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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Take-Home Points
Best practices in dealing with nurse staffing ratios include:
Conduct failure mode
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - There is no process for collaborative failure analysis.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
October 01, 2014 - its pilot site to implement a care management program focused on asthma, diabetes, congestive heart failure
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www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
January 01, 2014 - St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture
Search All Impact Case Studies
January 2014
St. Jude Children's Research Hospital, an institution focused on pediatric cancer and other catastrophic diseases, treats nearly 8,000 patients annually and has used AHRQ's "Hospital Survey on Pat…
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices-slides/slides.html
October 01, 2014 - Best Practices: How Successful Units Engaged Their Senior Executive Leaders
This PowerPoint slide presentation was shown on October 18, 2011.
Contents
Slide 1. Best Practices: How Successful Units Engaged Their Senior Executive Leaders
Slide 2. Jonathan Kling, BSN, BHA, RN, CCRN
Slide 3. Initial Challen…
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psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
June 12, 2024 - Special or Theme Issue
States Targeting Reduction in Infections via Engagement (STRIVE).
Citation Text:
States Targeting Reduction in Infections via Engagement (STRIVE). Ann Intern Med. 2019;171(7_Suppl):s1-s82.
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Prin…
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www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA Developm…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/sleep-apnea_research-protocol.pdf
March 15, 2010 - Cardiovascular events (Congestive heart failure symptoms, stroke, arrhythmia
events, coronary artery … analyze the question of whether any pretreatment patient
characteristics are associated with treatment failure
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - underreported due to the lack of specific symptoms and the need for imaging for diagnosis.10
In this case, failure … with radiology being one of the specialties most susceptible to claims of medical
negligence due to “failure
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture in Healthcare
John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg
| March 27, 2024
View more articles from the same authors.
Citation Text:
Murray J, Sorra J, Gale B, et al. Ensuring Patient…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 3. Care Coordination Measurement Framework
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapter …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-cancer-liver-metastases-therapies_disposition-comments.pdf
December 11, 2012 - used CTC criteria, absence of higher grade
indicates severe complications such as biloma and liver failure … This comment has been noted and the adverse
events for liver failure and biloma in the study by
Vogl … time, definitions of response and
progression are standardized, and progression anywhere defines
failure … Progression does not
define failure of therapy, since embolization and ablation can be
repeated multiple
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
January 01, 2012 - HIT to assist in results
management may help ameliorate the failure to follow up on abnormal diagnostic … An error is defined as failure to
perform indicated laboratory monitoring during the time period from … An error will be
defined as failure to perform indicated ongoing laboratory monitoring during the recommended … There are multiple reasons
for this failure, which can be enlightening and educational for future efforts
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ocr-protocol-final_1.pdf
December 18, 2019 - rate,
defined as:
o CD in patient at
<6cm dilation
excluding fetal
distress (labor
dystocia, failure … rate,
defined as:
o CD in patient at
<6cm dilation
excluding fetal
distress (labor
dystocia, failure … rate,
defined as:
o CD in patient at
<6cm dilation
excluding fetal
distress (labor
dystocia, failure … rate,
defined as:
o CD in patient at
<6cm dilation
excluding fetal
distress (labor
dystocia, failure
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www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
January 01, 2024 - Overall
rates and readmission rates for five medical conditions
(acute myocardial infarction, heart failure … Overall rates and
readmission rates for five medical conditions (acute
myocardial infarction, heart failure … mortality for acute myocardial infarction and hip/knee surgery but a positive association
with heart failure … hypothesized, we found
that higher patient turnover rates in hospitals were associated with higher heart failure
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/ehr-reports.pdf
March 01, 2016 - reporting clinical quality measures, and submitting
data to national registries for cancer, chronic renal
failure … Will the information in the report be used to make decisions on which the success or failure of an important … Other inclusion errors can be caused by workflow
issues, which are errors caused by failure to note … However, the cost of failure to
adequately validate reports, thereby placing financial
resources and
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028563-final-report-galarraga-2023.pdf
January 01, 2023 - variable symptoms and the course of disease ranging from uneventful recovery to multi-
organ system failure … of
patients returning to the ED as a result of post-discharge complications or outpatient treatment failure … Cardiomyopathy 0.82 0.28
Cerebrovascular Disease 1.19 0.13
Chronic Kidney Disease 1.17 0.19
Congestive Heart Failure … 46.5%
Obesity: 32.6%
Diabetes Type I or II: 32.6%
Chronic Kidney Disease:
20.9%
Congestive Heart Failure
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - For congestive heart failure, you would need to monitor daily weights in addition to blood pressure. … monitoring in managing diseases such as chronic obstructive pulmonary disease (COPD) and congestive heart failure … Implementation
Patient safety concerns when implementing RPM include the risk of clinical misdiagnosis or failure … shows that there is cost-effectiveness when using RPM to manage select diseases like congestive heart failure
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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - psnet.ahrq.gov//#1
https://psnet.ahrq.gov//#3
history of smoking, peripheral arterial disease, chronic renal failure … the patient should be clearly documented in the medical record.1
To Close or Not to Close…
If the failure … was opened at the first follow-up
visit and additional wood fragments and gravel were identified, failure
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effectivehealthcare.ahrq.gov/sites/default/files/s89.pdf
October 01, 2007 - A poor choice of RR may result in failure to
support the alternative hypothesis, or a delay in signaling … Secular trends in disease, or in diag-
nostic or coding practices, may lead to false signaling or
failure … intermittent); allowance for misclassifica-
tion of exposure that may arise from various causes (eg,
failure