Results

Total Results: over 10,000 records

Showing results for "failure".

201. Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety. | PSNet
     psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
     January 27, 2019 - This study applied failure mode, effect, and criticality analysis   (FMECA) methodology to identify … January 12, 2022 View More Related Resources Using failure mode … February 20, 2019 Using Failure Mode and Effects Analysis for safe administration of … May 27, 2011 Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis … March 28, 2011 Failure mode and effects analysis: an empirical comparison of failure

202. Application of failure mode and effect analysis in a radiology department. | PSNet
     psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department
     October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department … Application of Failure Mode and Effect Analysis in a Radiology Department. … This commentary introduces the failure mode and effects analysis process developed by the United States … Application of Failure Mode and Effect Analysis in a Radiology Department. … October 13, 2010 Radiology failure mode and effect analysis: what is it?

203. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
     ce.effectivehealthcare.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.

204. Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet
     psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing
     August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related … Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process … Failure mode and effect analysis is a tool commonly used to proactively assess the reliability of health … The authors describe the application of failure mode and effect analysis to identify failure modes in … August 2, 2017 Using failure mode and effects analysis to increase patient safety in

205. 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?

206. Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. | PSNet
     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

207. Which interventions are effective in decreasing heart failure readmissions? | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/get-involved/nominated-topics/which-interventions-are-effective-in-decreasing-heart-failure-readmissions
     February 27, 2012 - 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.

208. Discharging Our Responsibility | PSNet
     psnet.ahrq.gov/web-mm/discharging-our-responsibility
     January 16, 2019 - Heart Failure Society of America. HFSA 2006 comprehensive heart failure practice guideline. … Clinical Performance Measures) endorsed by the Heart Failure Society of America. … Discharge education improves clinical outcomes in patients with chronic heart failure. … With The Guidelines (GWTG) heart failure program. … J Cardiac Failure 2006;12(suppl):S95.

209. 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

210. Risk and Event Assessment. | PSNet
     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

211. Frequency of failure to inform patients of clinically significant outpatient test results. | PSNet
     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.

212. 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?

213. 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?

214. 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

215. Failure to follow-up test results for ambulatory patients: a systematic review. | PSNet
     psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
     March 23, 2012 - Review Classic Failure to follow-up test results for ambulatory … Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. … This systematic review found evidence that failure to act on abnormal radiology or laboratory results … Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. … March 23, 2011 Frequency of failure to inform patients of clinically significant outpatient

216. 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.

217. 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.

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867383/psn-pdf
     December 18, 2024 - Interactions between the context of a health-care organisation and failure: the situational impact of … failure on organisational learning. … failure on organisational learning. … https://psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure … https://psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure

219. Use of Cardiac Resynchronization Therapy in the Medicare Population (CRDT1013) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/CRT_topicref.pdf
     December 31, 2014 - general internists, patients interested in heart failure, allied professional who care for heart failure … [mh] OR "heart failure"[tiab] OR "Cardiac Failure" [tiab] OR "Myocardial Failure" [tiab] OR "Heart … Heart failure society of america (hfsa) practice guidelines. … Journal of cardiac failure. 1999;5:357-382 2. … Cardiac resynchronization in chronic heart failure.

220. 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