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effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care/policymaker
December 01, 2019 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure … Key Issue
Readmissions for people with heart failure (HF) are common, costly, and potentially preventable … Background
Heart failure (HF) is a major clinical and public health problem and a leading cause of … Transitional Care Interventions To Prevent Readmissions for People With Heart Failure. … https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/policymaker
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effectivehealthcare-admin.ahrq.gov/products/heart-failure-transition-care/clinician
December 01, 2019 - Reports
Transitional Care Interventions To Prevent Readmissions for People With Heart Failure … Transitional Care Interventions To Prevent Readmissions for People With Heart Failure … Findings and Strength of Evidence for Transitional Care Interventions Versus Usual Care for Heart Failure … Project Timeline
Transitional Care Interventions To Prevent Readmissions for People With Heart Failure … https://effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/clinician
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/knowledge
January 01, 2023 - Knowledge among patients with heart failure: A narrative synthesis of qualitative research. … Knowledge among patients with heart failure: A narrative synthesis of qualitative research. … Project Name
Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Journal Publication
Population
Patient
Medical Condition
Congestive Heart Failure
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - Study
Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year … Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study … Failure to identify and prevent clinical deterioration can reflect the quality and effectiveness of … This study used routinely collected emergency event data to identify failure to rescue events at one … Over the nine-year period, failure to rescue events decreased from 23.6% to 2.5%.
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/naturalistic
January 01, 2023 - Naturalistic decision making in everyday self-care among older adults with heart failure. … Naturalistic decision making in everyday self-care among older adults with heart failure. … 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
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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
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - Study
Anaesthetists' management of oxygen pipeline failure: room for improvement. … Anaesthetists' management of oxygen pipeline failure: room for improvement. … anesthetists in a simulated environment and analyzed their ability to respond to a central oxygen supply failure … Anaesthetists' management of oxygen pipeline failure: room for improvement.
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psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
October 19, 2022 - Commentary
Safe chemotherapy administration: using failure mode and effects analysis … Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber … This case study describes one hospital’s use of failure mode and effects analysis (FMEA) to improve … Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber … July 29, 2020
View More
Related Resources
Healthcare failure mode
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/uncertainty
January 01, 2023 - Uncertainty management among older adults with heart failure: Responses to receiving implanted device … Uncertainty management among older adults with heart failure: Responses to receiving implanted device … Project Name
Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Conference Proceeding
Population
Elderly
Medical Condition
Congestive Heart Failure
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psnet.ahrq.gov/issue/failure-mode-effect-and-criticality-analysis-fmeca-worksheet
March 06, 2005 - Toolkit
Published March 6, 2005
Failure … Healthcare Organizations; JCAHO
Topics
Approach to Improving Safety
Failure … Linkedin
Email
Print
This worksheet outlines elements of Failure … Mode, Effect, and Criticality Analysis (FMECA), such as writing down process points, potential failure … Web Resource
Government Resource
Healthcare Failure Mode
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www.ahrq.gov/news/newsroom/case-studies/201415.html
September 01, 2014 - Re-Engineered Discharge (RED) toolkit and seeing patient satisfaction improve and avoidable heart failure … Based on the success of that pilot project, the hospital expanded RED to all heart failure patients. … The hospital now hopes to reduce the readmission rate for all heart failure patients to less than 20 … The United States national rate of readmission for heart failure patients is 23 percent, according to … While in the hospital, a registered nurse appointed as a care advocate sees heart failure patients by
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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
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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
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psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
November 24, 2021 - 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure … ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure … This qualitative study explored physicians experience allowing for failure for education purposes in … Allowing supervised failure was perceived to be an important element of trainee development and was not … ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure
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psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
January 10, 2018 - Special or Theme Issue
Systematically Identified Failure Is the Route to a Successful … Citation Text:
Systematically Identified Failure Is the Route to a Successful Health System. … Exploring challenges to system-level efforts to learn from failure in health care, articles in this … Cite
Citation
Citation Text:
Systematically Identified Failure
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/final-report
January 01, 2023 - Health Information Technology in Heart Failure Care - Final Report
Citation
Blecker … Health Information Technology in Heart Failure Care - Final Report. … Project Name
Health Information Technology in Heart Failure Care
Technology
Artificial … Population
Adults
Physician
Medical Condition
Chronic Conditions
Congestive Heart Failure
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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
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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?
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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.
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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