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Total Results: 376 records

Showing results for "failure".

121. Introducing Electronic Screening Tools for Developmental Delay and Autism into Pediatric Primary Care: Effects on Screening Documentation (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/Natzke-presentation.pdf
     December 01, 2015 - screening can lead to: – Missed opportunities for screening – Delays in scoring and interpretation – Failure

122. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
     May 01, 2017 - Communication failure: basic components, contributing factors, and the call for structure.

123. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/index.html
     July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

124. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
     January 01, 2016 - When a deep pressure injury develops, it usually reflects a system failure—meaning the pressure injury … prevention plan was not implemented or followed—and not so much the failure of an individual health … Conducting a root cause analysis is a useful technique for understanding reasons for a failure in the

125. Protocol for Identifying and Treating Children With Sepsis Syndrome in the Emergency Department (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
     February 01, 2018 - Sepsis is a potentially catastrophic condition that can escalate from infection to organ failure and … directed, step-wise procedures to hinder or reverse the cascade of events in sepsis that lead to organ failure … parenteral antibiotics—that are essential to prevent the circulatory collapse that leads to organ failure … The process, however, ultimately leads to tissue damage and organ failure. … appropriate antibiotics), as well as suboptimal resuscitation, contribute to peripheral vascular failure

126. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/diagnostic-safety/workgroup/index.html
     March 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

127. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Three were represented by the principal diagnosis (acute myocardial infarction [AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … Hematoma 12,285 5,368,607 16,264 7,087,787 15,709 7,044,598 PSI 11, Postoperative Respiratory Failure … or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,143 0.54 15,474 0.52 PSI Post-Op Respiratory Failure … from patients treated for four conditions: • Acute myocardial infarction (AMI), • Congestive heart failure

128. TeamSTEPPS for Office-Based Care: Situation Monitoring | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/officebasedcare/module5/office_sitmon.html
     September 01, 2015 - Ineffective Communication Conflict Time Distractions Workload Fatigue Misinterpretation of Data Failure

129. Recently Funded Dissertation Grants | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/funding/training-grants/disgrants.html
     October 01, 2014 - Harrison, Andrew R36 HS22799-01 Mayo Clinic Rochester Development, Testing, and Refining the Failure

130. Accelerating Change and Transformation in Organizations and Networks (ACTION) 4 | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/factsheets/translating/action4/index.html
     February 01, 2021 - process of implementing innovations and the contextual factors influencing implementation success or failure

131. Measure: Pediatric Lower Respiratory Infection (LRI) Readmission Measure (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p008-2-ef.pdf
     January 01, 2015 - Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure

132. Measure: Pediatric All-Condition Readmission Measure (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
     October 01, 2014 - Comprehensive discharge planning with postdischarge support for older patients with congestive heart failure

133. Table 3. Evidence for Timely Bolus for Treatment of Children with Severe Sepsis of Septic Shock (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-5-table-3.pdf
     January 01, 2013 - tissue perfusion is critical, because global tissue hypoxia is a key step toward multiple organ failure

134. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/evidence-based-reports/search.html
     April 01, 2024 - Effectiveness Reviews Affiliation: Southern California EPC—RAND Corporation Report Status: Final Failure

135. Timely Blood Culture for Children With Sepsis Syndrome (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-229-fullreport.pdf
     February 01, 2018 - Sepsis is a potentially catastrophic condition that can escalate from infection to organ failure and … goal-directed, stepwise procedures to hinder or reverse the cascade of events in sepsis that lead to organ failure … sepsis plus one of the following clinical states: cardiovascular organ dysfunction (acute circulatory failure … The process, however, ultimately leads to tissue damage and organ failure. … Sepsis is a potentially catastrophic condition, one that can escalate from infection to organ failure

136. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
     January 01, 2019 - Three were represented by the principal diagnosis (acute myocardial infarction [AMI], congestive heart failure … Iatrogenic Pneumothorax (PSI 6) PSI Post-Op Hemorrhage or Hematoma (PSI 9) PSI Post-Op Respiratory Failure … 18,948,556 PSI 9, Perioperative Hemorrhage or Hematoma 12,285 5,368,607 PSI 11, Postoperative Respiratory Failure … or Hematoma (PSI 9) 17,670 0.59 16,154 0.54 16,143 0.54 16,143 0.54 PSI Post-Op Respiratory Failure … from patients treated for four conditions: • Acute myocardial infarction (AMI), • Congestive heart failure

137. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (doc file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.docx
     April 01, 2011 - readmissions rates for Medicare patient who had been treated for at least one of three conditions (heart failure … readmission rates in the lowest 3 percent among all U.S hospitals for at least two of three conditions (heart failure … Improvement, developed the How-to Guide: Creating an Ideal Transition Home for Patients with Heart Failure … educational materials with patient and family advisors to describe common conditions, such as heart failure … Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial.

138. Accelerating Change and Transformation in Organizations and Networks III | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/factsheets/translating/action3/index.html
     February 01, 2021 - process of implementing innovations and the contextual factors influencing implementation success or failure

139. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsletters/e-newsletter/907.html
     April 01, 2024 - New Research and Evidence From AHRQ Rapid Evidence Product: Failure To Rescue – Rapid Response Systems

140. Preventing Pressure Injuries in Hospitals
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
     June 16, 2017 - Create an organizational culture that focuses on safety; they are constantly aware of the possibility of failure