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Showing results for "failure".

  1. Comformat2004-072904

    hcup-us.ahrq.gov/toolssoftware/comorbidity/comformat2004-072904.txt
    July 29, 2004 - around this SAS constraint, the comorbidities for */ /* Congestive Heart Failure … /* comoanaly2004.txt when they overlap with each */ /* other or Renal Failure … or renal failure */ /* occurs. … "40519", "40599" = "HTNWOCHF" /* Hypertensive heart disease without heart failure … 40201", "40211", "40291" = "HTNWCHF" /* Hypertensive heart disease with heart failure

  2. Selected Best Practices and Suggestions for Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
    May 20, 2016 - hospitalized patients experienced problems with glucose control (if diagnosed with diabetes) or renal failure … Manage Prevention Strategies for Postoperative Patients Avoid risk factors for acute renal failure … • Produce monthly glycemic management outcome and renal failure reports and use to provide group … Prevention of postoperative acute renal failure. J Postgrad Med 2002;48(1):64- 70. 8. … Diagnostic evaluation of the patient with acute renal failure. In Berl T, Bonventre JV, eds.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41297/psn-pdf
    September 19, 2012 - Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … the benefits and drawbacks of using failure mode and effects analysis as a prospective risk assessment … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much https://psnet.ahrq.gov … /issue/failure-mode-and-effect-analysis-reliable https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34698/psn-pdf
    January 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective … https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient … - safetys The authors describe their adaptation of failure mode and effects analysis, a prospective … Their system, Health Care Failure Mode Effects Analysis (HFMEA), is documented in detail, including

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61125/psn-pdf
    November 11, 2020 - Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to … Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue … The results of a human-centered design analysis exploring tactics to reduce failure to rescue were summarized … inattentional-blindness-and-failures-rescue-deteriorating-patient-critical-care-emergency-and https://psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39877/psn-pdf
    September 29, 2010 - Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research … https://psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare … - research-and The AHRQ Patient Safety Indicator for postoperative respiratory failure accurately identified … cases of clinically diagnosed respiratory failure, with a false-positive rate of approximately 17%.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41126/psn-pdf
    February 01, 2013 - The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … https://psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate … - nurse-medication This study reports on a multidisciplinary failure mode and effect analysis of nursing … https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43019/psn-pdf
    March 05, 2014 - Augmenting health care failure modes and effects analysis with simulation. … Augmenting health care failure modes and effects analysis with simulation. … https://psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation Failure … Traditional FMEA relies on brainstorming among team members to detect failure modes (the ways in which … https://psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation https

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43565/psn-pdf
    March 22, 2016 - The role of failure mode and effects analysis in health care. March 22, 2016 Fibuch E, Ahmed A. … The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32. … https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care Failure mode and effects … the process, describes a scoring tool applying Six Sigma designations to determine probability of failure … https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care https://psnet.ahrq.gov

  10. Comformat2006-011207

    hcup-us.ahrq.gov/toolssoftware/comorbidity/comformat2006-011207.txt
    December 12, 2006 - These codes are found in the renal */ /* failure and alcohol abuse formats. … around this SAS constraint, the comorbidities for */ /* Congestive Heart Failure … /* comoanaly2004.txt when they overlap with each */ /* other or Renal Failure … of the hypertension complicated comorbidity when */ /* overlapping with congestive heart failure … or renal failure */ /* occurs.

  11. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman … Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. … Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. … November 2, 2022 View More Related Resources Failure to rescue … Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 Failure

  12. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
    April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. … Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. … November 4, 2015 Health care failure mode and effect analysis to reduce NICU line–associated … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38741/psn-pdf
    June 24, 2009 - Frequency of failure to inform patients of clinically significant outpatient test results. … Frequency of failure to inform patients of clinically significant outpatient test results. … https://psnet.ahrq.gov/issue/frequency-failure-inform-patients-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

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44484/psn-pdf
    May 04, 2016 - Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … Failure mode and effects analysis: a comparison of two common risk prioritisation methods. … https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation … - methods Failure mode and effect analysis (FMEA) is a human factors engineering method used to examine … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis https://psnet.ahrq.gov/primer

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60680/psn-pdf
    July 15, 2020 - Building upon previous work, this study used root cause analyses to identify the failure points and … Omitted process steps included failure to screen for adolescent depression, failure to recognize and … act on abnormal blood pressure values, and failure to notify families of abnormal lab results.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840145/psn-pdf
    November 16, 2022 - Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations … Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations … https://psnet.ahrq.gov/issue/failure-crisis-leadership-global-pandemic-some-reflections-covid-19-and-future … https://psnet.ahrq.gov/issue/failure-crisis-leadership-global-pandemic-some-reflections-covid-19-and-future

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851910/psn-pdf
    August 02, 2023 - events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure … events and hospital performance on 30-Day all-cause mortality and readmission for patients with heart failure … association of these two indicators with in-hospital adverse events (AE) for patients admitted with heart failure … Results suggest patients with heart failure admitted to hospitals with high rates of 30-day all-cause

  18. Qualitative Interview Questions for Electronic Health Record Implementation (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/qualitative-interview-ehr-implementation.pdf
    June 16, 2021 - What is contributing to its failure? 8. … What is contributing to its failure? 8. … Has the project been a success or a failure or some combination? … Has the project been a success or a failure or some combination? … Has the project been a success or a failure or some combination?

  19. Comformat2005-010405

    hcup-us.ahrq.gov/toolssoftware/comorbidity/comformat2005-010405.txt
    January 04, 2005 - around this SAS constraint, the comorbidities for */ /* Congestive Heart Failure … /* comoanaly2004.txt when they overlap with each */ /* other or Renal Failure … or renal failure */ /* occurs. … "40519", "40599" = "HTNWOCHF" /* Hypertensive heart disease without heart failure … 40201", "40211", "40291" = "HTNWCHF" /* Hypertensive heart disease with heart failure

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44049/psn-pdf
    September 12, 2016 - A systematic review to identify the factors that affect failure to rescue and escalation of care in … A systematic review to identify the factors that affect failure to rescue and escalation of care in … https://psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care … - surgery Failure to rescue—lack of adequate response to patient deterioration—has been associated … found that high hospital volume and increased patient-to-nurse staffing ratios were associated with failure
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