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Showing results for "failure".

9821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33727/psn-pdf
      March 01, 2012 - System failure versus personal accountability—the case for clean hands.

9822. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
      January 01, 2012 - national averages on several core quality measures, including care for heart attack, pneumonia, heart failure

9823. The Hidden Harms of Hand Sanitizer | PSNet
      psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
      March 04, 2020 - WebM&M Cases Shortcuts to Acetaminophen-induced Liver Failure

9824. Improving Healthcare Quality with User-Centric Patient Portals | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-user-centric-patient-portals
      January 01, 2023 - Ambulatory Setting Federally Qualified Health Center Medical Condition Congestive Heart Failure

9825. Strategies to Improve Organizational Health Literacy. | PSNet
      psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
      August 30, 2023 - Failure to incorporate health literacy principles into an organization can lead to miscommunications

9826. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
      June 02, 2025 - PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative Respiratory Failure

9827. Lethal Cap | PSNet
      psnet.ahrq.gov/web-mm/lethal-cap
      December 19, 2018 - WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure

9828. Microsoft Word - Addendum to MS-2008-06_fnl 072009.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2008_06_Addendum_to_MS-2008-06_fnl_072009.pdf
      January 01, 2008 - pulmonary disease (COPD) PQI 7 Admissions for hypertension PQI 8 Admissions for congestive heart failure

9829. No News May Not Be Good News | PSNet
      psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
      December 07, 2009 - SPOTLIGHT CASE No News May Not Be Good News Citation Text: Moore CR. No News May Not Be Good News. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

9830. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
      November 01, 2019 - Making Effective Behavior Changes Around Antibiotic Prescribing AHRQ Safety Program for Improving Antibiotic Use 1AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Behavior Changes Around Antibiotic Prescribing Acute Care S…

9831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33784/psn-pdf
      April 01, 2015 - In Conversation With… David Urbach, MD, MSc April 1, 2015 In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation at the University…

9832. Disposition of Comments for CER 159 Insomnia (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/insomnia_disposition-comments.pdf
      December 30, 2015 - This omission, and, more importantly, the failure to clarify the methodology and address this issue … Failure of the comparative effectiveness review to mention the word ‘infection,’ much less to seriously … analyze this common risk of hypnotics, is a striking example of the review's failure to adequately … This omission, and, more importantly, the failure to clarify the methodology and address this issue … This omission and, more importantly, the failure to clarify the methodology and address this issue

9833. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
      March 01, 2023 - Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination Implementation Guide for Getting Started Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination Acronym List Term Abbreviation AACVPR American Assoc…

9834. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
      March 01, 2020 - Failure To Rescue: Patient Monitoring Systems (PMS) Number of rescue events (rapid response team … Failure To Rescue: Rapid Response Teams Hospital mortality Cardiac arrest rate ICU transfer … The harms include diagnostic errors, failure to rescue, sepsis, infections due to multi-drug resistant

9835. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

9836. Communication Between Clinicians | PSNet
      psnet.ahrq.gov/primer/communication-between-clinicians
      September 15, 2024 - Communication Between Clinicians Citation Text: Communication Between Clinicians. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

9837. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - Diagnosis in Health Care” highlights the significance of diagnostic errors (DE) and defines them as “the failure

9838. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
      January 01, 2009 - Title Page Grant Final Report Grant ID: 1UC1HSO16130-01 Metro DC Health Information Exchange (MeDHIX): Strategies for Successful Planning and Implementation of HIE Solutions in Safety Net Clinic Communities Inclusive dates: 09/30/05 - 09/29/29 Principal Investigator: Thomas L. Lewis, MD …

9839. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)
      hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2019.pdf
      January 01, 2019 - Consider the following example: • A patient with congestive heart failure has a 3-day hospital admission … 96,317 19.4 7 RSP012: Respiratory failure; insufficiency; arrest 84,767 20.7 8 CIR017: Cardiac … 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

9840. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)
      hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2020.pdf
      January 01, 2020 - Consider the following example: • A patient with congestive heart failure has a 3-day hospital admission … END003: Diabetes mellitus with complication 116,700 19.4 4 GEN002: Acute and unspecified renal failure … Chronic obstructive pulmonary disease and bronchiectasis 64,700 19.9 11 RSP012: Respiratory 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