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Showing results for "failure".

  1. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
    January 01, 2004 - In the few cases in which they did, it was to report a technical malfunction (such as failure of any … Discussion Failure to maintain a commitment to quality assurance has historically led to some devastating

  2. Disposition of Comments: Management of Colonic Diverticulitis (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/diverticulitis-comments.pdf
    October 12, 2020 - relative value of antibiotics to affect the most pertinent clinical outcomes of death, treatment failure … SUGGESTION: clinical outcomes of treatment failure, length of hospital stay, diverticulitis- related

  3. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet

    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - In this case, failure to follow unit policy in scanning EBM led to administering EBM from the wrong mother … Packing: When Writing an Order is Not Enough April 28, 2021 Preventing critical failure

  4. Intraoperative Awareness during Rhinoplasty | PSNet

    psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
    January 29, 2021 - March 15, 2023 WebM&M Cases Open wider: Failure … December 14, 2022 WebM&M Cases Open wider: Failure

  5. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa2.pdf
    January 01, 2018 - irritation in the calendar year 0.93 0.0 0.08 MEPS 15 (2002- 2016) Patients with treated chronic kidney failure … who received a transplant within 3 years of date of renal failure 0.62 0.0 0.00 USRDS 14 (2000- 2013

  6. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Hematoma PSI 10: Postoperative Physiologic and Metabolic Derangement PSI 11: Postoperative Respiratory Failure … Surgery Mortality * PDI 08: Perioperative Hemorrhage or Hematoma PDI 09: Postoperative Respiratory Failure

  7. Hindsight is 20/20: Thrombolytics for Alcohol Intoxication | PSNet

    psnet.ahrq.gov/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
    December 18, 2024 - In this case, failure to diagnosis acute alcohol intoxication (AAI) mimicking stroke led to overdiagnosis … Conditions for intuitive expertise: a failure to disagree.

  8. Statistical Brief #125: Cancer Hospitalizations for Adults, 2009 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb125.pdf
    February 01, 2012 - Stays primarily for circulatory disorders, including congestive heart failure (3.5 percent of cancer-related …   Septicemia  151,800  4.4%  Maintenance chemotherapy; radiotherapy  132,100  3.8%  Congestive heart failure

  9. Statistical Brief #27

    hcup-us.ahrq.gov/reports/statbriefs/sb27.jsp
    March 01, 2007 - Respiratory failure, a potentially life-threatening disorder, was noted in 13.5 percent of all hospitalizations … Essential hypertension 43,300 21.3% Other fractures 29,900 14.7% Respiratory failure

  10. HCUP Statistical Brief #27: Hospital Admissions for Traumatic Brain Injuries, 2004 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb27.pdf
    March 01, 2007 - Respiratory failure, a potentially life-threatening disorder, was noted in 13.5 percent of all hospitalizations … contusion 45,100 22.1% Essential hypertension 43,300 21.3% Other fractures 29,900 14.7% Respiratory failure

  11. THE HCUP NATIONWIDE READMISSIONS DATABASE (NRD), 2019

    hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2019.jsp
    January 01, 2019 - Consider the following example: A patient with congestive heart failure has a 3-day hospital admission … All-Cause Readmission Rate a 1 INF002: Septicemia 325,758 17.5 2 CIR019: Heart failure … (except that caused by tuberculosis) 97,622 15.3 6 GEN002: Acute and unspecified renal failure … 96,317 19.4 7 RSP012: Respiratory failure; insufficiency; arrest 84,767 20.7 8 … Same State as the Index Event Readmissions Considered from Any State 108: Congestive heart failure

  12. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - symptoms and the need for imaging for diagnosis.10 23 PEG Tube Complications (2) • In this case, failure … with radiology being one of the specialties most susceptible to claims of medical negligence due to “failure

  13. The CAHPS Ambulatory Care Improvement Guide: Ways to Approach the Quality Improvement Process (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/4-approach-qi-process/cahps-section-4-ways-to-approach-qi-process.pdf
    May 17, 2017 - evidence for implementation when people are engaged in making something work rather than focused on the “failure … Psychological barriers such as fear of change, fear of failure, grief over loss of familiar processes … for two of the fundamental barriers to change: the fear of new ways of doing things and the fear of failure

  14. Research White Paper: A Framework To Facilitate the Use of Systematic Reviews and Meta-analyses in the Design of Primary Research Studies (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/primary-research-design_research.pdf
    January 01, 2012 - Often, authors focus on what is available and do not explicitly report what is not available.2 A failure … A meta- review including 15 SRs on heart failure disease management programs found that populations, … , feasibility of intervention, generalizability of intervention, and costs.35 Box 5: Reasons for failure … A meta- review of evidence on heart failure disease management programs: the challenges of describing

  15. Apr-2017-Cholesterol-Wg-Notes (doc file)

    cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
    January 01, 2017 - CVD can include CHF in some interpretations and statins are not as effective at treating heart failure

  16. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-radiation_executive.pdf
    November 01, 2009 - adjuvant therapy to other therapies for newly diagnosed cancer, or salvage therapy after treatment failure

  17. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - and administrators alike speak of a personal sense of great sadness, disappointment, frustration, and failure

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49565/psn-pdf
    July 01, 2008 - He was diagnosed with failure to thrive and was fed using a percutaneous enterostomy tube.

  19. Discharged Blindly | PSNet

    psnet.ahrq.gov/web-mm/discharged-blindly
    October 26, 2022 - WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857060/psn-pdf
    November 27, 2023 - simulation allows students to apply skills in a realistic scenario and, importantly, learn through failure
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