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psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management
January 26, 2022 - Study
Failure to rescue and 30-day in-hospital mortality in hospitals with and without … Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management … Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management … October 19, 2022
Reducing failure to rescue rates in a paediatric in-patient setting: … January 27, 2021
Failure to rescue deteriorating patients: a systematic review of root
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - Study
Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year … Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study … Failure to identify and prevent clinical deterioration can reflect the quality and effectiveness of … This study used routinely collected emergency event data to identify failure to rescue events at one … Over the nine-year period, failure to rescue events decreased from 23.6% to 2.5%.
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psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
October 19, 2022 - Commentary
Safe chemotherapy administration: using failure mode and effects analysis … Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber … This case study describes one hospital’s use of failure mode and effects analysis (FMEA) to improve … Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber … July 29, 2020
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Related Resources
Healthcare failure mode
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/citation/comparison-approaches
January 01, 2023 - Comparison of approaches for heart failure case identification from electronic health record data. … Comparison of approaches for heart failure case identification from electronic health record data. … Project Name
Health Information Technology in Heart Failure Care
Document Type
Journal … Publication
Population
Adults
Medical Condition
Congestive Heart Failure (CHF
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/citation/association-hba1c
January 01, 2023 - Association of HbA1c with hospitalization and mortality among patients with heart failure and diabetes … Association of HbA1c with hospitalization and mortality among patients with heart failure and diabetes … Project Name
Health Information Technology in Heart Failure Care
Technology
Clinical … Journal Publication
Population
Adults
Medical Condition
Congestive Heart Failure
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/modeling
January 01, 2023 - Modeling personas for older adults with heart failure. … Modeling personas for older adults with heart failure. … Project Name
Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Conference Proceeding
Population
Elderly
Medical Condition
Congestive Heart Failure
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/knowledge
January 01, 2023 - Knowledge among patients with heart failure: A narrative synthesis of qualitative research. … Knowledge among patients with heart failure: A narrative synthesis of qualitative research. … Project Name
Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Journal Publication
Population
Patient
Medical Condition
Congestive Heart Failure
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/naturalistic
January 01, 2023 - 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. … Project Name
Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Population
Elderly
Individuals with Chronic Care Needs
Medical Condition
Congestive Heart Failure
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
November 25, 2009 - Study
Failure mode and effects analysis outputs: are they valid? … Failure mode and effects analysis outputs: are they valid? … Failure mode and effects analysis outputs: are they valid? … March 1, 2011
Failure mode and effects analysis: an empirical comparison of failure mode … December 15, 2010
Is failure mode and effect analysis reliable?
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psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
November 24, 2021 - 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure … ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure … This qualitative study explored physicians experience allowing for failure for education purposes in … Allowing supervised failure was perceived to be an important element of trainee development and was not … ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing trainee failure
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effectivehealthcare.ahrq.gov/products/heart-failure-natriuretic-peptide/research
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effectivehealthcare.ahrq.gov/products/heart-failure-transition-care/research
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digital.ahrq.gov/ahrq-funded-projects/power-patient-design-and-test-closed-loop-interactive-it-geriatric-heart/citation/uncertainty
January 01, 2023 - Uncertainty management among older adults with heart failure: Responses to receiving implanted device … Uncertainty management among older adults with heart failure: Responses to receiving implanted device … Project Name
Power to the Patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure … Conference Proceeding
Population
Elderly
Medical Condition
Congestive Heart Failure
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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
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psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
April 20, 2022 - Review
Prevention of failure to rescue in obstetric patients: a realist review. … Prevention of failure to rescue in obstetric patients: a realist review. … Failure to rescue , the delayed or missed recognition of a potentially fatal complication that results … Prevention of failure to rescue in obstetric patients: a realist review. … October 20, 2021
Reducing failure to rescue rates in a paediatric in-patient setting:
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psnet.ahrq.gov/issue/radiology-failure-mode-and-effect-analysis-what-it
May 03, 2017 - Commentary
Radiology failure mode and effect analysis: what is it? … Radiology failure mode and effect analysis: what is it? … This article introduces the concept of failure mode and effect analysis , outlines the process, and … Radiology failure mode and effect analysis: what is it? … February 2, 2022
Algorithmic prediction of failure modes in healthcare.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/premortem-tool.html
January 01, 2017 - The team then develops plans to mitigate these reasons for failure. … "Spend the next 10 minutes writing down all the reasons you believe this failure occurred. … The team will then develop plans to mitigate these reasons for failure. … Please spend the next 10 minutes writing down all the reasons you believe this failure occurred. … REASONS FOR FAILURE
What could have caused this?
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care/final-report
January 01, 2023 - Health Information Technology in Heart Failure Care - Final Report
Citation
Blecker … Health Information Technology in Heart Failure Care - Final Report. … Project Name
Health Information Technology in Heart Failure Care
Technology
Artificial … Population
Adults
Physician
Medical Condition
Chronic Conditions
Congestive Heart Failure
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
November 25, 2009 - Commentary
Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … Failure mode and effects analysis: too little for too much? … July 31, 2013
Failure mode and effects analysis outputs: are they valid? … April 7, 2010
Is failure mode and effect analysis reliable?
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psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
October 19, 2022 - Study
Failure to rescue as a process measure to evaluate fetal safety during labor … Failure to rescue as a process measure to evaluate fetal safety during labor. … This study discovers that using selected failure to rescue process measures may help identify areas … Failure to rescue as a process measure to evaluate fetal safety during labor. … May 4, 2022
Prevention of failure to rescue in obstetric patients: a realist review.