Results

Total Results: over 10,000 records

Showing results for "failure".

9981. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - The risk factors for drug-induced QT prolongation include age, bradycardia, left ventricular failure,

9982. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
      November 01, 2012 - Also consider performing a failure mode and effects analysis to better understand the process and where

9983. A4A Combo Psi Casestudy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
      June 02, 2025 - 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative Respiratory Failure

9984. The Dangerous Detour | PSNet
      psnet.ahrq.gov/web-mm/dangerous-detour
      November 28, 2018 - WebM&M Cases Mismanagement of Acute Decompensated Heart Failure

9985. Near Miss With Neonate | PSNet
      psnet.ahrq.gov/web-mm/near-miss-neonate
      August 15, 2018 - August 25, 2011 WebM&M Cases Failure to Latch September

9986. Patient Safety in Primary Care | PSNet
      psnet.ahrq.gov/perspective/patient-safety-primary-care
      January 31, 2020 - WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure

9987. HCUP Infographics
      hcup-us.ahrq.gov/reports/infographics.jsp
      October 01, 2022 - Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays PDF (PDF file,

9988. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - January 31, 2024 WebM&M Cases Open wider: Failure

9989. AHRQ Safety Program for MRSA Prevention: Targeting SSI
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptx
      April 01, 2025 - How to Integrate a CUSP Approach Align With Principles of High Reliability12-14 Preoccupation with failure

9990. Back to Basics | PSNet
      psnet.ahrq.gov/web-mm/back-basics
      July 13, 2010 - Agonist-dependent failure of neutrophil function in diabetes correlates with extent of hyperglycemia.

9991. Appendix B. Example Data Collection Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/collection-tools.html
      February 01, 2017 - At your clinic, for follow up of people with chronic illnesses (e.g., COPD, diabetes, heart failure),

9992. Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
      October 01, 2024 - CUSP Premortem Project Assessment is a proactive way to anticipate potential points and reasons for failure … things could go wrong, and what could be done preemptively to mitigate those potential reasons for failure

9993. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
      May 01, 2024 - telemedicine visits on hospital admissions for ambulatory care-sensitive conditions (such as congestive heart failure … telemedicine visits on hospital admissions for ambulatory care-sensitive conditions (such as congestive heart failure

9994. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - Unknown toxic potential Truvada (emtricitabine/tenofovir) maintained despite acute renal failure … Tenofovir is renally cleared and is nephrotoxic at supratherapeutic levels, resulting in compounded renal failure … patients, regardless of HST receipt, still faced risks of loss to follow-up after a kept appointment, ART failure … The second reason this study’s total sample was lower than hypothesized was a failure to capture most

9995. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
      January 01, 2024 - Each scenario consisted of multiple defined milestones to measure successful completion or failure. … Errors Observed in Scenarios 1-3 4.3 Usability Discussion The aggregated event timelines and success/failure … table highlighted specific areas of difficulty within the study scenarios and hint at a failure in … Pharmacist involvement at discharge with the joint commission heart failure core measure: challenges

9996. Bariatric Surgery in Women of Reproductive Age: Special Concerns for Pregnancy. Evidence Report/Technology Assessment, No. 169 (pdf file)
      www.ahrq.gov/downloads/pub/evidence/pdf/bariatricrep/barirep.pdf
      November 01, 2008 - It is not clear whether the failure rate of OCPs in this case series is significantly worse than expected … Based on this 5.0 percent failure rate, these authors advised the use of something other than OCP, and … called for a large RCT to determine the best method of contraception.38 Given that the failure rate … Failure of a nursing infant to thrive after the mother's gastric bypass for morbid obesity. … Steatohepatitis and fatal hepatic failure after biliopancreatic diversion.

9997. Improving Health Care and Palliative Care for Advanced and Serious Illness Disposition of Comments Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/quality-gap-palliative-hospice_disposition-comments.pdf
      October 01, 2012 - limitations: “Few studies focused on specific non-cancer populations, such as patients with heart failure … limitations: “Few studies focused on specific non-cancer populations, such as patients with heart failure … literature: “Few studies focused on specific non-cancer populations, such as patients with heart failure … end of life", b) confusing Results organization, lack of reference from text to data tables, and failure … to provide citations so that statements are linked to specific groupings of studies, and c) failure

9998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841306/psn-pdf
      December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022 Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks Resilient healthca…

9999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience May 1, 2005 Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizat…

10000. Welcome Guide for Patients and Family Caregivers | Agency for Healthcare Research and Quality
       www.ahrq.gov/teamstepps-program/welcome-guides/caregivers.html
       July 01, 2023 - Welcome Guide for Patients and Family Caregivers Welcome to the TeamSTEPPS ® 3.0 curriculum. TeamSTEPPS (Team Strategies to Enhance Performance & Patient Safety) is a resource to equip members of healthcare teams to work effectively together to best meet the needs of patients and their family members, friend…