-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
October 01, 2015 - Transitional Care Interventions To Prevent
Readmissions for People With Heart Failure
Focus of This … defined in Table 1) that aim to reduce readmissions
and mortality for adults hospitalized with heart failure … The full report, listing all studies,
is available at www.effectivehealthcare.ahrq.gov/heart-failure … PMID: 19595577.
95% CI = 95-percent confidence interval; HF = heart failure; N = number; NA = not available … Available at www.
effectivehealthcare.ahrq.gov/heart-failure.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_research-protocol.pdf
June 10, 2013 - Literature search terms
Populations “congestive heart failure” OR “heart failure, congestive” OR “heart … Racial differences in incident heart failure among young adults. … the Guidelines-Heart Failure Registry. … Heart Failure Society of America. … Available at http://www.ahrq.gov/research/findings/ta/heart-failure-discharge-
care/heart-failure-discharge-care.pdf
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-natriuretic-peptide_executive.pdf
November 01, 2013 - Primary care:
Risk factor(s), signs, or
symptoms of heart failure
Heart failure
BNP and NT-proBNP … Biological variation
(KQ 7)
Mortality
• All-cause
• Heart failure
Hospitalization
• Heart failure … independently of Seattle Heart Failure Score. … : the Valsartan Heart Failure (Val-HeFT) data. … heart fAilure morbidity and mortality?)
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_executive.pdf
May 01, 2014 - CD-ROM = compact disc read-only memory; HF = heart failure.
Table A. … Long-term trends in the
incidence of and survival with heart failure. … With the Guidelines-Heart Failure registry. … Heart Failure Society of America. … Non-pharmacological interventions
for post-discharge care in heart failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and … The impact of diagnostic
failure on patient safety does not appear to have been fully recognized. … Benchmark studies on medical error
found diagnostic failure more common in the three disciplines in … Diagnostic Failure: A Cognitive Approach
245
calibration. … Diagnostic Failure: A Cognitive Approach
253
3. Brennan TA, Leape LL, Laird NM, et al.
-
psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure
May 17, 2012 - Review
Interactions between the context of a health-care organisation and failure … : the situational impact of failure on organisational learning. … Interactions between the context of a health-care organisation and failure: the situational impact of … failure on organisational learning. … failure on organisational learning.
-
psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Failure to Rescue the Mother
Citation Text:
Vivero A, Klapper EB, Gregory KD, et al. … Failure to Rescue the Mother. PSNet [internet]. … Failure to Rescue the Mother. PSNet [internet]. … to order a complete blood count on admission, failure to ensure blood availability for the surgery, … Failure to Rescue the Mother. PSNet [internet].
-
psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - Active Error (or Active Failure)
September 13, 2021
Anonymous (not verified)
The terms active
-
psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
December 14, 2022 - Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure … In this study, pediatric hospitalists describe potential benefits and risks of allowing failure, the … process of allowing or interrupting failure, and how they decide to allow failure to happen. … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure
-
psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Commentary
Failure to rescue in neonatal care. … Failure to rescue in neonatal care. … This commentary suggests numerous strategies to reduce the incidence of failure to rescue in the neonatal … Failure to rescue in neonatal care. … September 7, 2011
Reducing failure to rescue rates in a paediatric in-patient setting
-
psnet.ahrq.gov/issue/communication-failure-operating-room
February 25, 2009 - Study
Communication failure in the operating room. … Communication failure in the operating room. … to assess the incidence, types, and consequences of surgical communication problems, and found that failure … Communication failure in the operating room.
-
psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Communication Failure—Who's in Charge?
Citation Text:
Fackler J, Schwartz JM. … Communication Failure—Who's in Charge?. PSNet [internet]. … Communication Failure—Who's in Charge?. PSNet [internet]. … Failure of the intensivist to grab the baton and effectively conduct was, in this case, lethal. … Communication Failure—Who's in Charge?. PSNet [internet].
-
psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - Diagnostic Failure: The Growing Deficit
Citation Text:
Chang R, Flanders S. … Diagnostic Failure: The Growing Deficit. PSNet [internet]. … Diagnostic Failure: The Growing Deficit. PSNet [internet]. … fast) thinking (so-called cognitive debiasing) has been suggested as method of mitigating diagnostic failure … Diagnostic Failure: The Growing Deficit. PSNet [internet].
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - add new
failure modes), and revised the list of failure modes accordingly. … The FMEA team also categorized each failure mode as either an active
failure or a latent condition.1 … Failure modes and effects analysis with risk priority number
Failure mode
(What could/does go wrong … )
Type of
failure
Effect
(Outcome from failure) L S D RPN
Lack of identified role for all
team … Results of root cause analysis
Rank
Failure mode
(What could/does go wrong)
Type of
failure
-
psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis
May 24, 2017 - Toolkit
Healthcare Failure Mode and Effect Analysis. … Citation Text:
Healthcare Failure Mode and Effect Analysis. … These materials provide an introduction to the purpose of healthcare failure mode and effect analysis … Copy URL
Cite
Citation
Citation Text:
Healthcare Failure … September 1, 2021
Using Health Care Failure Mode and Effect Analysis: the VA National
-
psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare
September 06, 2023 - Study
Algorithmic prediction of failure modes in healthcare. … Algorithmic prediction of failure modes in healthcare. … Failure mode and effect analysis (FMEA) is used to asses risk in various heath care processes. … This study found that an algorithmic prediction of failure modes in healthcare (APFMH) is more effective … Algorithmic prediction of failure modes in healthcare.
-
psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - A Seasonal Care Transition Failure
Citation Text:
Young JQ. … A Seasonal Care Transition Failure. PSNet [internet]. … A Seasonal Care Transition Failure. PSNet [internet]. … A Seasonal Care Transition Failure. PSNet [internet].
-
hcup-us.ahrq.gov/reports/statbriefs/sb231-Acute-Renal-Failure-Hospitalizations.pdf
December 01, 2016 - Acute Renal Failure Hospitalizations, 2005-2014
1
November 2017
Acute Renal Failure … For 504,600 stays with any mention of acute renal failure, acute renal failure appeared as the most … failure Percentage higher costs
for stays with vs. without
acute renal failure
93.9
55.7
70.0 … (acute renal failure with lesion of
renal cortical necrosis), 584.7 (acute renal failure with lesion … lesion in kidney), 584.9 (acute renal failure,
unspecified), and 586 (renal failure, unspecified).
-
psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - Failure Mode and Effect Analysis (FMEA)
September 13, 2021
Anonymous (not verified)
A common … mapped out, the FMEA then continues by identifying the ways in which each step can go wrong (i.e., the failure … The estimates of the likelihood of a particular process failure, the chance of detecting such failure … Each step in this process would be assigned a probability of failure and an impact score, so that all
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
January 01, 2023 - Failure Mode and Effects Analysis
Acronym
FMEA
Also Known As
Failure Mode … For each function, IDENTIFY ALL THE WAYS FAILURE COULD OCCUR - i.e. the potential failure modes. … For each failure mode, IDENTIFY ALL THE CONSEQUENCES - the potential effects of failure, on the element … DETERMINE ALL POTENTIAL ROOT CAUSES for each failure mode. … Record all the causes for each failure mode.
8.