for Heart Failure

451. Daily Goals During Interdisciplinary Rounds: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
     February 01, 2017 - Slide 5: Why Communication Matters Say: Year after year, studies show that communication failure … Sixty-three percent of reported sentinel events are related to some form of communication failure.

452. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201501.html
     March 01, 2015 - then-looming Medicare payment reductions for hospitals whose readmission rates for heart attack, heart failure

453. Reviewing the Team's Performance: Debrief | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
     December 01, 2023 - It is important to reinforce what went well and avoid assigning blame or failure to any individual regarding

454. The Integration of Hospitalists into U.S. Academic Medical Centers
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
     March 07, 2014 - AMP Appropriate Cure Failure 90 91 5 UP Appropriate Cure Failure 32 55 31 What is “Antibiotic Stewardship … Ceftaz Cipro Before 79 65 63 66 84 After 87 83 81 88 94 Sheet1 Appropriate Cure Failure

455. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
     September 01, 2014 - Iatrogenic 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 … 0.412 PSI Post-Op Hemorrhage or Hematoma (PSI 9) 20,691 32,750,000 0.632 PSI Post-Op Respiratory Failure

456. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
     January 01, 2024 - , and reports of preventable adverse events are increasing.2,3 Examples include fulminant hepatic failure … Moreover, because patient safety process errors such as (1) failure to institute preventive practices … failures to determine, document, or follow up on results of tests prior to medication initiation and failure … example, post-marketing surveillance data have suggested that rituximab can result in fulminant liver failure

457. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - . • High-risk diagnosis associated with transfer risk: congestive heart failure (CHF), myocardial infarction … infection, dehydration, circulatory problems (includes vascular disease, venous and arterial ulcer), renal failure … • Circulatory Problems On-Time Preventable Hospital and ED Visits Electronic Reports 4 • Renal Failure … urinary incontinence documented within 7 days of report date and two active high-risk diagnoses of renal failure … Preventable discharge diagnoses include congestive heart failure, pneumonia, urinary tract infection,

458. Strategy 6R: Reminder Systems for Immunizations and Preventive Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/health-promotion-education/strategy6r-reminder-systems.html
     March 01, 2020 - Failure to consider these questions is likely to undermine the success of the reminder system. … Failure to keep clinic appointments: Implications for residency education and productivity.

459. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/guidelines/archive.html
     July 01, 2018 - Heart Failure Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish 12

460. Program Overview: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
     December 01, 2017 - Postoperative hemorrhage, respiratory failure, accidental puncture/laceration. … Slide 52: Premortem Exercise Step 2 Generate the reasons for failure. … Spend 10 minutes recording the reasons you believe this failure occurred. … Slide 53: Premortem Exercise Step 3 Prioritize your list of potential reasons for failure.