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Total Results: 376 records

Showing results for "failure".

101. AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital | Agency for Healthcare Research and Quality
     www.innovations.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

102. The Quick Reference Guide to TeamSTEPPS Action Planning | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
     November 01, 2018 - Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process failure

103. B3A Combo Chartsforpresentations (xls file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
     January 01, 2006 - Postoperative physiologic and metabolic derangements 1.59 0 PSI 11 Postoperative respiratory failure … (AMI) mortality 0 0 0.0611616 58.783 -100 0 0.104046408 IQI 15 Significantly Lower * IQI 16 Heart failure … PDI 08 Perioperative Hemorrhage or Hematoma Rate 0.00248 0 PDI 09 Postoperative Respiratory Failure

104. Appendix 2: CED Compiled Public Comment Themes (xls file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
     October 12, 2022 - otherwise contraindicated for populations represented by Medicare, (e.g., seniors or patients in renal failure … reasonable timeframes for the CED requirements, substantial burden on participating stakeholders, and failure … reasonable timeframes for the CED requirements, substantial burden on participating stakeholders, and failure … otherwise contraindicated for populations represented by Medicare, (e.g., seniors or patients in renal failure

105. Office-Based Teams Instructor Guide
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module11/11_ts_office_impplan-ig.pptx
     January 20, 2006 - Reviewing reports of root cause analyses and failure modes and effects analyses. … Identify potential failure points in the redesigned process.

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

107. Section 5, Table 6 (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
     January 01, 2013 - of tissue perfusion is critical, because global tissue hypoxia is a key step toward multiple organ failure

108. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     September 01, 2022 - Cross-Cutting: Health Information Technology Cross-Cutting: Other Topics Delirium Diagnostic Errors Failure … Evidence Staff Education and Training (Not reviewed) (Not reviewed) Summary of Evidence Failure

109. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - These claims highlight several points related to the failure to provide appropriate language services … Twelve of the claims involved the failure to translate important documents such as informed consent forms … On multiple occasions there had been a failure to provide an interpreter.

110. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
     April 01, 2024 - Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events Report Protocol Failure

111. AHRQ News Now | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 23, 2024 - Narratives Can Catalyze Staff Improvement and Bolster Survey Scores February 6, 2024 Heart Failure

112. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - used patient charts from only four conditions (acute myocardial infarction [AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … PSI 6) 10,674 0.36 PSI Post-Op Hemorrhage or Hematoma (PSI 9) 17,670 0.59 PSI Post-Op Respiratory Failure … Hemorrhage or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,154 0.54 PSI Post-Op Respiratory Failure … charts from patients treated for four conditions: acute myocardial infarction (AMI), congestive heart failure

113. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
     October 01, 2021 - of Medicine affirmed the importance of a patient’s understanding of their diagnosis by including the failure

114. PRIMARY CARE OFFICE-BASED TEAMS Team Structure
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module2/2_ts_office_structure-ig.pptx
     January 20, 2006 - “lack of coordination” but in this case there is simply too much work, resulting in an inability or failure

115. TeamSTEPPS for Office-Based Care: Implementation Planning | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/officebasedcare/module11/office_impplan-ig.html
     September 01, 2015 - Reviewing reports of root cause analyses and failure modes and effects analyses. … Identify potential failure points in the redesigned process.

116. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
     August 01, 2022 - National Academies of Sciences, Engineering, and Medicine (NASEM) defines diagnostic error as “the failure … between the nurse and the physician was the dominant issue, and a central problem in this regard was the failure … Communication failure: basic components, contributing factors, and the call for structure.

117. For American Heart Month, AHRQ Offers New Tools for Expanding Cardiac Rehabilitation | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/blog/ahrqviews/heart-month-tools.html
     February 01, 2023 - among “minority” populations—a particularly urgent concern when considering that the risk of heart failure

118. TeamSTEPPS for Office-Based Care: Summary: Putting It All Together | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/officebasedcare/module7/office_summary.html
     February 01, 2016 - Failure To Share Information. Defensiveness. Conventional Thinking.

119. AHRQ Resources Help Maine Telehealth Network Improve Care in Remote Areas | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsroom/case-studies/cp30506.html
     October 01, 2014 - For example, daily home monitoring for congestive heart failure can be done from a distance, eliminating

120. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/pfp/hacrate2011-12.html
     January 01, 2018 - Post-Op Hemorrhage or Hematoma (PSI 9) 21,000 0.63 20,000 0.60 PSI Post-Op Respiratory Failure