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Showing results for "failure".

  1. 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
  2. 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.
  3. 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?
  4. 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
  5. psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
    February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis … A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders … by a physician with a common last name during executive walk rounds , the institution conducted a failure … A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders … General Hospitals Quality and Safety Professionals Identification Errors Active Errors Failure
  6. psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology
    July 14, 2010 - Study Using failure mode and effects analysis to plan implementation of smart i.v … Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. … The authors describe their use of failure mode and effects analysis  to inform the launch of a smart … Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure
  7. psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
    September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … Failure mode and effect analysis (FMEA) is a human factors engineering method used to examine a process … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … August 31, 2022 Reducing failures in daily medical practice: healthcare failure mode
  8. psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-application-critical-care-medicine
    June 10, 2013 - Review Failure mode and effects analysis application to critical care medicine. … Failure mode and effects analysis application to critical care medicine. … This article provides background on failure mode and effects analysis (FMEA) and reviews both the positive … Failure mode and effects analysis application to critical care medicine.
  9. psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
    August 13, 2014 - Study Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective. … Managing clinical failure: a complex adaptive system perspective.
  10. psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
    March 27, 2005 - Report Classic Forgive and Remember: Managing Medical Failure … Citation Text: Forgive and Remember: Managing Medical Failure. 2nd ed. … Cite Citation Citation Text: Forgive and Remember: Managing Medical Failure … November 18, 2015 Failure in Safety-Critical Systems: A Handbook of Accident and Incident
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
    May 20, 2016 - Why Focus on Postoperative Respiratory Failure? … Generally, postoperative respiratory failure is the failure to wean from mechanical ventilation within … Postoperative Respiratory Failure Risk Calculator http://www.qxmd.com/calculate-online/respirology/postoperative-respiratory-failure-risk … Why focus on postoperative respiratory failure? [PowerPoint]. … Why Focus on Postoperative Respiratory Failure?
  12. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … ◆ Heart failure, including hypertensive heart disease with heart failure (ICD-10-CM I11, I13, I50
  13. psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-safe-administration-chemotherapy-hospitalized
    August 08, 2018 - Study Using Failure Mode and Effects Analysis for safe administration of chemotherapy … Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … This study discusses the experiences of a single institution in using failure mode and effects analysis … Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children … July 2, 2014 View More Related Resources Using failure mode and
  14. psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
    March 18, 2010 - Special or Theme Issue Alarm Interventions During Medical Telemetry Monitoring: A Failure … Citation Text: Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis … This failure mode and effects analysis ( FMEA ) explores factors contributing to near miss and adverse … Citation Citation Text: Alarm Interventions During Medical Telemetry Monitoring: A Failure … Topic Quality and Safety Professionals Information Professionals Safety Scientists Failure
  15. psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
    January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research … The AHRQ Patient Safety Indicator for postoperative respiratory failure accurately identified cases … of clinically diagnosed respiratory failure, with a false-positive rate of approximately 17%. … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
    January 01, 2003 - Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients … 173 Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure … Of the 310 patients with previous treatment failure whose goal attainment was reviewed, LDL values … Suboptimal dosing or failure to titrate; 3. Combination regimens and safety; and 4. … Percent of patients with previous failure now at LDL goal Figure 3.
  17. digital.ahrq.gov/ahrq-funded-projects/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
    January 01, 2023 - SMART-on-FHIR standards has the potential to improve guideline-directed medication therapy in those with heart failure … , and if successful, the approach could reduce heart failure hospital admissions and be applied to other … SMART/FHIR Care Setting Patient Home Medical Condition Congestive Heart Failure … A computable algorithm for medication optimization in heart failure with reduced ejection fraction. … A computable algorithm for medication optimization in heart failure with reduced ejection fraction.
  18. www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
    June 01, 2018 - Treatment of Congestive Heart Failure: Outcome: Adult admissions for congestive heart failure per … Treatment of Heart Failure Admissions With Congestive Heart Failure, by Area Income Adult admissions … Trends: From 2000 to 2013, the rate of admission for congestive heart failure among adults decreased … Admissions With Congestive Heart Failure, by Race/Ethnicity Adult admissions with congestive heart … Importance: Racial disparities in care for congestive heart failure have been observed.
  19. www.ahrq.gov/sites/default/files/2025-02/jones-selna-report.pdf
    January 01, 2025 - Aim 2a: To use Failure Mode and Effects Analysis to identify the key failure modes (and their causes … In order to prioritize failure modes, Risk Priority Numbers (RPNs) were calculated for each failure … After calculating a RPN for each failure mode, we sorted all failure modes by their RPN and analyzed … Sample FMEA results among the top 20% of RPNs # Failure mode Potential causes of failure Potential … mode Potential causes of failure Potential effects of failure Severity Detection Frequency RPN
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - Why focus on postoperative respiratory failure in children? … Generally, postoperative respiratory failure is the failure to wean from mechanical ventilation within … Why focus on postoperative respiratory failure? [PowerPoint]. … Consultation with the specialist: respiratory failure in children. … Why focus on postoperative respiratory failure in children?