-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep3.html
June 01, 2010 - Failure to realize these outcomes reflects unmet need for the supports necessary to achieve them.
-
effectivehealthcare.ahrq.gov/sites/default/files/siminoff_eccs2012.pdf
January 01, 2012 - .”
The most common concern of physicians treating diabetes is
“renal
failure.”
-
www.ahrq.gov/sites/default/files/2024-12/morgan-report.pdf
January 01, 2024 - Four subcohorts of patients defined by diagnosis (acute
myocardial infarction, heart failure, pneumonia
-
psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - request was for another patient on the same floor with the same unusual last name,
who had chronic renal failure
-
psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
The Commentary
This error involves a system failure
-
psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - April 26, 2023
Risk assessment of the acute stroke diagnostic process using failure
-
www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - ___High risk diagnoses based on your data (sepsis, renal failure, sickle cell, etc).
-
psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - benefits-vs-risks-intraosseous-vascular-access
The Case
A 72-year-old woman with a history of asthma, congestive heart failure
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - Require that unbound phenytoin levels be reported in patients with hypoalbuminemia or end-stage renal failure
-
psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - The IOM definition of diagnostic error—"the failure to (a) establish
an accurate and timely explanation
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-slides.html
February 01, 2017 - Slide 5: Why Communication Matters
Communication failure is—
The second most frequently identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/dailygoals-rounds-slides.pptx
January 01, 2017 - Program for Mechanically Ventilated Patients
4
Why Communication Matters
Communication failure
-
psnet.ahrq.gov/node/60169/psn-pdf
March 25, 2020 - Communication
failure in the operating room. Surgery 2011;149(3):305-10.
-
psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - They had some problems with young men having organ failure in a drug trial,
and they'd had some excess
-
psnet.ahrq.gov/node/49842/psn-pdf
September 01, 2018 - This incompatibility led to significant
delays in intubation; at times, it led to actual failure to
-
psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Agonist-dependent failure of
neutrophil function in diabetes correlates with extent of hyperglycemia
-
psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - Why did this failure occur, and how might it be prevented?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
December 01, 2017 - In fact, sustaining adaptive work has a high failure rate.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
July 01, 2023 - Fear of conflict, intimidation, and failure to function as a team.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
August 02, 2017 - and Culture Change
Shared leadership
Team approach to patient care
Culture that tolerates failure