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Showing results for "failure".

141. Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known heart disease. | PSNet
     psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children-no-known-heart
     August 18, 2021 - Study Missed diagnosis of new-onset systolic heart failure at first presentation … Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known … In this retrospective study, researchers found that the diagnosis of systolic heart failure had been … missed on first presentation for almost 50% of pediatric patients hospitalized with new-onset heart failure … Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known

142. Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet
     psnet.ahrq.gov/issue/application-failure-mode-effect-analysis-improve-care-septic-patients-admitted-through
     February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients … Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the … A multidisciplinary team employed failure mode and effect analysis methodology to detect potential … Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the … February 2, 2022 Algorithmic prediction of failure modes in healthcare.

143. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet
     psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
     September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … Failure to rescue—lack of adequate response to patient deterioration—has been associated with adverse … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … November 18, 2016 Importance of teamwork, communication and culture on failure-to-rescue

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

145. 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

146. 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.

147. 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

148. 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

149. 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

150. 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

151. 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?

152. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet
     psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
     April 03, 2013 - Learning from failure is a key component of high reliability .

153. Heart Failure: The Decline of a Historic Transplant Program. | PSNet
     psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
     July 22, 2020 - Special or Theme Issue Heart Failure: The Decline of a Historic Transplant Program … Citation Text: Heart Failure: The Decline of a Historic Transplant Program. … Linkedin Copy URL Cite Citation Citation Text: Heart Failure

154. 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

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

156. 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

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

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

159. 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

160. Failure-to-rescue: comparing definitions to measure quality of care. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
     April 17, 2013 - Study Failure-to-rescue: comparing definitions to measure quality of care. … Failure-to-rescue: comparing definitions to measure quality of care. … This study examined the effectiveness of three different failure to rescue definitions in evaluating … Failure-to-rescue: comparing definitions to measure quality of care. … April 27, 2022 Exploring the association between organizational safety climate, failure