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Total Results: over 10,000 records

Showing results for "failure".

9541. CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
      January 01, 2017 - team imagines the project has failed and brainstorms all of the reasons that could lead to this failure … SSA responses by commonly identified defects (such as communication, medication process, equipment failure

9542. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - lessons when organizations cannot share qualitative information on what occurred to lead up to a systems failure

9543. Addressing Hospital Patient Information Needs Using a PHR Portal - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs021816-vawdrey-final-report-2018.pdf
      January 01, 2018 - Gerontechnologies for Older patients with Heart Failure: What is the Role of Smartphones, Tablets, and … Review and Analysis of existing mobile phone applications to support heart failure symptom monitoring … American Heart Association Get With the Guidelines Target Heart Failure Forum Session.

9544. Impact of Health Information Technology on Clinical Care for Patients with Chronic Medical Conditions (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
      January 01, 2008 - of IDS members with at least one of five chronic diseases (Asthma, Coronary Artery Disease, Heart Failure … We focus on the 780,000 patients with chronic diseases (asthma, congestive heart failure [CHF], coronary … included number of drug classes, renal function, and history of coronary artery diseases or heart failure

9545. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
      January 01, 2021 - long-acting opioid after discharge, and the PDMP indicates the patient does not have an adequate supply, failure … naloxone, based on the patient’s goals, needs, and risks. 54 Best Practices to Improve Safety (3) • Failure … should receive didactic and/or simulation training, and performance-based competency assessment. • Failure

9546. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1406.pdf
      June 01, 2014 - of the small intestinal mucosa in parenteral support-dependent short bowel syndrome-intestinal failure … and efficacy of teduglutide after 52 weeks of treatment in patients with short bowel intestinal failure … Teduglutide (TED) for the treatment of short bowel syndrome-intestinal failure (SBS-IF) subjects

9547. Strengthening the Business Case for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
      May 01, 2013 - , specifically hospital 30-day mortality rates for patients with acute myocardial infarction, heart failure … While rates of adherence to process measures for patients with acute myocardial infarction, heart failure … outcomes, we actually have to get the hospital to rethink its entire approach to acute MI care, or heart failure

9548. Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
      January 01, 2024 - These included pulmonary failure, pneumonia, myocardial infarction, deep venous thrombosis/pulmonary … embolism, acute renal failure, postoperative hemorrhage, surgical site infection, and gastrointestinal … Tan HJ, Wolf JS, Ye Z, Wei JT, Miller DC: Complications and failure to rescue after laparoscopic versus

9549. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
      May 01, 2013 - outcomes, we actually have to get the hospital to rethink its entire approach to acute MI care, or heart failure … , specifically hospital 30-day mortality rates for patients with acute myocardial infarction, heart failure … While rates of adherence to process measures for patients with acute myocardial infarction, heart failure

9550. References (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
      January 01, 2017 - care unit (ICU) diagnosis, intubation location, ICU location, comorbidities (e.g., congestive heart failure … Investigating the failure to aspirate subglottic secretions with the evac endotracheal tube. … In 17 (43%) the failure was attributed to blockage of the subglottic suction port by suctioned tracheal

9551. Archived: Dental Caries in Children from Birth Through Age 5 Years: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/dental-caries-in-children-from-birth-through-age-5-years-screening-2014
      May 05, 2014 - , a sibling, or mother), lack of access to dental care, and inadequate preventive measures (such as failure … caries in young children include lack of access to dental care; inadequate preventive measures, such as failure … Caries in early childhood are associated with failure to thrive and can affect speech, appearance, and

9552. Patient Safety During Hospital Discharge | PSNet
      psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
      April 01, 2018 - Is "teach-back" associated with knowledge retention and hospital readmission in hospitalized heart failure … many patients were coming back to the hospital and published a paper looking at patients with heart failure—and … CMS came back to us after we successfully launched publicly reported mortality measures in heart failure

9553. In Conversation with…Gerald B. Hickson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
      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. … The Joint Commission states that nearly 70% of adverse sentinel events can be traced back to a failure

9554. How to Identify and Manage Problem Behaviors | PSNet
      psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
      December 01, 2009 - The Joint Commission states that nearly 70% of adverse sentinel events can be traced back to a failure … 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.

9555. Chapter 4, Emerging Trends in Care Coordination Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
      June 01, 2014 - colleagues examined networks of providers caring for patients with type 2 diabetes and chronic heart failure … Heart Failure Performance Measurement Set. Chicago, IL: American Medical Association; 2012. l. … Patient Care Teams in treatment of diabetes and chronic heart failure in primary care: an observational

9556. Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/LU_2NqdYKvadBZuYjUmKo5
      April 10, 2018 - threat of harm are con- sidered acts of commission (eg, physical, sexual, and psychological abuse).2 Failure … in- juries with a high specificity of abuse, visits to the emergency de- partment or hospital, and failure … fail- ure to thrive (1 trial), injuries with a high specificity for abuse or ne- glect (1 trial), and failure

9557. Final Recommendation Statement: Prevention of Child Maltreatment: Primary Care Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/child-maltreatment-primary-care-interventions
      March 19, 2024 - of harm to a child by a parent, caregiver, or person in a custodial role. 5 Child neglect refers to failure … injuries with a high specificity of abuse, visits to the emergency department (ED) or hospital, and failure … difference between study groups. 1 , 21 For several additional measures of child maltreatment (eg, failure

9558. Archived: Cost-Effectiveness Analyses of Population-Based Screening for Abdominal Aortic Aneurysm: Evidence Synthesis: Abdominal Aortic Aneurysm: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/cost-effectiveness-analyses-of-population-based-screening-for-abdominal-aortic-aneurysm-evidence-synthesis/abdominal-aortic-aneurysm-screening-february-2005
      February 15, 2005 - Disease-specific long-term cost and quality-of-life estimates were included for renal failure, stroke … Probabilities, costs, and quality adjustments: literature review and New York Presbyterian Hospital Renal failure … amputation, 0.80; MI, 0.80 3% $350 Elective surgery, $22K; ruptured AAA, $39K; L/T cost of renal failure

9559. Overview of Outcomes for Inpatient Stays Involving Sepsis, 2016–2021 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb306-overview-sepsis-2016-2021.pdf
      January 01, 2021 - Introduction Sepsis is a systemic inflammatory response to infection that results in tissue damage and organ failure … co-occurring condition or complication of the stay, other conditions, such as cancer, pneumonia, or heart failure … co-occurring condition or complication of the stay, other conditions, such as cancer, pneumonia, or heart failure

9560. Learning from Errors in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - For the purposes of this study, errors were defined as “the failure of a planned action to be completed … decision or decision that unnecessarily increased risk Problematic execution Wrong execution or failure … frequency of harm Medical Treatment Categories No. of errors (% total) Medication 47 (84) Failure