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Showing results for "failure".

9561. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
      January 01, 2003 - pulmonary embolism or deep vein thrombosis, iatrogenic pneumothorax, post- operative acute respiratory failure … hospital 0.064 0.043 Urban hospital 0.868 0.911 Patient chronic conditions Congestive heart failure … Variables PSI No PSI Hypothyroidism 0.012 0.013 Renal failure 0.020 0.057 Liver disease 0.003

9562. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - members, or “ anchor ” on a single diagnosis or treatment strategy despite evolving evidence of its failure … Failure to do so in this case suggests implicit bias, perhaps due to the patient's age, cultural or communication … Abscess August 8, 2019 WebM&M Cases Diagnostic Failure

9563. The Effect of Protein Intake on Health (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/effect-protein-intake-protocol-amendment.pdf
      November 29, 2023 - filtration rate (GFR), which impairs kidney function and can result in eventual kidney damage and failure … aging.21 Aging muscle tissue may require more protein to help repair and maintain itself,22,23 and failure … fracture* or osteoporosis or osteopenia).ti,ab. 526554 3 kidney calculi/ or Kidney Diseases/ or kidney failure

9564. Comparative Effectiveness of Coronary Bypass Surgery and Percutaneous Coronary Interventions for Multivessel Disease: A Pooled Analysis of Individual Patient Data from Ten Randomized Trials (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cad-pci-bypass_addendum.pdf
      February 01, 2010 - hypercholesterolemia), clinical manifestations (stable or unstable symptoms, history of myocardial infarction, heart failure … after adjustment for sex, diabetes, smoking, hypertension, history of myocardial infarction, heart failure … Long- term ACE-inhibitor therapy in patients with heart failure or left-ventricular dysfunction: a

9565. Section 5, Figure 1 and Tables 1-5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-166-fecc-figure-1-tables-1-5.pdf
      January 01, 2011 - •Failure of information sharing provider ↔ parent/pt •Failure of information sharing among providers … Inconsistent clinical decision-making or priority setting over time •Coverage discontinuities/ churning •Failure … retrospective cohort 1110 adults with chronic disease (at least one of: DM, CAD, HTN, heart failure

9566. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - near misses is a characteristic of high-reliability organizations (HROs) that are preoccupied with failure … operations, all of which have complex, tightly coupled operations with the potential for catastrophic failure

9567. Evidence Summary: Speech and Language Delay and Disorders in Children: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/speech-and-language-delay-and-disorders-in-children-age-5-and-younger-screening
      January 23, 2024 - PLS-4-E 110 7 86 (72-100) a 81 (72-89) a 53 a 96 a 4.5 a 0.17 a    NSST 20 (failure … screen failures and a random sample of those who passed Not all studies indicated criteria for screen failure … each; 3 instruments were examined in 2 studies The reference measure varied Criteria for screening failure

9568. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol1.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 1: Why Patient Narratives Matter PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 1: Why Patient Na…

9569. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - for a patient with a new diagnosis of diabetes or for a family whose relative has congestive heart failure … The Evolution of Patient Safety Teamwork Training February 28, 2024 Heart Failure

9570. Evaluation and Integration of an Automatic Fall Prediction System - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
      January 01, 2012 - more than a day resulted in an email message to the ALF operator with a request to determine if tag failure … The failure of psychoactive medications to elevate fall risk was inconsistent with other studies because … Our failure to find that adding a cognitive task increases variability in step lengths, stride times

9571. Appendix A. Grantee Profiles | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
      August 01, 2022 - In these cases with substandard care, most (86.7%) involved a failure of an individual provider, and … half (50%) involved a system failure. … Pillars at the 10 community hospitals where the intervention was replicated in large part due to a failure … and surgery (30%), with the most common allegations being improper performance of procedure (13%) and failure … quality metrics drawn from several sources and identified CSAEs, the metrics for which communication failure

9572. Screening and Treatment for Hypercholesterolemia in Children and Adolescents: Systematic Evidence Review (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/CW23r2jqogvTG2_-kBjRxH
      January 01, 2007 - Growth failure. A complication of dietary treatment of hypercholesterolemia. … Parental health beliefs: a cause of non-organic failure to thrive. … Failure of current guidelines for cholesterol screening in urban African-American adolescents. … Growth failure. A complication of dietary treatment of hypercholesterolemia. … Parental health beliefs: a cause of non-organic failure to thrive.

9573. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - Handoff strategies in settings with high consequences for failure: Lessons for health care operations

9574. Executive Summary CER 171: Noninvasive Testing for Coronary Artery Disease (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/coronary-artery-disease-testing_executive.pdf
      March 01, 2011 - with regard to improvement in clinical outcomes (e.g., MI, premature mortality, and congestive heart failure … Options • Quality of life • Revascularization • Change in angina • Myocardial infarction • Heart failure … Dysrhythmia Ultimate Health Outcomes Adverse Effects or Harms of Testing Procedural harms: renal failure … predictive accuracy, only hard clinical outcomes (i.e., MI, death, composite cardiac outcome, heart failure … both the index test and any subsequent downstream testing included harms of testing (e.g., renal failure

9575. Screening for Thyroid Disease: Systematic Evidence Review (pdf file)
      www.ahrq.gov/downloads/pub/prevent/pdfser/thyrser.pdf
      January 01, 2004 - The terms “subclinical hypothyroidism” and “mild thyroid failure” refer to patients who have an elevated … inadequately treated hyperthyroid patients who have neuropsychiatric symptoms or congestive heart failure … abnormalities in cardiac contractility or output to the development of clinically important heart failure … Screening for mild thyroid failure at the periodic health examination: a decision and cost-effectiveness … Subclinical hypothyroidism is mild thyroid failure and should be treated.

9576. Maskedstats Nis 2017 Core (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2017_Core.PDF
      January 01, 2017 - Distribution for DRG_NOPOA DRG_NoPOA Frequency Percent of Total 189: PULMONARY EDEMA & RESPIRATORY FAILURE … 12, 2019 23 Frequency Distribution for DRG_NOPOA DRG_NoPOA Frequency Percent of Total 291: HEART FAILURE … & SHOCK W MCC 138,282 1.93% 292: HEART FAILURE & SHOCK W CC 45,327 0.63% 293: HEART FAILURE & SHOCK … PROCEDURES W CC 2,587 0.04% 675: OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 290 0.00% 682: RENAL FAILURE … W MCC 43,920 0.61% 683: RENAL FAILURE W CC 60,656 0.85% 684: RENAL FAILURE W/O CC/MCC 10,105 0.14%

9577. Maskedstats Nis 2016 Core (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2016_Core.PDF
      January 01, 2016 - EFFUSION W CC 3,532 0.05% 188: PLEURAL EFFUSION W/O CC/MCC 964 0.01% 189: PULMONARY EDEMA & RESPIRATORY FAILURE … SUBACUTE ENDOCARDITIS W CC 591 0.01% 290: ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 144 0.00% 291: HEART FAILURE … & SHOCK W MCC 94,152 1.32% 292: HEART FAILURE & SHOCK W CC 68,660 0.96% 293: HEART FAILURE & SHOCK … 13, 2018 33 Frequency Distribution for DRG_NOPOA DRG_NoPOA Frequency Percent of Total 682: RENAL FAILURE … W MCC 46,844 0.66% 683: RENAL FAILURE W CC 62,305 0.87% 684: RENAL FAILURE W/O CC/MCC 11,706 0.16%

9578. Nis 2005 Summarystats Core Weighted (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2005_SummaryStats_CORE_Weighted.PDF
      January 01, 2005 - EFFUSION W CC 41080 0.10 86: PLEURAL EFFUSION W/O CC 4525 0.01 87: PULMONARY EDEMA & RESPIRATORY FAILURE … W CARD CATH W/O COMPLEX DIAG 229242 0.59 126: ACUTE & SUBACUTE ENDOCARDITIS 12575 0.03 127: HEART FAILURE … PROCEDURES 47774 0.12 316: RENAL FAILURE 350021 0.89 317: ADMIT FOR RENAL DIALYSIS 5249 0.01 318: … /vomitus 184893 0.47 130: Pleurisy, pneumothorax, pulmonary collapse 114420 0.29 131: Respiratory failure … 291016 0.74 158: Chronic renal failure 18765 0.05 159: Urinary tract infections 528874 1.35 160:

9579. Maskedstats Nrd 2017 Core (pdf file)
      hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2017_Core.PDF
      January 01, 2017 - W CC 9,408 0.05% 188: PLEURAL EFFUSION W/O CC/MCC 2,316 0.01% 189: PULMONARY EDEMA & RESPIRATORY FAILURE … ENDOCARDITIS W CC 1,731 0.01% 290: ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 370 0.00% 291: HEART FAILURE … & SHOCK W MCC 382,281 2.13% 292: HEART FAILURE & SHOCK W CC 129,056 0.72% 293: HEART FAILURE & SHOCK … PROCEDURES W CC 7,309 0.04% 675: OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 909 0.01% 682: RENAL FAILURE … W MCC 116,857 0.65% 683: RENAL FAILURE W CC 165,780 0.92% 684: RENAL FAILURE W/O CC/MCC 28,449 0.16%

9580. Maskedstats Nrd 2022 Core Weighted (pdf file)
      hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2022_Core_Weighted.PDF
      January 01, 2022 - 12,074 0.04% 188: PLEURAL EFFUSION WITHOUT CC/MCC 2,281 0.01% 189: PULMONARY EDEMA AND RESPIRATORY FAILURE … 30 Weighted Frequency Distribution for DRG_NOPOA DRG_NoPOA Frequency Percent of Total 291: HEART FAILURE … AND SHOCK WITH MCC 900,506 2.74% 292: HEART FAILURE AND SHOCK WITH CC 52,708 0.16% 293: HEART FAILURE … 21,215 0.06% 675: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC 1,537 0.00% 682: RENAL FAILURE … WITH MCC 225,907 0.69% 683: RENAL FAILURE WITH CC 242,778 0.74% 684: RENAL FAILURE WITHOUT CC/MCC