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digital.ahrq.gov/organization/st-vincent-healthcare
January 01, 2023 - Vincent Healthcare
Home Heart Failure (HF) Care: Comparing Patient-Driven … Models - 2008
Principal Investigator
Goldberg, Lee
Project Name
Home Heart Failure … (HF) Care: Comparing Patient-Driven Technology Models
Home Heart Failure (HF … impact of health IT on clinical and financial outcomes for patients with symptomatic congestive heart failure
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psnet.ahrq.gov/node/35721/psn-pdf
March 28, 2011 - Health Care Failure Mode and Effect Analysis: a useful
proactive risk analysis in a pediatric oncology … Health Care Failure Mode and Effect Analysis: a
useful proactive risk analysis in a pediatric oncology … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-useful-proactive-risk-analysis … -
pediatric
The authors applied the VA's Health Care Failure Mode and Effect Analysis (HFMEA) process … to vincristine
errors and found the tool to be effective in identifying failure.
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psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - Failure to debrief after critical events in anesthesia is
associated with failures in communication … Failure to Debrief after Critical Events in Anesthesia Is
Associated with Failures in Communication … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-
communication-during … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2025%20Bilateral%20Cardiac%20Catheterization%20Rate.xlsx
November 01, 2013 - Rheumatic heart failure
402.90 Unspecified hypertensive heart disease without heart failure I09.89 … heart failure I42.3 Endomyocardial (eosinophilic) disease
428.30 Diastolic heart failure, unspecified … failure I43. … I50.1 Left ventricular failure
428.9 Heart failure, unspecified I50.20 Unspecified systolic (congestive … ) heart failure
745.0 Common truncus I50.21 Acute systolic (congestive) heart failure
745.10 Complete
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psnet.ahrq.gov/node/45827/psn-pdf
January 24, 2018 - Using failure mode and effects analysis to reduce patient
safety risks related to the dispensing process … Using Failure mode and Effects Analysis to reduce patient
safety risks related to the dispensing process … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related … -
dispensing
Failure mode and effect analysis is a tool commonly used to proactively assess the reliability … The authors describe the application of failure mode and effect analysis to
identify failure modes in
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srdr.ahrq.gov/projects/1591/studies/195587
: Results from the Danish TeleCare North heart failure trial. … Key Questions Addressed
26
Heart Failure Guiding Question 1. … Comments ( 0 ) |
Post/View
27
Heart Failure Guiding Question 2 … Comments ( 0 ) |
Post/View
28
Heart Failure Guiding Question 3 … : Results from the Danish TeleCare North heart failure trial.
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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
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-failure-rescue-protocol-amendment.pdf
September 19, 2023 - for an Evidence-based Practice Center Rapid
Review
Project Title: Making Healthcare Safer IV: Failure … What is the frequency and severity of harms associated with the failure to rescue that is
targeted … What patient safety measures or indicators have been used to examine the harms associated
with this failure … is the rationale for the PSPs that have been used to prevent or mitigate the harms
associated with failure … ) or response (i.e.,
efferent limb failure).15, 19-21
Overview of the PSP
Rapid response systems
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psnet.ahrq.gov/node/838022/psn-pdf
September 07, 2022 - Organisational failure: rethinking whistleblowing for
tomorrow's doctors. … Organisational failure: rethinking whistleblowing for tomorrow’s doctors. … https://psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
Normalization … https://psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
https
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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
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psnet.ahrq.gov/node/49856/psn-pdf
March 01, 2019 - Only one-third of patients
who required intubation were considered high risk for extubation failure … , heart failure, or encephalopathy instead of stridor). … There is currently no consensus on optimal therapies to prevent extubation failure. … Risk factors for extubation failure in patients following a
successful spontaneous breathing trial. … The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med.
1997;156(2 pt 1):459-465.
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psnet.ahrq.gov/node/838175/psn-pdf
September 28, 2022 - Modes of failure in venous thromboembolism
prophylaxis. … Modes of failure in venous thromboembolism prophylaxis. … https://psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
Hospital-acquired venous … https://psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
https://psnet.ahrq.gov/
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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%.
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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
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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
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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
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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
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srdr.ahrq.gov/projects/1591/studies/195582
January 01, 2016 - Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure … : The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial. … Key Questions Addressed
26
Heart Failure Guiding Question 1. … Comments ( 0 ) |
Post/View
27
Heart Failure Guiding Question 2 … Comments ( 0 ) |
Post/View
28
Heart Failure Guiding Question 3
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psnet.ahrq.gov/node/48093/psn-pdf
July 24, 2019 - Failure to report poor care as a breach of moral and
professional expectation. … Failure to report poor care as a breach of moral and professional
expectation. … https://psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
Culture … https://psnet.ahrq.gov/issue/failure-report-poor-care-breach-moral-and-professional-expectation
https
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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