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Showing results for "failure".

101. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
     psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
     May 01, 2018 - Intravenous fluids in acute decompensated heart failure. … Acute decompensated heart failure update. … Role of high-dose intravenous nitrates in hypertensive acute heart failure. … CR/XL Randomised Intervention Trial in Congestive Heart Failure (MERIT-HF). … The role of the clinical examination in patients with heart failure.

102. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
     psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
     January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect … Their system, Health Care Failure Mode Effects Analysis (HFMEA), is documented in detail, including a … July 31, 2013 Failure mode and effects analysis outputs: are they valid? … August 15, 2012 Healthcare Failure Mode and Effect Analysis. … March 1, 2011 Failure mode and effects analysis: an empirical comparison of failure mode

103. Mistakes, Errors and Failures across Cultures. | PSNet
     psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
     January 20, 2021 - ISBN 9783030355739 Human error , mistakes and failure have cultural aspects that are important … While broader  in its scope than health care, this book discusses failure psychology in a variety of

104. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet
     psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
     November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a … November 21, 2016 A review of current and emerging approaches to address failure-to-rescue … September 12, 2016 Rapid response teams and failure to rescue: one community's experience

105. Allowing failure for educational purposes in postgraduate clinical training: a narrative review. | PSNet
     psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review
     February 08, 2023 - Review Allowing failure for educational purposes in postgraduate clinical training … Allowing failure for educational purposes in postgraduate clinical training: A narrative review. … Learning from failure is more appropriate in some contexts than others. … Allowing failure for educational purposes in postgraduate clinical training: A narrative review. … 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure

106. Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/final-report
     January 01, 2023 - Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care … Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care … Project Name Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Population Elderly Individuals with Chronic Care Needs Medical Condition Congestive Heart Failure

107. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet
     psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
     January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. … December 22, 2010 Failure mode and effects analysis: an empirical comparison of failure … January 4, 2010 Radiology failure mode and effect analysis: what is it?

108. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
     May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction … Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition … This publication provides strategies for organizations to utilize the Failure Mode and Effects Analysis … December 1, 2017 The role of failure mode and effects analysis in health care. … May 19, 2015 Failure mode and effects analysis: an empirical comparison of failure mode

109. Impact of System Failures on Healthcare Workers | PSNet
     psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
     August 30, 2023 - professionals to reflect on the impact that the conviction may have on the healthcare system, safety failure … adverse events result from a series of circumstances in environments with underlying system flaws and failure … individuals emotionally, resulting in a lack of motivation, lack of empathy for patients, a sense of failure … Consistent collection of data may allow continuous monitoring and early recognition of system failure … and refer to the traumatic effects that are felt by healthcare workers after involvement in a system failure

110. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet
     psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
     June 13, 2011 - Review A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … February 2, 2022 Algorithmic prediction of failure modes in healthcare. … February 1, 2011 Radiology failure mode and effect analysis: what is it?

111. Failure mode and effects analysis to reduce risk of heparin use. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use
     July 19, 2023 - Study Failure mode and effects analysis to reduce risk of heparin use. … Failure mode and effects analysis to reduce risk of heparin use. … This study used a failure mode and effects analysis (FMEA) to prospectively analyze various steps in … The FMEA identified 233 potential failures and 737 potential causes of failure. … Failure mode and effects analysis to reduce risk of heparin use.

112. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet
     psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure
     March 09, 2022 - in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … This study applied failure mode and effect analysis (FMEA) to identify possible risks associated with … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … January 5, 2017 Health care failure mode and effect analysis to reduce NICU line–associated

113. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? | PSNet
     psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
     August 04, 2021 - Review Failure to rescue as a patient safety indicator for neurosurgical patients … Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? … Failure to rescue (FTR) quality metrics measure the ability of healthcare teams and hospitals to prevent … Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? … November 24, 2021 Prevention of failure to rescue in obstetric patients: a realist review

114. Rapid response teams as a patient safety practice for failure to rescue. | PSNet
     psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
     January 26, 2022 - Commentary Rapid response teams as a patient safety practice for failure to rescue … Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. … evidence included in the AHRQ Making Healthcare Safer III report about the use of RRTs to decrease failure … widespread, the authors conclude that definitive evidence that RRTs are associated with reduced rates of failure … Rapid Response Teams as a Patient Safety Practice for Failure to Rescue.

115. Strategies and tips for maximizing failure mode and effect analysis in your organization. | PSNet
     psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
     January 13, 2016 - Book/Report Strategies and tips for maximizing failure mode and effect analysis in … Citation Text: Strategies and tips for maximizing failure mode and effect analysis in your organization … Risk managers provide pearls from their experience, applying failure mode and effects analysis (FMEA … December 1, 2017 Using Health Care Failure Mode and Effect Analysis: the VA National … May 28, 2014 Failure mode and effects analysis outputs: are they valid?

116. Failure to rescue female patients undergoing high-risk surgery. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
     October 25, 2017 - Study Failure to rescue female patients undergoing high-risk surgery. … Failure to rescue female patients undergoing high-risk surgery. … Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable … Failure to rescue female patients undergoing high-risk surgery. … November 24, 2021 Failure events in transition of care for surgical patients.

117. Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. | PSNet
     psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
     October 19, 2022 - Study Applicability of Healthcare Failure Mode and Effects Analysis to healthcare … Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation … This study discusses the practical use of health care failure mode and effects analysis (HFMEA) by … Applicability of Healthcare Failure Mode and Effects Analysis to Healthcare Epidemiology: Evaluation … December 1, 2010 Use of failure mode and effects analysis for proactive identification

118. Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies. | PSNet
     psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
     December 22, 2021 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … involving pharmacists to reduce polypharmacy and inappropriate medications for patients with heart failure … successful when specific guidelines or recommendations to assess appropriate prescribing of heart failure … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure

119. Early identification of patients with acute decompensated heart failure. | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/citation/early
     January 01, 2023 - Early identification of patients with acute decompensated heart failure. … Early identification of patients with acute decompensated heart failure. … Project Name Health Information Technology in Heart Failure Care Technology Machine Learning

120. Fault Tree Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
     January 01, 2023 - The process can be used to study a failure that actually occurred, or it could study a potential failure … Uses To predict failure events and potential causes. … To analyze a complex system containing numerous interconnected causes of failure. … To identify causes of a failure after it has happened. … To identify causes of a potential system failure during the design process.