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Showing results for "failure".

1. Selected Best Practices and Suggestions for Improvement (pdf file)
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
   May 17, 2016 - Why focus on postoperative respiratory failure in children? … Generally, postoperative respiratory failure is the failure to wean from mechanical ventilation within … Why focus on postoperative respiratory failure? [PowerPoint]. … Consultation with the specialist: respiratory failure in children. … Why focus on postoperative respiratory failure in children?

2. Table 4. Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three Study Sites (pdf file)
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-4.pdf
   April 30, 2018 - 3 100% 1.00 Having congestive heart failure 3 100% 1.00 Severe sepsis 7 86% 0.72 Septic shock … 7 86% 0.70 Hospital #2 Timely fluid bolus 3 67% 0.00 In the NICU 4 100% 1.00 Having renal failure … 3 100% 1.00 Having congestive heart failure 3 100% 1.00 Severe sepsis 4 75% 0.00 Septic shock … 4 75% 0.00 Hospital #3 Timely fluid bolus 4 75% 0.50 In the NICU 4 100% 1.00 Having renal failure … 4 100% 1.00 Having congestive heart failure 4 100% 1.00 Severe sepsis 4 100% 1.00 Septic shock

3. Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/news/newsletters/e-newsletter/899.html
   February 01, 2024 - Home News Newsletter AHRQ News Now Heart Failure … [PDF, 9 MB]) Today's Headlines: Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing … Heart Failure Patients’ Risk of Adverse Events Higher in Poor-Performing Hospitals Patients with heart … failure admitted to hospitals with higher 30-day readmission rates and deaths from all causes have a … Patients with heart failure admitted to hospitals that perform poorly on mortality and readmission measures

4. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
   October 01, 2017 - the home through a noninvasive interface for the population of patients with chronic respiratory failure … Draft analytic framework for home mechanical ventilators Background Chronic respiratory failure … Many disease conditions may contribute to chronic respiratory failure including, but not limited to … Mechanical ventilation is used to treat chronic respiratory failure. … There is considerable variability regarding the continuum of severity of chronic respiratory failure.

5. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
   July 01, 2023 - Failure Mode and Effects Analysis. Probabilistic Risk Assessment. Causal Tree Worksheet. … Sensemaking calls for teams to collaboratively seek a solution to the failure identified on their L&D … the failure. … On this worksheet, you see both a failure and a recovery side. … Culture, such as a failure because of inappropriate deference to physicians.

6. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
   May 01, 2017 - Sensemaking tools include— • Discovery Form • Root Cause Analysis • Failure Mode and Effects Analysis … • A rule-based failure occurs when a person does not carry out a procedure or protocol correctly or … Sensemaking calls for teams to collaboratively seek a solution to the failure identified on their L … the failure. … On this worksheet, you see both a failure and a recovery side.

7. Selected Best Practices and Suggestions for Improvement (pdf file)
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
   May 20, 2016 - hospitalized patients experienced problems with glucose control (if diagnosed with diabetes) or renal failure … Manage Prevention Strategies for Postoperative Patients Avoid risk factors for acute renal failure … • Produce monthly glycemic management outcome and renal failure reports and use to provide group … Prevention of postoperative acute renal failure. J Postgrad Med 2002;48(1):64- 70. 8. … Diagnostic evaluation of the patient with acute renal failure. In Berl T, Bonventre JV, eds.

8. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
   www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
   May 01, 2017 - Safety Assessment Discovery Form Safety Issues Worksheet Root Cause Analysis Learn From Defects Form Failure … from Defects The Relationship Between CUSP and Sensemaking1,2,3 Concept CUSP Sensemaking Defect or failure … identification Defects Human/active failure Latent/system conditions Ways to identify defects or failure … Staff Safety Assessment - Status of Safety Issues Worksheet - Discovery Form - Root Cause Analysis - Failure … , and letter sent to manufacturer Missing equipment on cart Checklist developed for stocking cart Failure

9. Library of PCOR Resources | Agency for Healthcare Research and Quality
   www.innovations.ahrq.gov/pcor/library-of-resources/index.html
   April 01, 2021 - search , you could find information by entering the following: All words (e.g., "congestive heart failure … An exact word or phrase in relation to another such phrase (e.g., "congestive heart failure" AND "statins … Certain words or phrases (e.g., "heart failure"). … An exact word or phrase and the author's name (e.g., "congestive heart failure" AND "statins" AND "John … An exact word or phrase and the institution name (e.g., "congestive heart failure" AND "statins" AND

10. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
    July 01, 2023 - 4: The Relationship Between CUSP and Sensemaking 1,2,3 Concept CUSP Sensemaking Defect or failure … identification Defects Human/active failure Latent/system conditions Ways to identify defects … or failure Staff Safety Assessment Status of Safety Issues Worksheet Discovery Form Root … Cause Analysis Failure Mode and Effects Analysis Probabilistic Risk Assessment Tools to examine … The left side of the tree is labeled the failure side, and a small part of the right side is labeled

11. 0129Table8 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
    January 01, 2013 - Structured telephone support or telemonitoring programmes for patients with chronic heart failure … postdischarge support for older patients with congestive heart failure: a meta-analysis. … The 10 trials assessed the effect of chronic care management programs for heart failure patients … What works in chronic care management: the case of heart failure. … Hospital strategies associated with 30-day readmission rates for patients with heart failure.

12. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
    February 02, 2018 - Background and Objectives for the Systematic Review Chronic respiratory failure is a common condition … Chronic respiratory failure is defined as the long-term inability to maintain oxygen and carbon dioxide … Chronic respiratory failure may range from mild to severe and can be characterized as hypoxemic (inability … Mechanical ventilation is used to treat chronic respiratory failure. … In addition, some patients with chronic respiratory failure may benefit from continuous positive airway

13. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
    August 01, 2022 - Could this type of communication failure occur in the future during normal working conditions? … EQUIPMENT DEVICE FAILURE Was all necessary equipment available? … EQUIPMENT DEVICE FAILURE Was all equipment functioning properly?  … EQUIPMENT DEVICE FAILURE If applicable, was this incident reported to the FDA?       … EQUIPMENT DEVICE FAILURE Was there a recall on this device?      

14. AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals | Agency for Healthcare Research and Quality
    www.innovations.ahrq.gov/news/newsroom/case-studies/201522.html
    August 01, 2015 - ’s Medical Center, a 389-bed trauma center in Long Beach, introduced RED in December 2013 for heart failure … Mary’s Medical Center also introduced RED with heart failure patients, which helped the facility reduce … After seeing the success of the RED Toolkit in reducing readmissions among heart failure patients, officials … After seeing initial success with heart failure patients, the hospital instituted nearly all RED Toolkit

15. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
    May 20, 2016 - Rate and IQI 32 Acute Myocardial Infarction (AMI) Mortality Rate, Without Transfer Cases] o Heart Failure … 30-Day Mortality Rate [similar to IQI 16 Heart Failure Mortality Rate] o Pneumonia 30-Day Mortality … − End stage AIDS − End stage chronic obstructive pulmonary disease − End stage congestive heart failure … and inadequate equipment  Unit management factor (work environment) communication problems, failure … IQI 16 Heart Failure Mortality Rate • Evaluation of ejection fraction.

16. Section 5, Tables 8 and 9 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - Structured telephone support or telemonitoring programmes for patients with chronic heart failure. … What works in chronic care management: the case of heart failure. … Randomized controlled trial Investigators studied 239 patients with heart failure at 6 sites to … older adults hospitalized with heart failure: a randomized, controlled trial. … Hospital strategies associated with 30-day readmission rates for patients with heart failure.

17. C1 Prioritization Worksheet (xls file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - Hematoma   PSI 10 Postoperative Physiologic and Metabolic Derangement PSI 11 Postoperative Respiratory Failure … Conditions Quality Indicator Composite Conditions Composite IQI 15 AMI Mortality   IQI 16 Heart Failure … Surgery Volume PDI 08 Perioperative Hemorrhage or Hematoma Rate PDI 09 Postoperative Respiratory Failure

18. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - or bleeding events, condition (i.e., patients with significant left ventricular dysfunction/heart failure … Comparison of carvedilol and metoprolol on clinical outcomes in patients with chronic heart failure … Valsartan reduces the incidence of atrial fibrillation in patients with heart failure: results from … the Valsartan Heart Failure Trial (Val-HeFT). … Temporal relations of atrial fibrillation and congestive heart failure and their joint influence on

19. Technical Specifications for Timely Fluid Bolus for Children With Severe Sepsis or Septic Shock (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-technical-specifications.pdf
    April 26, 2018 - • Children with chronic renal failure as defined by any mention of chronic renal failure or end stage … • Children with congestive heart failure as defined by any mention of congestive heart failure.

20. 0129References (pdf file)
    www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129references.pdf
    October 23, 2013 - What works in chronic care management: the case of heart failure. … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. … Impact of a standardized heart failure order set on mortality, readmission, and quality and costs of … Structured telephone support or telemonitoring programmes for patients with chronic heart failure. … Hospital strategies associated with 30-day readmission rates for patients with heart failure.