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Total Results: 358 records

Showing results for "failures".

1. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
   October 01, 2023 - In general, failures in communication about changes in medication doses were common, and one in four … on preventing harm in children caused by the outpatient healthcare system, specifically identifying failures

2. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
   December 01, 2022 - Catchpole’s research identified 30 potential sources of workflow failures that could be corrected with … glance; [it’s] a small intervention that may have a significant impact on reducing medication delivery failures

3. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/diagnostic-safety/workgroup/index.html
   March 01, 2024 - address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic failures

4. Module 5: Situation Monitoring
   cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
   January 10, 2022 - the problems that arise when understanding and expectations are out of sync.    6 Slide Where do failures … Examples of breakdowns in communication include: Failures in the patient accessing the healthcare system … Failures in treatments and followup.  

5. Dailygoals (doc file)
   cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
   January 01, 2003 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and

6. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/patient-safety/resources/learning-lab/index.html
   February 01, 2024 - Using incident reports to assess communication failures and patient outcomes . … The PIQS Lab examined radiology imaging failures through similar conceptual lenses of shared sense making … The specific aims are to: Explore solutions to failures in diagnosis, selection, and prescribing of … Develop methods to reduce failures in the preparation, administration, and recording of intraoperative … /19-09/09/23 Description: This project addresses diagnostic errors in primary care often caused by failures

7. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/patient-safety/settings/labor-delivery/index.html
   July 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

8. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
   cahps.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
   April 27, 2022 - Newman- The author distinguishes between diagnostic process failures and diagnostic labeling failures … Diagnostic process failures are Toker10 problems in the diagnostic workup. … Diagnosis label failures are an incorrect diagnosis or no attempt at a diagnosis. … Preventable diagnostic error is the overlap between diagnostic process failures and diagnostic label … failures.

9. Healthcare, Climate Change, Environmental Justice, and AHRQ | Agency for Healthcare Research and Quality
   cahps.ahrq.gov/news/blog/ahrqviews/healthcare-climate-change.html
   October 01, 2021 - change contributes to the heat waves, wildfires, hurricanes, droughts, flooding, and infrastructure failures

10. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
    May 01, 2016 - About half of the identified individual, team, and system failures associated with these events were … The highest correlation in patient/family member and clinician responses was found in regard to failures … Themes and subthemes emerging from the analysis suggest failures may occur in multiple domains of the … Further, clinical experts identified the individual, team, and system failures associated with each … Themes and subthemes emerging from the analysis suggest failures may occur in multiple domains of the

11. About the Toolkit Development | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - In addition to communication failures, patients on labor and delivery (L&D) units are at risk of medication

12. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
    cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
    January 01, 2015 - childrens.harvard.edu TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 12 Communication Failures … Slide ‹#› 76 Results Overall, the 23 hospitals involved saw reduction in handoff related care failures … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 77 BCH Handoff Related Care Failures

13. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/diagnostic-safety/index.html
    January 01, 2007 - address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic failures

14. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/diagnostic-safety/research/index.html
    March 01, 2024 - Year 2022 In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures

15. Agency for Healthcare Research and Quality
    cahps.ahrq.gov/research/publications/search.html?page=0
    January 01, 2024 - experiences, explores how patient-reported experiences can augment other methods of identifying diagnostic failures

16. Agency for Healthcare Research and Quality
    cahps.ahrq.gov/research/publications/search.html
    January 01, 2024 - experiences, explores how patient-reported experiences can augment other methods of identifying diagnostic failures

17. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

18. Selected Best Practices and Suggestions for Improvement (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
    May 17, 2016 - Selected Best Practices and Suggestions for Improvement Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety 1 Tool D.4u Selected Best Practices and Suggestions for Improvement PDI 09: Postoperative Respiratory Failure Why focus on postoperative respiratory failure in chi…

19. Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
    July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 1 Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19 Deaths From Heart Disease Increased in 2020 Heart disease is the mo…

20. Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/data/infographics/heart-failure-hospital.html
    July 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …