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Showing results for "failure".

9701. Blood Pressure Control Evidence and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/evidence/blood-pressure.html
      March 01, 2021 - Control Evidence and Resources High blood pressure is a major risk factor for heart attack, heart failure

9702. CCHS-East Huron Hospital CPOE Project | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/cchs-east-huron-hospital-cpoe-project
      January 01, 2023 - Medical Condition Asthma Chronic Obstructive Pulmonary Disease (COPD) Congestive Heart Failure

9703. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - underreported due to the lack of specific symptoms and the need for imaging for diagnosis. 10 In this case, failure … with radiology being one of the specialties most susceptible to claims of medical negligence due to “failure

9704. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - factors to wrong-site surgery include incorrectly documented patient consent or lack of patient consent, failure … operative site, patient or family providing incorrect information, incorrect or lack of patient consent, failure

9705. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - care teams has also led to better patient outcomes in the management of stroke and congestive heart failure … These include processes such as root-cause analysis (RCA); failure modes and effects analysis (FMEA)

9706. AHRQ Evidence-based Practice Center Program Research Gaps Summary: Primary Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/research-gap-primary-care-summary-table.pdf
      March 01, 2022 - Key Messages • For three chronic conditions (coronary artery disease [CAD], heart failure, and asthma … important differences in rates of the most important outcomes to patients (e.g., death, treatment failure … Key Messages • Antibiotic therapy increases the clinical cure rate and reduces the clinical failure … • Oral and intravenous corticosteroids improve dyspnea and reduce the clinical failure rate. … antibiotics, 5- lipoxygenase inhibitor, and statins on mortality, dyspnea, need for intubation, clinical failure

9707. Pediatric All-Condition Readmission Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
      December 31, 2015 - Single-component interventions effective in reducing readmissions for patients with heart failure include … include use of a primary care medical home model (Gilfillan, et al, 2010), multidisciplinary heart failure … peri-discharge management include comprehensive discharge planning plus post-discharge support for heart failure … hospitals with excess readmissions following hospitalizations for acute myocardial infarction, heart failure … hospitals with excess readmissions following hospitalizations for acute myocardial infarction, heart failure

9708. Searching for Relevant Studies (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/searching.ppt
      January 01, 2011 - “adj” — cuts down on miscellaneous citations “Heart adj failure” would find only instances in which … “heart” is next to “failure.” “$” — truncates a word with different endings “Analy$” would find words … For example, searching for “heart adj failure” would find citations only where the term “heart” appears … next to “failure” and would eliminate citations where “heart” appears in the first sentence and “failure

9709. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - think of policy and government intervention where it is the only possible solution to fix a market failure … September 19, 2018 Our current approach to root cause analysis: is it contributing to our failure

9710. THE HCUP NATIONWIDE READMISSIONS DATABASE (NRD), 2014
      hcup-us.ahrq.gov/db/nation/nrd/NRD_Introduction_2010-2014.jsp
      January 01, 2014 - Consider the following example: A patient with congestive heart failure has a 3-day hospital admission … Same State as the Index Event Readmissions Considered from Any State 108: Congestive heart failure … Acute cerebrovascular disease 232,510 14.73 15.23 3.4 157: Acute and unspecified renal failure … Pleurisy; pneumothorax; pulmonary collapse 37,794 25.02 25.81 3.1 131: Respiratory failure … ; nephrosis; renal sclerosis 1,488 25.00 25.54 2.2 157: Acute and unspecified renal failure

9711. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)
      hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2013.pdf
      January 01, 2013 - Consider the following example:  A patient with congestive heart failure has a 3-day hospital admission … comorbidity present, (0) comorbidity not present CM_RENLFAIL AHRQ comorbidity measure - Renal failure … Acute cerebrovascular disease 232,510 14.73 15.23 3.4 157: Acute and unspecified renal failure … 107: Cardiac arrest and ventricular fibrillation 3,236 18.88 19.96 5.7 108: Congestive heart failure … 1.4 130: Pleurisy; pneumothorax; pulmonary collapse 37,794 25.02 25.81 3.1 131: Respiratory failure

9712. Appendixcmultidx
      hcup-us.ahrq.gov/toolssoftware/ccs/AppendixCMultiDX.txt
      April 18, 2016 - - 42741 42742 4275 7.2.11 Congestive heart failure … 42830 42831 42832 42833 42840 42841 42842 42843 7.2.11.1 Congestive heart failure … - 4280 7.2.11.2 Heart failure … 5830 5831 5832 5834 5836 5837 58381 58389 5839 587 10.1.2 Acute and unspecified renal failure … - 5845 5846 5847 5848 5849 10.1.2.2 Unspecified renal failure

9713. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - We discussed the range of possibilities from missed immunizations or failure to follow up for a chronic … The office administration and clinicians were not willing to confront the staff with this failure … Failure to engage key office members, particularly key administrative staff and senior clinicians,

9714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49753/psn-pdf
      February 01, 2016 - there potential for human error in operating the robotic technology, but an added risk of mechanical failure

9715. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/waever.html
      August 01, 2017 - Strategies for learning from failure. Harvard Bus Rev 2011; 89:48–55. 31. Dekker S.

9716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49681/psn-pdf
      April 01, 2013 - Several reported PN-specific cases resulted from failure to incorporate built-in dosing limits in the

9717. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
      psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
      September 25, 2019 - was readmitted for worsening confusion and profound motor weakness, which progressed to respiratory failure

9718. Making Healthcare Safer IV: Supply Chain Disruption Monitoring Programs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/monitoring-programs-protocol.pdf
      January 01, 2024 - The downstream effects of the COVID-19 pandemic: The supply chain failure, a wicked problem Global

9719. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
      psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
      June 01, 2003 - Take-Home Points Best practices in dealing with nurse staffing ratios include: Conduct failure

9720. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
      November 24, 2020 - We define diagnostic error as “the failure to (a) establish and accurate and timely explanation of the