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Showing results for "failure".

141. Failure to notify reportable test results: significance in medical malpractice. | PSNet
     psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice
     April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice … Failure to notify reportable test results: significance in medical malpractice. … malpractice claims over an 18-year period identified more than 300 cases of malpractice attributable to failure … Failure to notify reportable test results: significance in medical malpractice.

142. Transitional Care Interventions to Prevent Heart Failure Readmissions | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research-protocol

143. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. | PSNet
     psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
     April 04, 2011 - Review Importance of teamwork, communication and culture on failure-to-rescue in … Importance of teamwork, communication and culture on failure-to-rescue in the elderly. … Failure-to-rescue is considered a potential contributing factor in the wide variations in surgical … The authors suggest that  teamwork and communication improvement can help reduce failure-to-rescue in … Importance of teamwork, communication and culture on failure-to-rescue in the elderly.

144. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
     May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy … Failure mode and effect analysis: a technique to prevent chemotherapy errors. … The authors present failure mode and effect analysis (FMEA)  as a tool for understanding errors in the … Failure mode and effect analysis: a technique to prevent chemotherapy errors. … August 9, 2011 Failure mode and effects analysis: an empirical comparison of failure

145. Table 4. Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three Study Sites (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-4.pdf
     June 02, 2025 - 3 100% 1.00 Having congestive heart failure 3 100% 1.00 Severe sepsis 7 86% 0.72 Septic shock … 7 86% 0.70 Hospital #2 Timely fluid bolus 3 67% 0.00 In the NICU 4 100% 1.00 Having renal failure … 3 100% 1.00 Having congestive heart failure 3 100% 1.00 Severe sepsis 4 75% 0.00 Septic shock … 4 75% 0.00 Hospital #3 Timely fluid bolus 4 75% 0.50 In the NICU 4 100% 1.00 Having renal failure … 4 100% 1.00 Having congestive heart failure 4 100% 1.00 Severe sepsis 4 100% 1.00 Septic shock

146. Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet
     psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
     June 22, 2022 - events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure … events and hospital performance on 30-Day all-cause mortality and readmission for patients with heart failure … association of these two indicators with in-hospital adverse events (AE) for patients admitted with heart failure … Results suggest patients with heart failure admitted to hospitals with high rates of 30-day all-cause … events and hospital performance on 30-Day all-cause mortality and readmission for patients with heart failure

147. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. | PSNet
     psnet.ahrq.gov/issue/value-adding-verbal-report-written-handoffs-early-readmission-following-prolonged-respiratory
     July 19, 2023 - of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure … of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure … This study, targeting patients with prolonged respiratory failure, involved adding a verbal telephone … of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure … unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure

148. Association of the Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure. | PSNet
     psnet.ahrq.gov/issue/association-hospital-readmissions-reduction-program-implementation-readmission-and-mortality
     November 03, 2021 - Hospital Readmissions Reduction Program implementation with readmission and mortality outcomes in heart failure … Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure … retrospective, interrupted time-series analysis examined whether reduction in readmissions for heart failure … This study analyzed data from a national clinical registry of patients with heart failure admitted between … Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure

149. Application of failure mode and effect analysis in a radiology department. | PSNet
     psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
     October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department … Application of Failure Mode and Effect Analysis in a Radiology Department. … This commentary introduces the failure mode and effects analysis process developed by the United States … Application of Failure Mode and Effect Analysis in a Radiology Department. … October 13, 2010 Radiology failure mode and effect analysis: what is it?

150. In response to "Failure to Report" (March 2007) | PSNet
     psnet.ahrq.gov/perspective/response-failure-report-march-2007
     June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007  … In response to "Failure to Report" (March 2007). PSNet [internet]. … In response to "Failure to Report" (March 2007). PSNet [internet]. … EndNote 7 XML Endnote tagged PubMedId RIS Download Citation In response to " Failure … In response to "Failure to Report" (March 2007). PSNet [internet].

151. Use of Natriuretic Peptide Measurement in the Management of Heart Failure | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/heart-failure-natriuretic-peptide/research-protocol

152. Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
     August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … Failure mode and effect analysis is a tool commonly used to proactively assess the reliability of health … The authors describe the application of failure mode and effect analysis to identify failure modes in … August 2, 2017 Using failure mode and effects analysis to increase patient safety in

153. Noninvasive Positive-Pressure Ventilation (NPPV) for Acute Respiratory Failure | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/nppv-respiratory-failure/research

154. Comparative Effectiveness of Beta-Adrenergic Antagonists on the Risk of Rehospitalization in Adults with Heart Failure | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/heart-failure-rehospitalization/research

155. Comparative Effectiveness of Therapies for Heart Failure (COMPARE-HF) | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/heart-failure-therapies/abstract

156. Making Healthcare Safer IV: Failure to Rescue—Rapid Response Systems | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/mhs4-failure-rescue/protocol

157. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. | PSNet
     psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects
     August 02, 2010 - Study Error reduction in pediatric chemotherapy: computerized order entry and failure … Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … This study utilized a multidisciplinary team of oncology providers to conduct a failure mode and effects … May 15, 2019 View More Related Resources Healthcare failure mode … November 18, 2020 Using Failure Mode and Effects Analysis for safe administration of

158. Frequency of failure to inform patients of clinically significant outpatient test results. | PSNet
     psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results
     April 24, 2018 - Study Frequency of failure to inform patients of clinically significant outpatient … Frequency of failure to inform patients of clinically significant outpatient test results. … Failure to adequately follow up on test results is a known problem after hospital discharge , in primary … Variations in failure rates among practices, ranging from 0% to 26%, suggest that best practices can … Frequency of failure to inform patients of clinically significant outpatient test results.

159. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet
     psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
     June 27, 2018 - Commentary Critical laboratory value notification: a failure mode effects and criticality … Critical laboratory value notification: a failure mode effects and criticality analysis. … The authors applied failure mode effects and criticality analysis to improve laboratory value notification … Critical laboratory value notification: a failure mode effects and criticality analysis. … April 24, 2015 Failure mode and effects analysis: too little for too much?

160. Risk and Event Assessment. | PSNet
     psnet.ahrq.gov/issue/risk-and-event-assessment
     August 12, 2020 - This issue contains several articles dedicated to Failure Mode and Effects Analysis and other proactive … November 21, 2016 A practical guide to Failure Mode and Effects Analysis in health care … August 31, 2022 Application of failure mode effect analysis to improve the care of septic … June 14, 2017 Health care failure mode and effect analysis to reduce NICU line–associated … October 2, 2013 Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode