U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: over 10,000 records

Showing results for "failure".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42995/psn-pdf
    September 12, 2016 - Failure events in transition of care for surgical patients. … Failure events in transition of care for surgical patients. … https://psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients Wide variation in hospital … factors associated with unplanned transfers to the intensive care unit after surgery and found that failure … https://psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients https://psnet.ahrq.gov/

  2. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - Case Objectives Define failure to rescue. … Identify the main contributors to failure-to-rescue events. … Failure-to-rescue is the failure to prevent a clinically important deterioration, such as death or permanent … Take-Home Points Failure to rescue is a failure to prevent a clinically important deterioration, … Conceptual Model for Understanding and Improving Failure to Rescue.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36207/psn-pdf
    October 13, 2010 - Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. … Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump … - technology The authors describe their use of failure mode and effects analysis to inform the launch … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41006/psn-pdf
    December 21, 2011 - Failure to notify reportable test results: significance in medical malpractice. … Failure to notify reportable test results: significance in medical malpractice. … https://psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice … malpractice claims over an 18-year period identified more than 300 cases of malpractice attributable to failure … https://psnet.ahrq.gov/issue/failure-notify-reportable-test-results-significance-medical-malpractice

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41022/psn-pdf
    December 21, 2011 - Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects … Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects … https://psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis- failure-mode-and … This commentary recommends that courses covering root cause analysis, failure mode and effects analysis … https://psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867696/psn-pdf
    March 05, 2025 - Topics include the importance of understanding failure to rescue, the patient’s role in care escalation … textbook-rapid-response-systems-concept-and-implementation https://psnet.ahrq.gov/issue/rapid-response-systems-0 https://psnet.ahrq.gov/primer/failure-rescue … https://psnet.ahrq.gov/primer/failure-rescue https://psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39735/psn-pdf
    January 03, 2017 - A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and … https://psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most … - team-and-its This commentary describes one hospital's experience implementing Failure Mode and Effects … https://psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40690/psn-pdf
    August 17, 2011 - Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect … Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect … https://psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure … - mode-and-effect A prospective failure mode and effect analysis identified 57 potential failures that … https://psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42329/psn-pdf
    December 18, 2014 - Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. … Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated … - bloodstream Successful application of a failure mode and effect analysis approach resulted in a marked … https://psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream

  10. System failure versus personal accountability--the case for clean hands. | PSNet

    psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands
    February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands … System failure versus personal accountability--the case for clean hands. … System failure versus personal accountability--the case for clean hands.

  11. Automation failures and patient safety. | PSNet

    psnet.ahrq.gov/issue/automation-failures-and-patient-safety
    November 21, 2012 - Review Automation failures and patient safety. Citation Text: Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

  12. Deconstructing intraoperative communication failures. | PSNet

    psnet.ahrq.gov/issue/deconstructing-intraoperative-communication-failures
    July 25, 2012 - Study Deconstructing intraoperative communication failures. Citation Text: Hu Y-Y, Arriaga AF, Peyre S, et al. Deconstructing intraoperative communication failures. J Surg Res. 2012;177(1):37-42. doi:10.1016/j.jss.2012.04.029. Copy Citation Format: DOI Google Scholar PubM…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43988/psn-pdf
    February 22, 2018 - High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect … High Rate of Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect … https://psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure … - mode-effect-analysis Failure mode effect analysis is a widely used method of prospectively detecting … https://psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42674/psn-pdf
    September 12, 2016 - Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a … https://psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure- … an intermediate care unit increased appropriate utilization of the rapid response team and reduced failure-to-rescue … https://psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39064/psn-pdf
    October 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures … Use of failure mode and effects analysis for proactive identification of communication and handoff failures … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication … - and-handoff Failure mode and effects analysis was used to identify vulnerable handoff and communication … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40657/psn-pdf
    August 03, 2011 - Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent … Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent … https://psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective … transitional care program produced a 48% reduction in readmission rates for elderly patients with heart failure … https://psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41724/psn-pdf
    January 01, 2013 - Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug … https://psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors … - process-drug In this study, failure mode and effect analysis—a prospective risk assessment tool—successfully … https://psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45609/psn-pdf
    November 16, 2016 - A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. … A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. … https://psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy … Health care failure mode and effect analysis (HFMEA) was developed by the Veterans Affairs health system … https://psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy https

  19. Comformat2012-2015

    hcup-us.ahrq.gov/toolssoftware/comorbidity/comformat2012-2015.txt
    January 01, 2015 - 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.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40348/psn-pdf
    June 28, 2011 - The Failure Issue. June 28, 2011 Harv Bus Rev. April 2011;89(4);1-140. …   https://psnet.ahrq.gov/issue/failure-issue This special issue explores business executives' … experiences with recognizing, learning from, and avoiding failure. … https://psnet.ahrq.gov/issue/failure-issue https://psnet.ahrq.gov/issue/strategies-learning-failure
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (7834)

www.ahrq.gov (1922)

effectivehealthcare.ahrq.gov (925)

hcup-us.ahrq.gov (839)

digital.ahrq.gov (598)

www.uspreventiveservicestaskforce.org (347)

meps.ahrq.gov (34)

cds.ahrq.gov (25)

integrationacademy.ahrq.gov (18)

pso.ahrq.gov (15)

cdsic.ahrq.gov (12)

qualityindicators.ahrq.gov (9)

datatools.ahrq.gov (3)