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Showing results for "failure".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37242/psn-pdf
    September 12, 2016 - Failure-to-rescue: comparing definitions to measure quality of care. … Failure-to-rescue: comparing definitions to measure quality of care. … https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care This study examined … the effectiveness of three different failure to rescue definitions in evaluating the quality of care … https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care https://psnet.ahrq.gov

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38469/psn-pdf
    March 11, 2009 - Post-discharge medication reviews for patients with heart failure: a pilot study. … Post-discharge medication reviews for patients with heart failure: a pilot study. … https://psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study A … successfully implemented in order to improve postdischarge care for patients with congestive heart failure … https://psnet.ahrq.gov/issue/post-discharge-medication-reviews-patients-heart-failure-pilot-study https

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure … psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit- application-failure … This study applied failure mode and effect analysis (FMEA) to identify possible risks associated with … psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis … https://psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure … modes-and-effects This study utilized a multidisciplinary team of oncology providers to conduct a failure … https://psnet.ahrq.gov/issue/error-reduction-pediatric-chemotherapy-computerized-order-entry-and-failure-modes-and-effects

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41588/psn-pdf
    August 15, 2012 - Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with … Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with … https://psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation- failure-patients-trauma … https://psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma … https://psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41663/psn-pdf
    January 31, 2013 - Physician patient communication failure facilitates medication errors in older polymedicated patients … Physician patient communication failure facilitates medication errors in older polymedicated patients … https://psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older … https://psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated … https://psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34991/psn-pdf
    June 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. … Use of failure mode and effects analysis in improving the safety of i.v. drug administration. … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration … The authors used failure mode and effects analysis (FMEA) to identify dosing and administration errors … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38889/psn-pdf
    April 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation … Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation … https://psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry … https://psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system … https://psnet.ahrq.gov/issue/anatomy-failure-sociotechnical-evaluation-laboratory-physician-order-entry-system

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40620/psn-pdf
    July 22, 2011 - The role of documents and documentation in communication failure across the perioperative pathway. … The role of documents and documentation in communication failure across the perioperative pathway. … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across- perioperative-pathway … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway … https://psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40195/psn-pdf
    February 02, 2011 - Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal … Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal … https://psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure- … https://psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal … https://psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44910/psn-pdf
    March 09, 2016 - Systematically Identified Failure Is the Route to a Successful Health System. … https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system Identifying … Exploring challenges to system-level efforts to learn from failure in health care, articles in this … https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system https:/ … learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and https://psnet.ahrq.gov/issue/strategies-learning-failure

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36838/psn-pdf
    April 19, 2011 - A very public failure: lessons for quality improvement in healthcare organisations from the Bristol … A very public failure: lessons for quality improvement in healthcare organisations from the Bristol … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal

  13. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/nppv-respiratory-failure_research-protocol.pdf
    April 21, 2011 - The causes of respiratory failure are quite diverse and include pneumonia, congestive heart failure … Management of Respiratory Failure The management of acute respiratory failure begins with efforts … due to COPD and congestive heart failure. … In adults with COPD and acute respiratory failure? b. In adults with ACPE? c. … In adults with COPD and acute respiratory failure? b. In adults with ACPE? c.

  14. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/nppv-respiratory-failure_research-protocol.pdf
    April 21, 2011 - The causes of respiratory failure are quite diverse and include pneumonia, congestive heart failure … Management of Respiratory Failure The management of acute respiratory failure begins with efforts … due to COPD and congestive heart failure. … In adults with COPD and acute respiratory failure? b. In adults with ACPE? c. … In adults with COPD and acute respiratory failure? b. In adults with ACPE? c.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39873/psn-pdf
    January 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician … A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician … https://psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis- … raised by a physician with a common last name during executive walk rounds, the institution conducted a failure … https://psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician

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

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
    May 20, 2016 - Why Focus on Postoperative Respiratory Failure? … Generally, postoperative respiratory failure is the failure to wean from mechanical ventilation within … Postoperative Respiratory Failure Risk Calculator http://www.qxmd.com/calculate-online/respirology/postoperative-respiratory-failure-risk … Why focus on postoperative respiratory failure? [PowerPoint]. … Why Focus on Postoperative Respiratory Failure?

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - 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, such … Variation in mortality after high-risk cancer surgery: failure to rescue. … Conceptual Model for Understanding and Improving Failure to Rescue.

  18. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … ◆ Heart failure, including hypertensive heart disease with heart failure (ICD-10-CM I11, I13, I50

  19. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)

    talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … ◆ Heart failure, including hypertensive heart disease with heart failure (ICD-10-CM I11, I13, I50

  20. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)

    patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … Note: The term “heart failure” includes ICD-10-CM codes for heart failure, cardiomyopathy, and hypertensive … heart disease with heart failure. … ◆ Heart failure, including hypertensive heart disease with heart failure (ICD-10-CM I11, I13, I50
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