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Showing results for "failure".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33690/psn-pdf
    December 01, 2009 - are, what interventions will occur, how success will be measured, and what the consequences are for failure … Failure to disclose is an example of nonprofessional conduct.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49615/psn-pdf
    December 01, 2010 - Rapid onset of purple discoloration in the sacral/buttocks area is also seen with skin failure at the … Skin fails too: acute, chronic, and end-stage skin failure. Adv Skin Wound Care. 2006;19:206-211. 

  3. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet

    psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - In this patient’s care, the failure of the ED to obtain an accurate weight led to underdosing the insulin … The importance of daily weight measurements in heart failure patients: a performance improvement project

  4. 1. Are we ready for this change? | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
    October 01, 2014 - Failure to assess your organization's readiness for the change at multiple levels can lead to unanticipated … difficulties in implementation, or even the complete failure of the effort.

  5. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - 2015 MPSMS 4-condition sample (based on patients with acute myocardial infarction, congestive heart failure … 2014) Post-Op Hemorrhage or Hematoma (PSI 9) 19,000 0.58 PSI (2014) Post-Op Respiratory Failure

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49774/psn-pdf
    November 01, 2016 - Over the next few hours, the patient had progressive shock, respiratory failure from acute respiratory … all severe maternal morbidities.(16) The major causes of obstetric hemorrhage include uterine atony (failure

  7. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - • The patient’s care was adversely affected by delays in diagnostic evaluation, failure to recognize … often represents a manifestation of metabolic derangements (e.g., hypoxia, acidosis, kidney or liver failure

  8. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet

    psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - infection; Misinterpretation of the clinical significance of the positive blood culture result; Failure … Perhaps the most important factor is the failure of the health care worker (HCW) to use strict aseptic

  9. Engaging-Caregivers-Appendix-B (xls file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
    May 29, 2025 - available instrument NR Serious Peter, 2015 Pre-Post United States Hospital to home Adult NR Heart failure … easy-to-use effective communication tool to address care transitions for hospitalized patients with heart failure

  10. Making Healthcare Safer IV: High Reliability Organization (HRO) as a Patient Safety Practice (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-protocol.pdf
    January 01, 2023 - following 5 principles: (1) sensitivity to operations; (2) reluctance to simplify; (3) preoccupation with failure … two categories: anticipation (sensitivity to operations, reluctance to simplify, preoccupation with failure

  11. Cad-Pci-Bypass Surveillance (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-pci-bypass_surveillance.pdf
    May 01, 2013 - conclusion about the superiority of CABG over PCI and one of these included patients with heart failure … This difference was accentuated in patients with diabetes, a history of tobacco use, heart failure,

  12. Statistical Brief #33

    hcup-us.ahrq.gov/reports/statbriefs/sb33.jsp
    June 01, 2007 - Heart-related conditions, such as congestive heart failure, chest pain, hardening of the arteries, heart … admissions through the ED Percentage of all admissions through the ED 1 Congestive heart failure

  13. Physical Diagnosis: A Lost Art? | PSNet

    psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
    January 17, 2018 - night float resident was sepsis from a urinary tract source and acutely decompensated diastolic heart failure … August 21, 2024 The physiology of failure: identifying risk factors for mortality in

  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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