Results

Total Results: over 10,000 records

Showing results for "failure".

161. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet
     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

162. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet
     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

163. 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

164. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet
     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

165. 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

166. Selected Best Practices and Suggestions for Improvement (pdf file)
     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?

167. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
     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

168. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. | PSNet
     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

169. Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. | PSNet
     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

170. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet
     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

171. Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure in Patients (pdf file)
     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.

172. The Impact of an Adaptive Patient-Centered Web Application on Medication Optimization in HFrEF Patients | Digital Healthcare Research
     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.

173. Cardiovascular Disease | Agency for Healthcare Research and Quality
     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.

174. Final Progress Report: Inpatient-Outpatient Transitions: Reducing the Rate of Readmissions (pdf file)
     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

175. The role of automation in complex system failures. | PSNet
     psnet.ahrq.gov/issue/role-automation-complex-system-failures
     June 28, 2013 - The authors present a case of automation failure and discuss the role human practitioners played in recovering … from the failure.

176. Selected Best Practices and Suggestions for Improvement (pdf file)
     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?

177. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_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?

178. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. | PSNet
     psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
     September 24, 2010 - Commentary Failure mode and effects analysis: a useful tool for risk identification … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … discusses the importance of proactive risk assessment and provides insights on the successful use of failure … Failure mode and effects analysis: a useful tool for risk identification and injury prevention. … May 18, 2011 Failure mode and effect analysis: a technique to prevent chemotherapy errors

179. Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. | PSNet
     psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review
     December 15, 2008 - Study Exploratory analyses of the "failure to rescue" measure: evaluation through … Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. … The limitations of the failure to rescue measurement at identifying systemic problems in care delivery … Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. … July 12, 2010 View More Related Resources Failure to rescue as

180. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet
     psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and
     July 23, 2010 - Commentary Key performance outcomes of patient safety curricula: root cause analysis, failure … Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis … This commentary recommends that courses covering root cause analysis , failure mode and effects analysis … Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis … See More About The Topic Pharmacists Educators Pharmacy Root Cause Analysis Failure