Results

Total Results: 1,922 records

Showing results for "failure".

461. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pptx
     January 01, 2014 - Severity index based on comorbidities 1.02 0.89 1.06 0.93 Amputations 1.57 1.52 0.95 0.92 Renal failure … A higher percentage of Hispanics in border counties with an inpatient stay for diabetes had renal failure … (listed as any diagnosis), compared with non-Hispanics in border counties. 44 Renal Failure Hispanic … Renal failure. Peripheral vascular disease. Paralysis. … -661 (substance use) Environmental health: Any Dx in CCS 128 (asthma), 127 (COPD), 131 (respiratory failure

462. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
     December 01, 2015 - The Power of Measuring Results 17 If you do not measure results, you can not tell success from failure … If you can not reward success, you are probably rewarding failure. … If you can not recognize failure, you can not correct it. … It is the result of preparation, hard work, and learning from failure.” General Colin L. … On the way down, failure feeds on itself.

463. 004-Cusp-Learning-From-Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
     October 01, 2024 - Failure to remove the fluorescent marking from high-touch surfaces in the patient care environment means … An example includes failure to perform the intended chlorhexidine gluconate (CHG) bathing and nasal decolonization … If this type of failure happens often, it means that the team needs to reexamine the whole decolonization … Failure to diagnose the contributing factors can lead to wasted time and lack of risk mitigation.

464. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
     April 01, 2025 - For instance, failure to perform the intended chlorhexidine gluconate (CHG) bathing and nasal decolonization … If this type of failure happens often, it means that the team needs to reexamine the whole decolonization … Failure to remove the fluorescent marking from high-touch surfaces in the patient care environment means … Failure to diagnose the contributing factors can lead to wasted time and lack of risk mitigation.

465. 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-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - into four groups: those with a principal diagnosis of acute myocardial infarction, congestive heart failure … CI Both DVT and PE developed during stay 3 21649 0.0 0.0 – 0.0 Other AEs AE attributed to failure … Other AE attributed to failure to communicate laboratory, pathology, imaging, and physiologic test … or disruption, or graft failure Dental injury 21 Module Adverse Event (AE) Outcome High … Other Other occurrences Renal failure Unplanned transfer Ventilator support (non-OR) 8.

466. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - into four groups: those with a principal diagnosis of acute myocardial infarction, congestive heart failure … CI Both DVT and PE developed during stay 3 21649 0.0 0.0 – 0.0 Other AEs AE attributed to failure … Other AE attributed to failure to communicate laboratory, pathology, imaging, and physiologic test … or disruption, or graft failure Dental injury 21 Module Adverse Event (AE) Outcome High … Other Other occurrences Renal failure Unplanned transfer Ventilator support (non-OR) 8.

467. 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-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - into four groups: those with a principal diagnosis of acute myocardial infarction, congestive heart failure … CI Both DVT and PE developed during stay 3 21649 0.0 0.0 – 0.0 Other AEs AE attributed to failure … Other AE attributed to failure to communicate laboratory, pathology, imaging, and physiologic test … or disruption, or graft failure Dental injury 21 Module Adverse Event (AE) Outcome High … Other Other occurrences Renal failure Unplanned transfer Ventilator support (non-OR) 8.

468. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
     June 02, 2025 - 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 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 … 0.0 4.9 0 $75,932 $ - N 6 6 6 Y Y Y Y Y PDI 09 Postoperative Respiratory Failure

469. The CAHPS Ambulatory Care Improvement Guide: Open Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
     March 01, 2017 - For example, a patient whose chart includes an unfamiliar reference to “congestive heart failure” might … think it refers to an actual failure rather than a manageable heart condition

470. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
     September 01, 2017 - High-risk diagnoses associated with transfer risk (congestive heart failure, myocardial infarction, … Renal failure. Diabetes. Anemia. Gastroenteritis. … Rule out congestive heart failure. Rule out deep vein thrombosis. Respiratory. … Potentially preventable discharge diagnoses follow: Congestive heart failure. Pneumonia. … Potentially preventable discharge diagnoses follow: Congestive heart failure. Pneumonia.

471. Final Progress Report: Are Volume Standards Accurate Measures? (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
     January 01, 2024 - paraplegia by 70%, cerebrovascular disease by 70%, myocardial infarction by 65%, congestive heart failure … Twenty-five percent (congestive heart failure) to 76% (PCI) of hospitals classified as low-quality hospitals … For decubitus ulcer, failure-to-rescue, and postoperative pulmonary embolism or DVT, the intraclass- … for preoperative risk factors, transmural myocardial infarction (adj OR 7.90; p<0.001), respiratory failure … (adj OR 6.02; p<0.001), renal failure (adj OR 7.15; p<0.001), and stroke within 24 hours (adj OR 4.09

472. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
     December 01, 2003 - the NHS to be more open in the way it deals with professional errors and “to recognize that honest failure … traveled through the Incident Decision Tree, the more likely the underlying cause is to be a systems failure … • Many cases appear to go awry from the outset because of failure to differentiate between formally

473. The Case for Cardiac Rehabilitation | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
     December 01, 2022 - individuals who have: Had a heart attack Stable angina Received angioplasty or stent Heart failure

474. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/physician/examples.html
     September 01, 2019 - Education and counseling for patients with certain conditions (e.g., hepatitis, heart failure).

475. Part Four: A Research Agenda To Advance the Science of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/confid-report/research-agenda.html
     March 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Part Four: A Research Agenda To Advance the Science of Physician Feedback Reporting Systems Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performa…

476. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Pulmonary Disease 6,088 4,755 4,425 5,268 4,706 3,868 4,255 5,928 Congestive Heart Failure

477. Table 13A: National Home and Community-Based Services Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
     December 01, 2012 - Pulmonary Disease 5,029 4,037 3,180 4,196 3,954 3,070 3,401 4,560 Congestive Heart Failure

478. Table 13G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
     December 01, 2012 - Pulmonary Disease 6,648 5,474 3,596 5,270 5,576 3,280 4,002 6,249 Congestive Heart Failure

479. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
     December 01, 2012 - Pulmonary Disease 5,994 5,285 4,259 4,724 4,897 4,975 4,530 5,703 Congestive Heart Failure

480. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
     December 01, 2012 - Pulmonary Disease 5,334 4,324 3,261 4,552 4,259 3,156 3,574 4,841 Congestive Heart Failure