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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fault-tree-analysis
January 01, 2023 - The process can be used to study a failure that actually occurred, or it could study a potential failure … Uses
To predict failure events and potential causes. … To analyze a complex system containing numerous interconnected causes of failure. … To identify causes of a failure after it has happened. … To identify causes of a potential system failure during the design process.
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psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
June 13, 2011 - Review
A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … February 2, 2022
Algorithmic prediction of failure modes in healthcare. … February 1, 2011
Radiology failure mode and effect analysis: what is it?
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psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
January 13, 2016 - Book/Report
Strategies and tips for maximizing failure mode and effect analysis in … Citation Text:
Strategies and tips for maximizing failure mode and effect analysis in your organization … Risk managers provide pearls from their experience, applying failure mode and effects analysis (FMEA … December 1, 2017
Using Health Care Failure Mode and Effect Analysis: the VA National … May 28, 2014
Failure mode and effects analysis outputs: are they valid?
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psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
November 30, 2016 - Special or Theme Issue
20 years later: to err is a leadership failure. … Citation Text:
20 years later: to err is a leadership failure. Castellucci M, Meyer H. … Cite
Citation
Citation Text:
20 years later: to err is a leadership failure … March 8, 2019
Heart Failure: The Decline of a Historic Transplant Program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/kent_grant.pdf
September 01, 2013 - Implanted Cardiac Defibrillators for Heart Failure Patients with Kidney Disease
Optimizing … Management
for the Complex Patient – Pioneer R21 Grants
Implanted Cardiac Defibrillators for Heart Failure … Grant Number: R21 HS17653-01
Description
Although the prevalence of the commonly coexisting heart failure … Main Objective
Estimate how variation in severity
of heart failure and chronic
kidney disease affect … Risk of
arrhythmic and non-arrhythmic death in patients with heart failure and chronic kidney disease
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psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
October 25, 2017 - Study
Failure to rescue female patients undergoing high-risk surgery. … Failure to rescue female patients undergoing high-risk surgery. … Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable … Failure to rescue female patients undergoing high-risk surgery. … November 24, 2021
Failure events in transition of care for surgical patients.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heart-failure-hospital.pdf
January 01, 2019 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 - Infographic
This … Heart Failure Admissions Down but
Hospital Deaths Higher in First Year
of COVID-19
Key: API = Asian
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effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/copd-is-common-and-respiratory-failure-due-to-copd-is-an-increasingly-common-disorder-use-of-non-invasive-positive-pressure-ventilation-nppv-for-patients-with-respiratory-failure-due-to-exacerbatons-of-copd-several-trials-an
November 01, 2017 - Use of non-invasive positive pressure ventilation (NPPV) for patients with respiratory failure due to … Use of non-invasive positive pressure ventilation (NPPV) for patients with respiratory failure due to … Use of non-invasive positive pressure ventilation (NPPV) for patients with respiratory failure due to … Adults, particularly older adults with COPD, a group at higher risk of respiratory failure.
5. … Use of non-invasive positive pressure ventilation (NPPV) for patients with respiratory failure due to
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psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis-pediatric
June 13, 2011 - Study
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … errors and found the tool to be effective in identifying failure. … Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology … May 27, 2011
Failure mode and effects analysis: an empirical comparison of failure mode
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psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug
August 23, 2017 - Study
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … May 11, 2014
Augmenting health care failure modes and effects analysis with simulation … February 1, 2013
Failure mode and effects analysis outputs: are they valid?
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - Review
Emerging Classic
Failure to rescue deteriorating … Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies … This systematic review identified three critical points that can contribute to “ failure to rescue … ” among inpatients with serious complications – (1) failure to recognize the complications; (2) failure … Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies
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psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
June 18, 2013 - Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure … Patient Involvement in Evaluation of Safety in Oral Antineoplastic Treatment: A Failure Mode and Effects … This study employed failure mode and effect analysis to detect risks in oral chemotherapy regimens . … October 18, 2023
View More
Related Resources
Using failure mode … December 1, 2011
Failure mode and effects analysis: an empirical comparison of failure
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psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
March 04, 2015 - Commentary
A practical guide to Failure Mode and Effects Analysis in health care: … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … This commentary describes one hospital's experience implementing Failure Mode and Effects Analysis … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … May 11, 2014
Augmenting health care failure modes and effects analysis with simulation
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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.
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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
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - The Rescue Improvement Conference (RIC) 1 was designed at the University of Michigan to address failure … Failure to rescue can lead to a significant adverse event, such as death or disability. 2 The RIC is … . 6 Work to improve failure to rescue has since been ongoing. … Rescue improvement conference: a novel tool for addressing failure to rescue. … [Free full text] Failure to rescue. PSNet. Agency for Healthcare Research and Quality.
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effectivehealthcare-admin.ahrq.gov/get-involved/nominated-topics/which-interventions-are-effective-in-decreasing-heart-failure-readmissions
November 01, 2017 - Which interventions are effective in decreasing heart failure readmissions? … All patients with an index hospitalization for heart failure
Are there subgroups of patients that … with heart failure with preserved ejection fraction
Describe the health-related benefits you are … Heart failure is the leading cause of rehospitalizations among elderly Americans, and inpatient care … costs for acute decompensated heart failure cost over $20 billion in 2009.
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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.
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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
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-rehospitalization_research.pdf
November 01, 2007 - therapies or
adverse outcomes in persons with heart failure. … Effect of
carvedilol on survival in severe chronic heart
failure. … Xamoterol in severe heart failure. The Xamoterol
in Severe Heart Failure Study Group. … FAILURE
4280 CHF NOS
4281 LEFT HEART FAILURE
4282 … SYSTOLIC HEART FAILURE
4283 DIASTOLIC HEART FAILURE
4284 SYSTOLIC & DIASTOLIC HF