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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
March 09, 2022 - Study
Healthcare failure mode and effect analysis in the chemotherapy preparation … Healthcare failure mode and effect analysis in the chemotherapy preparation process. … Researchers in this study used healthcare failure mode and effect analysis (HFMEA) to identify and … Potential approaches to reduce these failure modes include updating the Standard Operating Procedures … Healthcare failure mode and effect analysis in the chemotherapy preparation process.
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psnet.ahrq.gov/issue/augmenting-health-care-failure-modes-and-effects-analysis-simulation
December 18, 2024 - Study
Augmenting health care failure modes and effects analysis with simulation. … Augmenting health care failure modes and effects analysis with simulation. … Failure mode and effect analysis (FMEA) is a widely used tool for identifying latent safety hazards … Traditional FMEA relies on brainstorming among team members to detect failure modes (the ways in which … Augmenting health care failure modes and effects analysis with simulation.
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psnet.ahrq.gov/issue/using-failure-mode-effect-and-criticality-analysis-improve-safety-cancer-treatment
October 21, 2020 - Study
Using Failure Mode, Effect and Criticality Analysis to improve safety in the … Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription … January 16, 2013
Using failure mode and effects analysis to increase patient safety in … December 22, 2021
Reducing failures in daily medical practice: healthcare failure mode … November 17, 2021
Reducing failures in daily medical practice: healthcare failure mode
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psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
December 09, 2020 - High rate of implementation of proposed actions for improvement with the Healthcare Failure … High Rate of Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect … Failure mode effect analysis is a widely used method of prospectively detecting safety hazards , but … High Rate of Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect … June 9, 2021
Algorithmic prediction of failure modes in healthcare.
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psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy
August 18, 2021 - Study
Using failure mode and effects analysis to increase patient safety in cancer … Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. … Using failure mode and effects analysis (FMEA), researchers identified potential failures related to … Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. … June 15, 2012
Failure mode and effects analysis: an empirical comparison of failure mode
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
December 01, 2017 - Fiscal year 2010
Liver
Hepatic Coma
Acute Liver Failure and Disease … (All)
Renal Failure:
Kidney Transplant
End Stage Renal Disease
Chronic … Renal Failure, Stage V
Dialysis ( but without Small Kidney or Acute Kidney Failure)
Diabetes … Renal Failure:
Kidney Transplant
End Stage Renal Disease
Chronic Renal … Failure, Stage V
Dialysis ( but without Small Kidney or Acute Kidney Failure)
Amputation
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psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - Commentary
Organisational failure: rethinking whistleblowing for tomorrow's doctors … Organisational failure: rethinking whistleblowing for tomorrow’s doctors. … Organisational failure: rethinking whistleblowing for tomorrow’s doctors.
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psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
June 18, 2019 - Study
Interpersonal and organizational dynamics are key drivers of failure to rescue … Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. … Stakeholders at five Michigan hospitals identified two changeable causes of failure to rescue: delayed … A WebM&M commentary discussed a failure to rescue and system-level means to address the adverse outcome … Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue.
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psnet.ahrq.gov/issue/failure-events-transition-care-surgical-patients
October 19, 2022 - Study
Failure events in transition of care for surgical patients. … Failure events in transition of care for surgical patients. … Wide variation in hospital surgical mortality rates have been attributed to failure to rescue patients … Failure events in transition of care for surgical patients. … December 4, 2024
View More
Related Resources
Failure to rescue
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
October 01, 2014 - Management Evidence Base
Appendix: State Overviews
Review Synopsis: Congestive Heart Failure … To evaluate the effect of care management on congestive heart failure (CHF), we reviewed 18 relevant … Scores from the Minnesota Living with Heart Failure and Kansas City Cardiomyopathy questionnaires. … An evidence-based approach to improving care of patients with heart failure across the continuum. … Effectiveness of the clinical pathway in the management of congestive heart failure.
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digital.ahrq.gov/ahrq-funded-projects/patient-intestinal-failure-echo-project-pif-echo
September 30, 2024 - Patient Intestinal Failure-ECHO Project (PIF-ECHO)
Project Description … will enhance patient knowledge of best practices and confidence in self-care for chronic intestinal failure … Health System
Patient Education
Patient Engagement
Telehealth
Chronic intestinal failure … This study will adapt the ECHO Model for patient use through the Patient Intestinal Failure-ECHO Project
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psnet.ahrq.gov/issue/identifying-failure-modes-telemedicine-instructional-needs-assessment
August 23, 2023 - Study
Identifying failure modes in telemedicine: an instructional needs assessment … Identifying failure modes in telemedicine: an instructional needs assessment. … In this study, medical students used Healthcare Failure Modes and Effect Analysis to identify the causes … Identifying failure modes in telemedicine: an instructional needs assessment.
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psnet.ahrq.gov/issue/exploring-association-between-organizational-safety-climate-failure-rescue-and-mortality
January 26, 2022 - Study
Exploring the association between organizational safety climate, failure to … Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in … Lack of communication and interpersonal dynamics can contribute to failure to rescue . … Exploring the Association Between Organizational Safety Climate, Failure to Rescue, and Mortality in … September 2, 2020
Failure to rescue and 30-day in-hospital mortality in hospitals with
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www.ahrq.gov/es/patient-safety/settings/hospital/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.
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www.ahrq.gov/patient-safety/settings/hospital/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.
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psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during
September 24, 2018 - Study
Emerging Classic
Failure to debrief after critical … Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during … Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during
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effectivehealthcare.ahrq.gov/products/nppv-respiratory-failure/research-protocol
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effectivehealthcare.ahrq.gov/products/heart-failure-seniors-estimators/research
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psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
May 19, 2021 - Study
Failure to rescue following emergency surgery: a FRAM analysis of the management … Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating … Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating … August 18, 2021
The physiology of failure: identifying risk factors for mortality in … April 1, 2019
Failure events in transition of care for surgical patients.
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psnet.ahrq.gov/issue/risk-assessment-acute-stroke-diagnostic-process-using-failure-modes-effects-and-criticality
July 21, 2021 - Study
Risk assessment of the acute stroke diagnostic process using failure modes, … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … an accurate history , and failure to consider a stroke diagnosis during triage. … Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality … August 12, 2020
Using Failure Mode, Effect and Criticality Analysis to improve safety