Results

Total Results: over 10,000 records

Showing results for "failure".

9381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33777/psn-pdf
      January 01, 2015 - freewheel in thinking from time to time, manage the risks inherent in trying out new things, learn from failure

9382. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/legbags-faqs.docx
      March 01, 2017 - potential safety risk to the resident (e.g., infection, compromised structural integrity leading to device failure

9383. Affordable Care Act Boosts Individual Health Insurance Enrollment and Stability | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/944.html
      January 01, 2025 - ET to highlight AHRQ evidence reports on advancing patient safety in key areas: Failure To Rescue—Rapid

9384. National Hospital Week Spotlight on Patient Safety Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/957.html
      May 01, 2025 - Challenges related to out-of-pocket costs in heart failure management.

9385. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
      January 01, 2006 - Heart Surgery Volume PDI 08 Perioperative Hemorrhage or Hematoma Rate PDI 09 Postoperative Respiratory Failure

9386. Chapter 7. What’s Next? | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap7.html
      June 01, 2014 - Often, the perceived failure of surveys as a means for creating lasting change is actually due to faulty

9387. Assemble Module Slides Text Description | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/assemble/alt-text.html
      March 01, 2013 - What could the team have done to prevent failure?

9388. Chapter 4. Conclusions and Next Steps | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
      April 01, 2018 - improve our understanding of the many risks in health care, including root cause analysis (RCA) and failure

9389. Never Events | PSNet
      psnet.ahrq.gov/primer/never-events
      June 15, 2024 - irretrievable loss of an irreplaceable biological specimen Patient death or serious injury resulting from failure

9390. Introducing electronic screening tools for developmental delay and autism into pediatric primary care | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.html
      August 01, 2018 - Problems Addressed Failure to identify developmental delays and autism and to intervene early can

9391. Reporting Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/reporting-patient-safety-events
      March 30, 2022 - Failure to receive feedback after reporting an event is a commonly cited barrier to event reporting by

9392. Triggers and Trigger Tools | PSNet
      psnet.ahrq.gov/primer/triggers-and-trigger-tools
      September 15, 2024 - February 15, 2023 Modes of failure in venous thromboembolism prophylaxis.

9393. Human Factors Engineering | PSNet
      psnet.ahrq.gov/primer/human-factors-engineering
      December 15, 2024 - The ever-lengthening list of  unintended consequences  of CPOE can, in part, be viewed as a failure to

9394. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
      psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
      December 15, 2024 - clinicians involved in these events report feelings of responsibility for the patient outcome, shame, anger, failure

9395. Appendix | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
      October 01, 2015 - 2013) Post-Op Hemorrhage or Hematoma (PSI 9) 20,000 0.61 PSI (2013) Post-Op Respiratory Failure

9396. Engineering High Reliability Learning Lab (EHRLL) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/ehrll-long-desc.html
      April 01, 2022 - 1 These tools included process mapping, swim lane diagrams, functional resonance analysis method, failure

9397. Layout 1 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Telehealth_Issue_Paper_Final_1.pdf
      December 01, 2008 - Midwest Rural Critical Access Medication Management Hospital – Pharmacy Pharmacy System Home Heart Failure … Pharmacy System patient pharmacists during after-hour shifts in 10 regional hospitals Home Heart Failure

9398. Using Telehealth to Improve Quality and Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0012-ef-telehealth.pdf
      December 01, 2008 - Medication Management Pharmacy System Midwest Rural Critical Access Hospital – Pharmacy Home Heart Failure … Pharmacy System patient pharmacists during after­hour shifts in 10 regional hospitals Home Heart Failure

9399. Best Practices for Medical Technology Management: A U.S. Air Force–ECRI Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
      January 01, 2004 - The ventilator reports, which typically involve a breathing circuit failure or alarm problem that can … data from inspection and preventive maintenance procedures are useful for detecting abnormal device failure

9400. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
      March 31, 2008 - missed diagnosis of diabetes for several years; or an Rh-negative woman, who is sensitized due to failure … Errors appearing to have been caused by either the failure or lack of a good system were reported in