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www.innovations.ahrq.gov/whatsnew.html
April 01, 2024 - Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms (4/15/24)
Failure
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/871.html
July 01, 2023 - of COVID-19
A new Data Spotlight (PDF, 1 MB) from AHRQ shows that hospital admissions for heart failure … decreased by 15 percent from 2019 to 2020, while deaths from heart failure more than doubled.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
January 20, 2006 - Information
Ineffective Communication
Conflict
Time
Distractions
Workload
Fatigue
Misinterpretation
of Data
Failure
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
January 17, 2017 - fails to finish schoolwork,
chores, or duties in the workplace (not due to
oppositional behavior or failure
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www.innovations.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Iatrogenic Pneumothorax (PSI 6)
PSI
Post-Op Hemorrhage or Hematoma (PSI 9)
PSI
Post-Op Respiratory Failure … sample, and those with a principal diagnosis of acute myocardial infarction (AMI), congestive heart failure … Post-Op Hemorrhage or Hematoma (PSI 9)
20,691
32,750,000
0.632
PSI
Post-Op Respiratory Failure
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www.innovations.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlafl.html
October 01, 2014 - Skip to main content
An official website of the Department of Health and Human Services
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module2.pptx
March 07, 2019 - take that same situation, but in this case there is simply too much work, resulting in an inability or failure
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.pdf
May 01, 2014 - Phase 1 Assessment and Planning
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality HAIs
Healthcare-
Associated
Infections
PREVENT
Comprehensive Antibiogram Toolkit: Phase 1
Antibiogram Factsheet
What is an antibiogram?
Antibiograms aggregate information about suscept…
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - Among 20 indicators of severe maternal morbidity, acute kidney failure had the greatest increase, from … Literature
Postdischarge noninvasive telemonitoring and nurse telephone coaching improve outcomes in heart failure
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-creative-strategies-nembhard.pdf
January 01, 2014 - Creative Strategies to Improve Patient Care Experience - Part 3 Nemhard
Creative Strategies to Improve
Patient Care Experience
Presenters (from the Yale Team)
Ingrid Nembhard, PhD, MS
Associate Professor
The Wharton School
University of Pennsylvania
Yuna Lee, PhD, MPH
Assistant Professor
Mailman School of Publ…
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www.innovations.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
November 01, 2018 - Study the flowchart and then:
Mark potential failure points in the redesigned processes. … Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process failure
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www.innovations.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
November 01, 2018 - Reviewing reports of root cause analyses and failure modes and effects analyses. … Identify potential failure points in the redesigned process. … Failure to show improvement in team performance or in clinical outcomes may be due to the staff's failure
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www.innovations.ahrq.gov/news/newsroom/ahrq-stats.html
November 01, 2023 - Among 20 indicators of severe maternal morbidity, acute kidney failure had the greatest increase, from … Increased Hospital Stays for Kidney Failure
While the overall rate of hospital stays for acute kidney … failure increased 66 percent nationwide between 2005 and 2014, the increase was higher for low-income … Cost of Hospital Stays for Kidney Failure
The cost for a hospital stay in 2014 involving acute kidney … failure averaged $19,200, nearly twice the $9,900 average cost for stays not involving kidney failure
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www.innovations.ahrq.gov/talkingquality/assess/why-evaluate.html
May 01, 2019 - All participants in a report card project will reach conclusions about the relative success or failure
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/impworkbook.pdf
December 11, 2015 - Mark potential failure points in the redesigned processes. … Incorporates redundancy and backup systems to minimize risk of patient harm in event of error or
process failure
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www.innovations.ahrq.gov/teamstepps/officebasedcare/impworkbook.html
December 01, 2015 - Study the flowchart and then:
Mark potential failure points in the redesigned processes. … Incorporates redundancy and backup systems to minimize risk of patient harm in event of error or process failure
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/877.html
August 01, 2023 - Evaluating the implementation of patient-reported outcomes in heart failure clinic: a qualitative assessment
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-131-fullreport.pdf
April 05, 2017 - these LRIs plus a
primary ICD-9-CM or a principal ICD-10-CM diagnosis code for asthma, respiratory failure … Hospital strategies associated with 30-day readmission
rates for patients with heart failure. … Structured telephone support or telemonitoring
programmes for patients with chronic heart failure. … Transitional care of older adults hospitalized with
heart failure: a randomized, controlled trial. … What works in chronic care management: the case
of heart failure.
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www.innovations.ahrq.gov/teamstepps/officebasedcare/module6/office_support.html
September 01, 2015 - Failure to employ advocacy and assertion is a primary contributor to the clinical errors found in malpractice … Failure To Share Information.
Defensiveness.
Conventional Thinking.
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www.innovations.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
October 01, 2014 - Conduct a prospective risk assessment of the potential failure modes.