Results

Total Results: 376 records

Showing results for "failure".

261. Making Informed Consent an Informed Choice: (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-leaders-training.pdf
     January 18, 2017 - The most frequent area of concern was a hospital’s failure to obtain informed consent in accordance … Failure to provide language assistance is risky for patients and can serve as the basis for lawsuits

262. AHRQ Tribal Consultation Policy | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/cpi/about/mission/strategic-plan/tribal-consultation-policy.html
     August 01, 2014 - policy does not create any rights to any particular consultation or a right of action against AHRQ for failure

263. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - Failure to implement change is often the result of under-communicating or communicating poorly, leaving

264. Pressure Ulcer Prevention Toolkit (doc file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
     August 31, 2017 - ongoing complex medical care and need for management of advanced Parkinson’s disease, dysphagia, and failure

265. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
     January 01, 2023 - who received a transplant within 3 years of date of renal failure.” … 100,000 population, age 18 and over HCUP 2020 Deaths per 1,000 hospital admissions with heart failure … kidney transplant within a year of initiation USRDS 2019 Patients with treated chronic kidney failure … who received a transplant within 3 years of date of renal failure USRDS 2017 Hemodialysis patients … 100,000 population, age 18 and over HCUP 2020 Deaths per 1,000 hospital admissions with heart failure

266. Appendix F: PowerPoint Presentation: Executive Summary | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
     September 01, 2020 - communication problems, and more likely to result in serious harm compared to English-speaking patients Failure

267. FileNewTemplate
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module4.pptx
     March 07, 2019 - Debriefs also maintain effectiveness by not assigning blame or failure to an individual.

268. Is Your Organization Ready for TeamSTEPPS™? (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/readiness/tsreadiness.pdf
     August 01, 2005 - originate from a variety of sources, including adverse event and near-miss reports, root cause analyses or failure

269. FileNewTemplate
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
     January 01, 2008 - As these data illustrate, failure to communicate effectively as a team significantly increases the risk

270. Observational Audits (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/observational-audits.pdf
     March 01, 2021 - Observational Audits Observational Audits A Pathway to Improving Infection Prevention and Preventing the Spread of COVID-19 Infection prevention is the vital first line of defense against COVID-19. Observational audits are the best way to understand if your staff fully comply with infection prevention p…

271. 2017Qdr-Patsafchartbook (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - care during hospitalization, adults ages 18-89 or obstetric admissions • Postoperative respiratory failure … pneumonia, iatrogenic pneumothorax, postoperative hemorrhage or hematoma, postoperative respiratory failure … pneumonia, iatrogenic pneumothorax, postoperative hemorrhage or hematoma, postoperative respiratory failure … Denominator: Adult end stage renal failure patients on hemodialysis for more than 90 days in the period … Denominator: Adult end stage renal failure patients on hemodialysis for more than 90 days in the period

272. TeamSTEPPS Speciality Scenarios, Labor & Delivery (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/labordel.pdf
     March 18, 2014 - Instructor Comments  This teamwork failure is the result of a series of communication breakdowns. … Instructor Comments  This teamwork failure depicts the absence of a clearly defined leader and lack

273. Children with Disabilities Algorithm (CWDA) A Claims-Based Tool for Identifying Children with Disabilities (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-144-section-2.pdf
     January 01, 2020 - 780 799) Symptoms (780-789) 78003 Persistent vegtv state 78072 Functional quadriplegia 7837 Failure … intestine V4575 Acq absence of stomach V4611 Respirator depend status V4612 Resp depend-powr failure

274. TeamSTEPPS Implementation Guide | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/instructor/essentials/implguide.html
     November 01, 2018 - variety of sources, including adverse event and near-miss reports, reports of root cause analyses or failure

275. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/reports/liability/brock.html
     August 01, 2017 - Medical error was defined as the failure of a planned action to be completed or the use of a wrong plan

276. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - (2014) Post-Op Hemorrhage or Hematoma (PSI 9) 19,000 0.59 PSI (2014) Post-Op Respiratory Failure

277. Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
     January 01, 2019 - Lack of prenatal care for high-risk pregnant women represents a safety failure, as all pregnancies are … safety for this population, as high-risk pregnant women with no prenatal care represent a critical failure … All the above notwithstanding, failure to receive any outpatient visits with any provider for pregnancy … is typically a major failure and patient safety risk.

278. Engage Patients and Families for Perinatal Safety (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
     May 01, 2017 - Engage Patients and Families for Perinatal Safety AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety AHRQ Publication No. 17-0003-6-EF May 2017 SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members un…

279. TeamSTEPPS Fundamentals Course: Module 2. Team Structure (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/igteamstruct.pdf
     November 18, 2015 - • TeamSTEPPS Long-Term Care Version: Includes a team failure video specific to long-term care.

280. About the Measure | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/about.html
     July 01, 2021 - The re-specification of the measure had to be completed manually due to the failure of the “automated