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Showing results for "failure".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33596/psn-pdf
     January 29, 2025 - Failure to Rescue January 29, 2025 Tokareva I, Romano P. Failure to Rescue. … lead to FTR – failure to recognize complications, failure to relay information regarding complications … , and failure to react in a timely and appropriate manner. … Failure to rescue in surgical patients: a review for acute care surgeons. … Failure to rescue: a quality indicator for postoperative care.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74719/psn-pdf
     February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating … Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating … Failure to rescue refers to delayed or missed recognition of a potentially fatal complication that … study sought to more effectively manage deteriorating patients after emergency surgery and reduce failure … https://psnet.ahrq.gov/primer/failure-rescue https://psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60681/psn-pdf
     January 01, 2022 - Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies … Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies … https://psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and- … to rescue” among inpatients with serious complications – (1) failure to recognize the complications … ; (2) failure to relay information regarding the complications to the care team, and; (3) failure to

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74098/psn-pdf
     January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study … Reducing failure to rescue rates in a paediatric in?patient setting: a 9? … https://psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality- … Over the nine-year period, failure to rescue events decreased from 23.6% to 2.5%. … https://psnet.ahrq.gov/primer/failure-rescue https://psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement

245. 155-Performing-Premortem-Project-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
     October 01, 2024 - Slide 2 Failure in Quality Improvement Programs SAY: While not many studies have been conducted on … success or failure rates for quality improvement programs in healthcare, several articles in quality … So, what if you could determine your team’s possible failure points before you start a new project? … What might cause a failure specifically for your new program? … Determine the most likely reasons for failure.

246. Failure to Rescue Patient Safety Learning Lab (FTR PSLL) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
     April 01, 2021 - Failure to rescue event mitigation system assessment: a mixed-methods approach to analysis of complex … Association between hospital staffing models and failure to rescue . … Interpersonal and organizational dynamics are key drivers of failure to rescue . … Importance of teamwork, communication and culture on failure-to-rescue in the elderly . … https://www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html

247. Comparative Effectiveness of β-Adrenergic Antagonists on the Risk of Rehospitalization in Adults with Heart Failure (pdf file)
     effectivehealthcare-admin.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

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73541/psn-pdf
     July 28, 2021 - Misdiagnosis of heart failure: a systematic review of the literature. … Misdiagnosis of heart failure: a systematic review of the literature. … J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014. … https://psnet.ahrq.gov/issue/misdiagnosis-heart-failure-systematic-review-literature Misdiagnosis of … This systematic review explored misdiagnosis of heart failure.

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47583/psn-pdf
     December 05, 2018 - Interpersonal and organizational dynamics are key drivers of failure to rescue. … Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. … https://psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue … Stakeholders at five Michigan hospitals identified two changeable causes of failure to rescue: delayed … https://psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866195/psn-pdf
     June 26, 2024 - The exaggerated benefits of failure. … The exaggerated benefits of failure. … https://psnet.ahrq.gov/issue/exaggerated-benefits-failure Failure can be considered a learning opportunity … Respondents consistently overestimated the success rate following failure in each of the study scenarios … https://psnet.ahrq.gov/issue/exaggerated-benefits-failure https://psnet.ahrq.gov/issue/strategies-learning-failure

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74084/psn-pdf
     November 17, 2021 - Healthcare failure mode and effect analysis in the chemotherapy preparation process. … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … Researchers in this study used healthcare failure mode and effect analysis (HFMEA) to identify and … Nine potential failure modes were identified – wrong label, drug, dose, solvent, or volume; non-sterile … Potential approaches to reduce these failure modes include updating the Standard Operating Procedures

252. Applying HFMEA to prevent chemotherapy errors. | PSNet
     psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
     September 27, 2017 - This study provides a practical example of using health care failure mode and effect analysis (FMEA … July 23, 2012 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism … May 9, 2012 View More Related Resources Using failure mode and … December 12, 2014 Failure mode and effects analysis: an empirical comparison of failure … December 15, 2010 Failure mode and effect analysis: a technique to prevent chemotherapy

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73608/psn-pdf
     January 01, 2022 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure … involving pharmacists to reduce polypharmacy and inappropriate medications for patients with heart failure … successful when specific guidelines or recommendations to assess appropriate prescribing of heart failure … effect-pharmacist-counseling-intervention-health-care-utilization-following-hospital https://psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865817/psn-pdf
     May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in … Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in … https://psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication … In this study, a hospital used Healthcare Failure Mode and Effect Analysis (HFMEA) to prospectively … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-reduce-risk-heparin-use https://psnet.ahrq.gov

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866343/psn-pdf
     December 31, 2024 - Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency December 31, 2024 Lee … Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency. … Role of high-dose intravenous nitrates in hypertensive acute heart failure. … in Congestive Heart Failure (MERIT-HF). … The role of the clinical examination in patients with heart failure.

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845637/psn-pdf
     March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription … Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription … https://psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer … - treatment Failure Mode, Effect and Criticality Analysis (FMECA) is a prospective method for identifying … health medical residents calculated a Risk Priority Number (RPN), or criticality, for each possible failure

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72696/psn-pdf
     February 03, 2021 - Exploring the association between organizational safety climate, failure to rescue, and mortality in … Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in … https://psnet.ahrq.gov/issue/exploring-association-between-organizational-safety-climate-failure-rescue … - and-mortality Lack of communication and interpersonal dynamics can contribute to  failure to rescue … safety climate, but the authors did not find an association between organizational safety culture and failure

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74053/psn-pdf
     November 10, 2021 - Prevention of failure to rescue in obstetric patients: a realist review. … Prevention of failure to rescue in obstetric patients: a realist review. … https://psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review Failure to … https://psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review https://psnet.ahrq.gov … /primer/failure-rescue https://psnet.ahrq.gov/web-mm/failure-rescue-mother https://psnet.ahrq.gov/issue

259. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - Asthma or Chronic Obstructive Pulmonary Disease 5,012 3,579 4,733 3,578 Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease 5,277 3,778 4,978 3,781 Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease 4,088 3,032 3,893 3,024 Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease 844 702 795 711 Congestive Heart Failure … Asthma or Chronic Obstructive Pulmonary Disease 844 702 795 711 Congestive Heart Failure

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854992/psn-pdf
     November 01, 2023 - Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? … Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? … https://psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet … Failure to rescue (FTR) quality metrics measure the ability of healthcare teams and hospitals to prevent … https://psnet.ahrq.gov/primer/failure-rescue https://psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement