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Showing results for "failures".

2121. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration Stephanie L. Shimada, PhD; Maria E. Montez-Rath, PhD; Susan A. Loveland, MAT; Shibei Zhao, MPH; Nancy R. Kressin, PhD; A…

2122. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
      January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task O…

2123. References (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-references.pdf
      October 23, 2013 - References References 1. Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, Feng JY, Shulman S, Chiang VK, Kaplan W, Hall M, Schuster MA. Pediatric readmission prevalence and variability across hospitals. JAMA. 2013;309(4):372–380. 2. Pelletier AJ, Mansbach JM, …

2124. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=1
      January 01, 2024 - Systems Engineering Initiative for Patient Safety (SEIPS) based process mapping method to identify failures … when parents failed to treat severe hypoglycemia and lethargy, and two had injuries due to repeated failures

2125. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=362
      January 01, 2024 - AHRQ Research Studies Sign up: AHRQ Research Studies Email updates Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers. Results 9051 to 9075 of 12214 Research Studies Displayed Pagination « first « First ‹ previous ‹‹ …

2126. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
      January 01, 2024 - Participants were asked to analyze each step, identifying potential failures. … Although the FMEA did not yield a ranking of the key risks, the groups did identify failures that could … As they identified those potential failures, they began to share ideas for how to prevent or mitigate

2127. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/carayon-report.pdf
      January 01, 2024 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error Reduction, Technologies, and Human Factors Final Report Pascale Carayon, PI, Tosha B. Wetterneck, co-PI Roger Brown Professor, UW School of Nursing Pascale Carayon Principal investigator; Professor, Department of …

2128. TeamSTEPPS 2.0: Module 9 | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachselfasfm.html
      March 01, 2014 - TeamSTEPPS 2.0: Module 9 Self-Assessment TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety. Contents ASTD Coaching Self-Assessme…

2129. Self-Assessment Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module9/ts2-0ltc_module9_coaching_selfasst.pdf
      April 24, 2017 - Self-Assessment Form Coaching Workshop ASTD Coaching Self-Assessment Form INSTRUCTIONS: The purpose of this activity is to assist you in learning about what you need to be successful as a coach and to help you create an action plan for self-improvement. Write an X in one of the boxes to the right of…

2130. TeamSTEPPS 2.0: ASTD Coaching Self-Assessment Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachselfasfm.pdf
      March 20, 2014 - TeamSTEPPS 2.0: ASTD Coaching Self-Assessment Form TeamSTEPPS 2.0 ASTD Coaching Self-Assessment Form – D-9-31 Coaching Workshop ASTD Coaching Self-Assessment Form INSTRUCTIONS: The purpose of this activity is to assist you in learning about what you need to be successful as a coach and to help you creat…

2131. TAKEheart Learning Community Webinars | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/training/learning-community-webinars/index.html
      December 01, 2022 - TAKEheart Learning Community Webinars TAKEheart Learning Community webinars, held between 2020–2022, featured discussions among cardiac rehabilitation (CR) experts and CR champions from diverse hospitals. Panelists shared knowledge and resources for addressing common challenges to increasing CR enrollment, part…

2132. Assess-Resident-Rti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-RTI-facilitator-guide.docx
      June 01, 2021 - AHRQ Safety Program for Improving Antibiotic Use 1 Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care Slide Title and Commentary Slide Number and Slide Assessment of the Resident With a Suspected Respiratory Tract Infection Long-Term Care SAY: Thank you for joining us. This…

2133. Noninvasive Positive Pressure Ventilation in the Home: Research Review: Disposition of Comments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/hmv-disposition-of-comments.pdf
      March 14, 2019 - Noninvasive Positive Pressure Ventilation in the Home: Research Review: Disposition of Comments Research Review Disposition of Comments Report March 14, 2019 Research Review Title: Noninvasive Positive Pressure Ventilation in the Home Draft review available for public comment from September 10,…

2134. Defining Critically Ill in the ICU; Alternatives to Catheters; Using CUSP Staff Safety Assessment and the Learning From Defects Tool to Improve Safety Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/defining-critically-ill-icu-slides.html
      December 01, 2017 - Defining Critically Ill in the ICU; Alternatives to Catheters; Using CUSP Staff Safety Assessment and the Learning From Defects Tool to Improve Safety Culture Slide 1 Defining “Critically Ill” in the ICU; Alternatives to Catheters; Using the CUSP Staff Safety Assessment and the Learning from Defects Tools to Im…

2135. VA Provides Specialty Care in Local Offices Across the Country | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/cp31307.html
      May 01, 2013 - VA Provides Specialty Care in Local Offices Across the Country Search All Impact Case Studies May 2013 The U.S. Department of Veterans Affairs (VA) has launched a virtual model of medical education to deliver health care that is based on AHRQ's "Project Extension for Community Healthcare Outcomes" (Project …

2136. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
      June 29, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Transfer Note and Intake Note Transfer Notes and Intake Notes are not required, but the elemen…

2137. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
      February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population …

2138. Daily Goals During Interdisciplinary Rounds: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/daily-goals-rounds-fac-guide.html
      February 01, 2017 - Communication failures are the leading contributing factor to medical errors, especially in the intensive

2139. Final Progress Report: Medication Error Reduction, Technologies and Human Factors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14253-Carayon-draft-1.pdf
      December 01, 2006 - Final Progress Report: Medication Error Reduction, Technologies and Human Factors Medication Error Reduction, Technologies, and Human Factors Final Report Pascale Carayon, PI, Tosha B. Wetterneck, co-PI Roger Brown Professor, UW School of Nursing Pascale Carayon Principal investigator; Professor, Department of …

2140. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17143-Minnitti-draft-1.pdf
      August 31, 2009 - Participants were asked to analyze each step, identifying potential failures. … Although the FMEA did not yield a ranking of the key risks, the groups did identify failures that could … As they identified those potential failures, they began to share ideas for how to prevent or mitigate