-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
January 01, 2017 - Early
physical medicine and rehabilitation for patients
with acute respiratory failure: a quality … Early
intensive care unit mobility therapy in the
treatment of acute respiratory failure. … Early
activity is feasible and safe in respiratory failure
patients. … during an
intensive care unit admission is a
predictor of improved outcomes in
acute respiratory failure … Early physical medicine and
rehabilitation for patients with acute
respiratory failure: a quality
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
April 01, 2011 - readmissions rates for Medicare patient who had been treated for at least
one of three conditions (heart failure … rates in the lowest 3 percent among all U.S hospitals for at least two of
three conditions (heart failure … Improvement,
developed the How-to Guide: Creating an Ideal Transition Home for Patients with
Heart Failure … educational
materials with patient and
family advisors to describe
common conditions, such as
heart failure … Transitional care of older adults
hospitalized with heart failure: a randomized, controlled trial.
-
www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
April 17, 2018 - 1.50]). 17 Similar, nonsignificant findings were found for stroke, venous thromboembolism, and heart failure … 0.90 to 1.19]). 29 Similar findings for stroke, venous thromboembolism, and hospitalization for heart failure … venous thromboembolism: ARD, −0.16% [95% CI, −0.44% to 0.12%] and HR, 0.92 [95% CI, 0.79 to 1.07]; heart failure … Risk of heart failure among postmenopausal women: a secondary analysis of the randomized trial of vitamin … thromboembolism: ARD, −0.16% (95% CI, −0.44% to 0.12%); HR, 0.92 (95% CI, 0.79 to 1.07)
Heart failure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
March 01, 2004 - focused on errors of commission (wrong surgery, wrong patient, wrong
medication).10 Errors of omission (failure … public disclosure”; however “the [reporting] system is
nonpunitive for reporters, and punitive for failure … In Pennsylvania, failure to
report, or to develop and comply with a patient safety plan, may incur sanctions … JCAHO has been criticized for a
failure to adequately monitor quality in a meaningful way and for failing … The failure of private hospital regulation: an analysis
of the Joint Commission on Accreditation of
-
hcup-us.ahrq.gov/reports/statbriefs/sb232-Hepatitis-C-Hospital-Stays-Trends.jsp
December 01, 2017 - who become infected with hepatitis C develop a chronic infection that can result in cirrhosis, liver failure … Coagulopathy
13.3
22.0
22.7
19.0
4.9
Depression
15.8
16.0
10.8
15.7
11.3
Renal failure … 9.7
9.1
10.1
9.4
7.6
Obesity
8.4
10.0
6.4
9.3
13.4
Congestive heart failure … 19.6
25.8
Coagulopathy
18.6
34.3
5.6
Depression
16.3
14.9
14.1
Renal failure … Other neurological disorders
9.2
9.0
7.7
Obesity
10.9
6.7
18.5
Congestive heart failure
-
hcup-us.ahrq.gov/reports/statbriefs/sb232-Hepatitis-C-Hospital-Stays-Trends.pdf
June 19, 2017 - become
infected with hepatitis C develop a chronic infection that can result
in cirrhosis, liver failure … 19.0 4.9
Depression 15.8 16.0 10.8 15.7 11.3
Renal failure … 7.6
Obesity 8.4 10.0 6.4 9.3 13.4
Congestive heart failure … uncomplicated 24.4 19.6 25.8
Coagulopathy 18.6 34.3 5.6
Depression 16.3 14.9 14.1
Renal failure … 11.5 5.7
Other neurological disorders 9.2 9.0 7.7
Obesity 10.9 6.7 18.5
Congestive heart failure
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - measure’s latest data year is 2013 or
earlier, except for the Patients with treated chronic kidney failure … who received a
transplant within 3 years of date of renal failure measure. … An exception is applied to the measure of Patients with treated chronic
kidney failure who received … a transplant within 3 years of date of renal failure. … patients” refers to a population consisting of a sample of
acute myocardial infarction, congestive heart failure
-
effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-choosing-outcomes.ppt
June 01, 2012 - Direct test effects*:
Allergic reaction
Renal failure
Radiation exposure
Diagnostic Test Example: … process poses potential harms, including an allergic reaction to the intravenous contrast material, renal failure … Clinical management effects:
Alter course of treatment, such as to avoid respiratory failure
Other interventions … In this example, spirometry may suggest a high likelihood of progressing to respiratory failure and prompt … If the likelihood of dying of respiratory failure is high, patients and their physicians may choose to
-
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
-
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
-
www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - Reactions of potential jurors to a hypothetical malpractice suit: alleging failure to perform a prostate-specific
-
digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
January 01, 2010 - of Grant
Target Population: Adults, Chronic Care * , Congestive Heart Failure
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/assessing-applicability-quiz.ppt
May 29, 2025 - Heart failure population
Mean age: 65 years
NYHA class II or III: 83%
Surgical debulking of myocardium
-
effectivehealthcare.ahrq.gov/sites/default/files/assessing-applicability-quiz.ppt
May 29, 2025 - Heart failure population
Mean age: 65 years
NYHA class II or III: 83%
Surgical debulking of myocardium
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/measures-specifications-sw.pdf
December 31, 2017 - the screening component
required to be counted in the numerator and should be considered a measure failure
-
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
-
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
-
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.
-
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
-
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