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Showing results for "failure".

261. Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
     January 01, 2019 - Scenario 3 – Failure post-mortem and reflection. … Modeling Personas for Older Adults with Heart Failure. … Circulation: Heart Failure. 2010;3:97-103. 7. Heart Failure Society of America (HFSA). … A situation-specific theory of heart failure self-care. … Journal of Cardiac Failure. 2011;17:664-9. 26.

262. Appendices for Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016–2021 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/HCUP-SB-312-Appendices-508.pdf
     September 01, 2024 - Acute renal failure N170 Acute kidney failure with tubular necrosis N171 Acute kidney failure with … failure N179 Acute kidney failure, unspecified O904 Postpartum acute kidney failure 4. … and diastolic heart failure I50810 Right heart failure, unspecified I50811 Acute right heart failure … I50813 Acute on chronic right heart failure I50814 Right heart failure due to left heart failure … I5082 Biventricular heart failure I5083 High output heart failure I5084 End stage heart failure

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73371/psn-pdf
     June 09, 2021 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with … Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with … https://psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect … - analysis-combined Failure mode and effect analysis (FMEA) is widely used to identify latent safety … The authors of this study proposed combining healthcare failure mode and effect analysis (HFMEA) with

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845277/psn-pdf
     March 01, 2023 - Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … https://psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects … to screen patients for stroke soon after presentation to the Emergency Department (ED), failure to … obtain an accurate history, and failure to consider a stroke diagnosis during triage.

265. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
     January 01, 2024 - Spotlight Spotlight Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency … Acute decompensated heart failure update. Curr Cardiol Rev. 2015;11(1):53-62. … Role of high-dose intravenous nitrates in hypertensive acute heart failure.  … Trial in Congestive Heart Failure (MERIT-HF). … The Role of the Clinical Examination in Patients With Heart Failure.

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72632/psn-pdf
     January 13, 2021 - Algorithmic prediction of failure modes in healthcare. … Algorithmic prediction of failure modes in healthcare. … https://psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare Failure mode and effect … This study found that an algorithmic prediction of failure modes in healthcare (APFMH) is more effective … https://psnet.ahrq.gov/issue/algorithmic-prediction-failure-modes-healthcare https://psnet.ahrq.gov/issue

267. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/vtguide/guide2.html
     February 01, 2016 - Every improvement effort faces obstacles—both barriers and failure modes. … One common failure mode is the lack of standardized protocols or order sets for VTE prevention. … Too many order sets is a variant of this failure mode worth special mention. … These failure modes encompass the top two sources of breakdown in the process in Figure 2.1. … Interventions can then be designed to address these failure modes and their underlying causes.

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48162/psn-pdf
     July 24, 2019 - Allowing failure for educational purposes in postgraduate clinical training: a narrative review. … Allowing failure for educational purposes in postgraduate clinical training: A narrative review. … https://psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative … - review Learning from failure is more appropriate in some contexts than others. … https://psnet.ahrq.gov/issue/allowing-failure-educational-purposes-postgraduate-clinical-training-narrative-review

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851651/psn-pdf
     July 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … https://psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric … - hospital Failure mode and effect analysis (FMEA) is a common way to identify error risk. … https://psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47820/psn-pdf
     May 11, 2019 - Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known … Missed diagnosis of new-onset systolic heart failure at first presentation in children with no known … https://psnet.ahrq.gov/issue/missed-diagnosis-new-onset-systolic-heart-failure-first-presentation-children … no-known-heart In this retrospective study, researchers found that the diagnosis of systolic heart failure … missed on first presentation for almost 50% of pediatric patients hospitalized with new-onset heart failure

271. MEDICAL MANAGEMENT OF CONGESTIVE HEART FAILURE AND THE EFFECTIVENESS OF ISOSORBIDE DINITRATE AND HYDRALAZINE (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/congestive-heart-failure-medicines_research.pdf
     March 01, 2010 - MEDICAL MANAGEMENT OF CONGESTIVE HEART FAILURE AND THE EFFECTIVENESS OF ISOSORBIDE DINITRATE AND HYDRALAZINE … hospitalization in veterans with heart failure. … Effect of vasodilator therapy on mortality in chronic congestive heart failure. … Combination of isosorbide dinitrate and hydralazine in blacks with heart failure. … Clinical Performance Measures) Endorsed by the Heart Failure Society of America.

272. Taxonomic Guidance for Remedial Actions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
     December 23, 2004 - The three main categories are mistaken action, failure of detection, and failure of reaction. … Level 3: What contributed to the failure? … In theory, the remedial action required to address a given failure not only depends on what that failure … The row labels are a sampling of the failure classification in the taxonomy. … manifested itself, and the causes of the failure on two levels.

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73471/psn-pdf
     July 07, 2021 - Rapid response teams as a patient safety practice for failure to rescue. … Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. … https://psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue Rapid response … evidence included in the AHRQ Making Healthcare Safer III report about the use of RRTs to decrease failure … https://psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue https://psnet.ahrq.gov

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50852/psn-pdf
     January 29, 2020 - Failure mode and effects analysis to reduce risk of heparin use. … Failure mode and effects analysis to reduce risk of heparin use. … This study used a failure mode and effects analysis (FMEA) to prospectively analyze various steps in … The FMEA identified 233 potential failures and 737 potential causes of failure. … Underlying causes of failure included mathematical errors, EHR challenges, and varying practice and

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852278/psn-pdf
     August 09, 2023 - Identifying failure modes in telemedicine: an instructional needs assessment. … Identifying failure modes in telemedicine: an instructional needs assessment. … https://psnet.ahrq.gov/issue/identifying-failure-modes-telemedicine-instructional-needs-assessment Implementation … In this study, medical students used Healthcare Failure Modes and Effect Analysis to identify the causes … https://psnet.ahrq.gov/issue/identifying-failure-modes-telemedicine-instructional-needs-assessment https

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72468/psn-pdf
     November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes … Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes … psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site- using-failure … Health system leadership used failure modes and effect analysis, process mapping, and on-site walkthroughs … psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50824/psn-pdf
     January 22, 2020 - Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management … Failure to rescue and 30?day in?hospital mortality in hospitals with and without crew?resource? … https://psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew- … impact of crew resource management (CRM) training for surgical staff and organizational leadership on failure … https://psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management

278. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
     May 01, 2018 - Same Narrowing Hospital patients with heart failure and left ventricular systolic dysfunction … Hispanics and Whites had similar rates of admission for congestive heart failure. … Importance: Early detection and treatment of high blood pressure can prevent heart failure, kidney failure … Admissions for Congestive Heart Failure Adult admissions for congestive heart failure per 100,000 population … Importance: Racial disparities in care for congestive heart failure have been observed.

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866395/psn-pdf
     July 23, 2024 - 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. … Failure to rescue. PSNet. Agency for Healthcare Research and Quality. September 7, 2019. … https://psnet.ahrq.gov/primer/failure-rescue

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74212/psn-pdf
     January 01, 2022 - Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. … Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer- … Using failure mode and effects analysis (FMEA), researchers identified potential failures related to … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy