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Showing results for "failure".

61. Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. | PSNet
    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

62. Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart
    January 01, 2023 - Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care … Naturalistic decision making in everyday self-care among older adults with heart failure. … Naturalistic decision making in everyday self-care among older adults with heart failure. … Knowledge among patients with heart failure: A narrative synthesis of qualitative research. … Modeling personas for older adults with heart failure.

63. Patient Intestinal Failure-ECHO Project (PIF-ECHO) | Digital Healthcare Research
    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

64. Failure events in transition of care for surgical patients. | PSNet
    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

65. Identifying failure modes in telemedicine: an instructional needs assessment. | PSNet
    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.

66. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet
    psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
    November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … November 17, 2021 Using Failure Mode, Effect and Criticality Analysis to improve safety … January 22, 2017 Failure mode and effects analysis: an empirical comparison of failure

67. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet
    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.

68. Mistakes, Errors and Failures across Cultures. | PSNet
    psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
    January 20, 2021 - ISBN 9783030355739 Human error , mistakes and failure have cultural aspects that are important … While broader  in its scope than health care, this book discusses failure psychology in a variety of

69. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. | PSNet
    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

70. High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. | PSNet
    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.

71. Impact of System Failures on Healthcare Workers | PSNet
    psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
    August 30, 2023 - professionals to reflect on the impact that the conviction may have on the healthcare system, safety failure … adverse events result from a series of circumstances in environments with underlying system flaws and failure … individuals emotionally, resulting in a lack of motivation, lack of empathy for patients, a sense of failure … Consistent collection of data may allow continuous monitoring and early recognition of system failure … and refer to the traumatic effects that are felt by healthcare workers after involvement in a system failure

72. Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. | PSNet
    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

73. Table A.4.1. Verisk condition classifications | Agency for Healthcare Research and Quality
    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

74. Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet
    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.

75. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
    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.

76. Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units. | PSNet
    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

77. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
    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.

78. Chapter 2. Analyze Care Delivery | Agency for Healthcare Research and Quality
    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.

79. RED Lowering Hospital Readmissions and Improving Patient Satisfaction at Euclid Hospital in Ohio | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201415.html
    September 01, 2014 - Re-Engineered Discharge (RED) toolkit and seeing patient satisfaction improve and avoidable heart failure … Based on the success of that pilot project, the hospital expanded RED to all heart failure patients. … The hospital now hopes to reduce the readmission rate for all heart failure patients to less than 20 … The United States national rate of readmission for heart failure patients is 23 percent, according to … While in the hospital, a registered nurse appointed as a care advocate sees heart failure patients by

80. Noninvasive Positive-Pressure Ventilation (NPPV) for Acute Respiratory Failure | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/products/nppv-respiratory-failure/research-protocol