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Showing results for "failure".

  1. Lethal Cap | PSNet

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

  2. 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

  3. 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…

  4. 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…

  5. 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…

  6. 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

  7. 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

  8. 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 …

  9. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
    April 01, 2013 - In Conversation With… Christopher P. Landrigan, MD, MPH April 1, 2013  Also Read an Essay Citation Text: In Conversation With… Christopher P. Landrigan, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …

  10. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
    June 04, 2008 - Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks Donna Engleman, BSN; Suzanne Rich, RN, MA, CT; Tina Powell, BA; Marilyn Flack, M.A. …

  11. High-Risk Deliveries at Facilities with Level 3 or Higher NICU Services on Campus (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0123-fullreport.pdf
    November 01, 2019 - Examples include organ failure (e.g., acute renal failure, liver, respiratory), obstetric shock, pulmonary … one severe complication rose 75 percent over a 10-year period (from 1998- 1999 to 2008-2009): renal failure … The failure to respond urgently and definitively to fetal distress, maternal hemorrhage, or any number … One review of maternal deaths and near misses found mismanagement of the patient and failure or delay

  12. High-Risk Deliveries at Facilities With 24/7 In-House Physician Capable of Safely Managing Labor and Delivery and Performing a Cesarean Section, Including an Emergent Cesarean Section (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0120-fullreport.pdf
    May 01, 2018 - Examples include organ failure (e.g., acute renal failure, liver, respiratory), obstetric shock, pulmonary … of at least one severe complication of pregnancy rose 75 percent from 1998-1999 to 2008-2009: renal failure … The failure to respond urgently and definitively to fetal distress, maternal hemorrhage or any number … One review of maternal deaths and near misses, found mismanagement of patient, failure or delay in

  13. High-Risk Deliveries at Facilities with 24/7 In-House Physician Coverage Dedicated to the Obstetrical Service by an Anesthesiologist Who Is Qualified to Provide Obstetrical Anesthesia (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0121-fullreport.pdf
    October 01, 2019 - Examples include organ failure (e.g., acute renal failure, liver, respiratory), obstetric shock, pulmonary … prevalence of at least one severe complication rose 75 percent from 1998-1999 to 2008-2009: renal failure … The failure to respond urgently and definitively to fetal distress, maternal hemorrhage, or any number … One review of maternal deaths and near misses, found mismanagement of the patient and failure or delay

  14. High-Risk Deliveries at Facilities with 24/7 In-House Blood Banking/Transfusion Services - Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-0122-fullreport.pdf
    September 01, 2019 - Examples include organ failure (e.g., acute renal failure, liver, respiratory), obstetric shock, pulmonary … one severe complication rose 75 percent over a 10-year period (from 1998- 1999 to 2008-2009): renal failure … The failure to respond urgently and definitively to fetal distress, maternal hemorrhage, or any number … One review of maternal deaths and near misses found mismanagement of the patient and failure or delay

  15. 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

  16. THE HCUP NATIONWIDE READMISSIONS DATABASE (NRD), 2020

    hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2020.jsp
    January 01, 2020 - Consider the following example: A patient with congestive heart failure has a 3-day hospital … All-Cause Readmission Rate a 1 INF002: Septicemia 319,200 17.1 2 CIR019: Heart failure … Diabetes mellitus with complication 116,700 19.4 4 GEN002: Acute and unspecified renal failure … Same State as the Index Event Readmissions Considered from Any State 108: Congestive heart failure … Pleurisy; pneumothorax; pulmonary collapse 37,794 25.02 25.81 3.1 131: Respiratory failure

  17. 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

  18. Treatment of Hepatitis C Virus Infection in Adults: Future Research Needs (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hepatitis-c-treatment-future_research.pdf
    April 01, 2013 - but it is a leading cause of complications from chronic liver disease, including cirrhosis, liver failure … studies have evaluated the association between achieving an SVR and reductions in mortality, liver failure … All studies were poor-quality and were characterized by failure to adjust for confounders, high loss … to followup, and failure to blind patients to SVR status. … overall and by treatment completion status Proportion of subjects who have on-treatment virologic failure

  19. THE HCUP NATIONWIDE READMISSIONS DATABASE (NRD), 2010-2018

    hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2018.jsp
    January 01, 2018 - Consider the following example: A patient with congestive heart failure has a 3-day hospital admission … All-Cause Readmission Rate a 1 INF002: Septicemia 316,627 17.5 2 CIR019: Heart failure … (except that caused by tuberculosis) 100,224 15.3 6 GEN002: Acute and unspecified renal failure … Schizophrenia spectrum and other psychotic disorders 83,684 21.6 9 RSP012: Respiratory failure … Same State as the Index Event Readmissions Considered from Any State 108: Congestive heart failure

  20. HEALTHCARE COST AND UTILIZATION PROJECT — HCUP (pdf file)

    hcup-us.ahrq.gov/db/nation/nrd/Introduction_NRD_2010-2018.pdf
    January 01, 2018 - Consider the following example: • A patient with congestive heart failure has a 3-day hospital admission … 30-Day All-Cause Readmission Ratea 1 INF002: Septicemia 316,627 17.5 2 CIR019: Heart failure … (except that caused by tuberculosis) 100,224 15.3 6 GEN002: Acute and unspecified renal failure … Schizophrenia spectrum and other psychotic disorders 83,684 21.6 9 RSP012: Respiratory failure … Acute cerebrovascular disease 232,510 14.73 15.23 3.4 157: Acute and unspecified renal failure
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