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Showing results for "failures".

121. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
     June 01, 2023 - and system-based failures, all of which can lead to diagnostic errors.60 Although substantial efforts … Care transitions, sources of error, and potential mitigating strategies Care Transition Latent Failures … Dropping the baton: a qualitative analysis of failures during the transition from emergency department … Replacing hindsight with insight: toward better understanding of diagnostic failures. … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

122. Leveraging Existing Assessments of Risk Now (LEARN) Safety Analysis: A Method for Extending Patient Safety Learning (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-woods_79.pdf
     May 30, 2008 - In the adapted LEARN Safety Analysis methodology, after “risk binning” the failures, representative

123. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
     June 01, 2023 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department … Replacing hindsight with insight: toward better understanding of diagnostic failures. … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

124. TeamSTEPPS Fundamentals Course: Module 3. Communication | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
     March 01, 2019 - Communication Failures 8—9 3 mins * 4. … Objectives TeamSTEPPS Teamwork Skills Importance of Communication (Optional) Communication Failures … Return to Contents (Optional) Communication Failures Instructor Note: Create a slide showing your

125. Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.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 …

126. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/programs/index.html?page=3
     March 27, 2024 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

127. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/programs/index.html?page=3
     April 24, 2024 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

128. Table A.4.1. Verisk condition classifications | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
     December 01, 2017 - 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 …

129. Improving the Emergency Department Discharge Process: Environmental Scan Report (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
     December 01, 2014 - 41 Appendix D: Past Interventions Aimed to Prevent ED Discharge Failures 42 Emergency Department … ED discharge failures have been described as follows:  ED revisits within specified timeframes (e.g … All have fairly low specificity, underscoring the difficulty in predicting discharge failures. … ED discharge failures for uninsured and underinsured patients included 72-hour returns1 (odds ratio … Appendix D: Past Interventions Aimed To Prevent ED Discharge Failures

130. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
     January 01, 2024 - Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications R01 HS18372: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications AHRQ Grant Final Progress Report Title of Project: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safet…

131. Chapter 3. Risk-Informed Interventions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
     April 01, 2018 - , the Birnbaum measure ranks the risks based upon the relative contribution of individual component failures … process of care, and should include redundant process steps to minimize the occurrence of single-point failures

132. Pediatric Diagnostic Safety Research and Initiatives Across the Care Continuum | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-3.html
     August 01, 2023 - Aggregating cases with similar diagnostic process failures may allow patient safety leaders to implement … credentials across time and clinical locations may make similar reasoning errors. 86 Such predictable failures

133. Tool: Advocacy and Assertion | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
     June 01, 2023 - hierarchical, such as healthcare, the military, and commercial aviation, have all experienced tragic failures

134. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/tools/index.html?page=3
     September 01, 2012 - aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures

135. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/tools/index.html?page=3
     September 01, 2012 - aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures

136. Daily Goals Checklist | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/daily-goals.html
     December 01, 2012 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and

137. Tool: Premortem (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/premortem-tool.docx
     January 01, 2017 - Tool: Premortem Problem Statement Projects often fail due to many circumstances. Quality improvement programs, like the Comprehensive Unit-based Safety Program (CUSP) are no exception. Understanding potential barriers and complications to project implementation and success BEFORE the launch of a new program can miti…

138. RED Lowering Hospital Readmissions and Improving Patient Satisfaction at Euclid Hospital in Ohio | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201415.html
     September 01, 2014 - 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 …

139. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
     May 01, 2018 - 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 …

140. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
     October 01, 2014 - 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 …