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Showing results for "failure".

  1. New Data Files Provide Comprehensive View of U.S. Healthcare | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/925.html
    August 01, 2024 - short-term health care utilization between telemedicine-delivered vs in-person care visits for heart failure

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33606/psn-pdf
    December 15, 2024 - In retrospect, failure to consider opioid prescribing rates or preventable harm from opioids as a balancing

  3. The Future of Pediatric Diagnostic Safety Research | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-5.html
    August 01, 2023 - variation in disease presentation and healthcare delivery (safety-II) in addition to understanding failure

  4. Introducing electronic screening tools for developmental delay and autism into pediatric primary care: Special Innovation Feature (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/pa-specialinnovation.pdf
    August 01, 2015 - Problems Addressed • Failure to identify developmental delays and autism and to intervene early can

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33636/psn-pdf
    July 01, 2006 - Patient safety officers need training on tools such as failure mode and effects analysis (FMEA), root

  6. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
    December 01, 2015 - Misreading Asystole Telemetry devices often misidentify heart rhythms as asystole Most common cause is failure

  7. Executive Summary | Agency for Healthcare Research and Quality

    www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14sum.html
    June 01, 2014 - Often, the perceived failure of surveys to create lasting change is actually due to faulty or nonexistent

  8. Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
    January 01, 2024 - However, failure to consistently identify HNHC patients during care transitions results in high rates

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33593/psn-pdf
    June 15, 2024 - effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta https://psnet.ahrq.gov/issue/patient-safety-indicators-overview https://psnet.ahrq.gov/primer/failure-rescue

  10. Addendum to HCUP Statistical Brief #310: State Variation in Inpatient Stays Involving Sepsis, 2021, Updated with 2022 Data (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb310-state-variation-sepsis-2022-addendum.pdf
    January 01, 2022 - co-occurring condition or complication of the stay, other conditions, such as cancer, pneumonia, or heart failure

  11. Missed Nursing Care | PSNet

    psnet.ahrq.gov/primer/missed-nursing-care
    September 15, 2024 - link between the adequacy of nurse staffing in hospitals and patient outcomes such as mortality and failure-to-rescue

  12. Healthcare-associated Infections | PSNet

    psnet.ahrq.gov/primer/health-care-associated-infections
    December 15, 2024 - Related Resources Patient Safety Primers Failure

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849660/psn-pdf
    May 31, 2023 - Failure to incorporate health literacy principles into an organization can lead to miscommunications

  14. Diagnostic Safety Research (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
    November 01, 2024 - ■ Identify contributing factors to diagnostic failure for cardiovascular disease in women.

  15. Central Venous Catheter Insertion Bundle Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
    April 01, 2022 - including disease-specific protocols for diagnoses such as diabetic ketoacidosis, sepsis, and respiratory failure

  16. Patient Imaging Quality and Safety Laboratory (PIQS Lab) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/learning-lab/imaging-quality-long-desc.html
    April 01, 2021 - Patient Imaging Quality and Safety Laboratory (PIQS Lab) Principal Investigator: Leora Horwitz, M.D., New York University (NYU), New York, NY AHRQ Grant No.: HS24376 Project Period: 09/30/15-06/30/20 Description: The goal of the PIQS Lab was to be a dynamic learning environment focused on improving sa…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33573/psn-pdf
    March 15, 2025 - Disruptive and Unprofessional Behavior March 15, 2025 Disruptive and Unprofessional Behavior. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current resear…

  18. Diagnostic Safety Research Priorities and Opportunities | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
    August 01, 2023 - Pediatric Diagnostic Safety: State of the Science and Future Directions Diagnostic Safety Research Priorities and Opportunities Previous Page Next Page Table of Contents Pediatric Diagnostic Safety: State of the Science and Future Directions Introduction Challenges in Approaching Diagnostic Safe…

  19. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
    February 01, 2015 - Ebola response and other rapid-response situations is the use of simulation as a test bed to identify failure … response and other rapid- response situations is the use of simulation as a test bed to identify failure

  20. The Role of Health Literacy in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
    March 22, 2009 - For a patient with heart failure, this means making sure I really understand whether this person has … WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure
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