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Showing results for "failure".

  1. Rapid Evidence Product_Assisted Home Dialysis in the United States: New Interest in an Old Idea (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/home-dialysis-ESKD-rapid-research.pdf
    April 01, 2025 - pre-post analysis, they found that the program was associated with a decreased incidence of home HD failure … 42 a pre-post analysis found that the program was associated with a decreased incidence of home HD failure … The early history of dialysis for chronic renal failure in the United States: a view from Seattle. … Screening and supportive techniques for home dialysis in the treatment of renal failure. … • Utilization/uptake • Retention • Quality of life • Harms/Safety o Peritonitis o Technique failure

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34737/psn-pdf
    November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. … https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced … https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure https://psnet.ahrq.gov

  3. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - resulting in transfer to an acute-care hospital and contributing to death • Pneumonia and respiratory failure … treated with ineffective medication for several days, leading to increased bruising, respiratory failure … Cascade with septic shock related to urinary catheter with delayed recognition leading to respiratory failure … contributing to death • Fungal central line-associated bloodstream infection leading to acute renal failure … , requiring acute-care hospital care, and ultimately death • Altered mental status and respiratory failure

  4. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
    March 01, 2017 - Failure to plan for and provide the necessary organizational infrastructure and resources can be a barrier

  5. Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet

    psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
    December 18, 2019 - Study Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. Citation Text: Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare…

  6. High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. | PSNet

    psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
    December 23, 2011 - Study High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. Citation Text: Brody AA, Gibson B, Tresner-Kirsch D…

  7. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet

    psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
    May 18, 2022 - Study Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. Citation Text: Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qu…

  8. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet

    psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
    December 14, 2022 - Study Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? Citation Text: Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult …

  9. State legal restrictions and prescription-opioid use among disabled adults. | PSNet

    psnet.ahrq.gov/issue/state-legal-restrictions-and-prescription-opioid-use-among-disabled-adults
    May 31, 2023 - Study Classic State legal restrictions and prescription-opioid use among disabled adults. Citation Text: Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.105…

  10. Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet

    psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
    January 21, 2019 - Commentary Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. Citation Text: Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…

  11. Section5 9 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_9.pdf
    January 01, 2007 - 100.0% 100.0% 27% Non-specific chest pain 48 91 13.4 20.3 91 Congestive heart failure … Appendicitis 27 46 8.8 11.1 68 Respiratory 527 537‡ 100.0 100.0 2 Respiratory failure … disorders) 147 193 31.0 36.3 32 Genitourinary 152 195 100.0 100.0 28 Acute renal failure … Medicaid hospital stays for some conditions more than doubled from 1997 to 2007:  Acute renal failure …  Respiratory failure (up 125 percent).  Anemia (up 118 percent).

  12. Exhibit 4.1 Cost by Diagnosis

    hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_4_1b.jsp
    January 01, 2008 - AGGREGATE COSTS IN BILLIONS MEAN COST Mood disorders 824 $4.2 $5,100 Acute renal failure … 798 $7.4 $9,300 Acute cerebrovascular disease 565 $7.6 $13,400 Respiratory failure … back problems 663 $9.5 $14,400 Pneumonia 1,156 $10.5 $9,000 Congestive heart failure

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46773/psn-pdf
    January 24, 2018 - /issue/patient-safety-complementary-medicine-through-application-clinical-risk- management-public Failure … This study describes the application of failure mode and effect analysis to better understand the patient … patient-safety-complementary-medicine-through-application-clinical-risk-management-public https://psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45599/psn-pdf
    July 02, 2017 - combined the narratives of various critical care nurses into four representative scenarios demonstrating failure … environments can miss an important event because of competing attentional tasks, as a key factor in these failure-to-rescue … invisible-gorilla-and-other-ways-our-intuitions-deceive-us https://psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47756/psn-pdf
    February 06, 2019 - psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it Complex systems are prone to failure … This book provides a multi-industry discussion of factors that contribute to failure. … highlight how complexity can exacerbate problems, small glitches can manifest themselves in large-scale failure

  16. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
    March 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case March 2007 Failure to Report Source and Credits This … Case: Failure to Report Several hours later, when removing another vial of ceftriaxone from the automated … of safe guards RN failure to confirm med identity prior to administration An environment predisposed … Case: Failure to Report (cont.) … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=10720336 Failure to Acknowledge Errors Even when

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45393/psn-pdf
    November 16, 2016 - for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure … for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure … independent physician chart review to assess the reliability of PSI 11 (postoperative respiratory failure

  18. Dental Recommendations for Preventing Complications in Patients with Chronic Conditions Health Partners Research Foundation eDent Study (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
    January 01, 2005 - Renal failure f. Thyrotoxicosis g. Chronic obstructive lung disease 3. … Asymptomatic heart failure, previous MI, LV dysfunction, valvular heart disease III. … Renal failure f. Thyrotoxicosis g. Chronic obstructive lung disease 3. … Asymptomatic heart failure, previous MI, LV dysfunction, valvular heart disease III. … The incidence and prevalence of congestive heart failure in Rochester, Minnesota.

  19. Most Frequent Principal Diagnoses for Inpatient Stays in U.S. Hospitals, 2018 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb277-Top-Reasons-Hospital-Stays-2018.pdf
    January 01, 2018 - Two circulatory conditions—heart failure and AMI—ranked in the top 10 principal diagnoses in 2018 and … Compared with stays for heart failure, stays for AMI were far less common but more expensive on average … Heart failure and osteoarthritis each accounted for 4 percent. … Five circulatory conditions were among the 20 most common principal diagnoses in 2018: heart failure … Among stays for septicemia, heart failure, pneumonia, and diabetes mellitus with complication, mean

  20. Overview of Clinical Conditions With Frequent and Costly Hospital Readmissions by Payer, 2018 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb278-Conditions-Frequent-Readmissions-By-Payer-2018.pdf
    January 01, 2018 - ■ Heart failure was among the top five conditions at index admission with the highest number and … Three respiratory conditions at index admission—COPD, pneumonia, and respiratory failure—accounted for … Three genitourinary conditions at index admission—acute and unspecified renal failure, urinary tract … With the exception of septicemia and heart failure, the principal diagnoses at index admission with … 110,000 5 28.0 30,800 4.3 Private insurance 6,532,900 - 8.7 569,800 100.0 Hepatic failure 12,100 1
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