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Total Results: 2,857 records

Showing results for "failures".

2281. Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
      January 01, 2025 - care by using collective learning, data feedback, benchmarking, and open sharing of successes and failures

2282. Final Progress Report: EMR Planning To Improve North Iowa Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
      January 01, 2024 - privacy, limited IS staffing and capital budgets, and back-up support for malfunctions and system failures

2283. Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-rural-healthcare.pdf
      July 01, 2024 - estimated that 33 percent of diagnostic errors result in patient injury,22 and 57 percent of these failures

2284. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes 2023 National Healthcare Quality and Disparities Report Appendixes This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quali…

2285. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
      October 25, 2022 - 2022 National Healthcare Quality and Disparities Report Appendixes 2022 National Healthcare Quality and Disparities Report Appendixes U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality 5600 Fishers Lane Rockville, MD 20857 www.ahrq.gov AHRQ Publication No. 22(23)-0030 …

2286. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendixes 2023 National Healthcare Quality and Disparities Report Appendixes This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Quali…

2287. Final Progress Report: Improving Warfarin Management in Competitive Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/levett-report.pdf
      January 01, 2024 - therapeutic range after 2 weeks of initiation of therapy Medical Records Database X X 8 3 Failures

2288. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
      November 01, 2014 - Subsequent process owners were not able to "keep the momentum" on the project, contributing to its failures

2289. Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singer-benneyan-phillips-report.pdf
      January 01, 2025 - Final Progress Report: Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests 1 Title Page Final Progress Report Engineering Highly Reliable Communication and Coordination Systems for High-Risk Patients, Referrals, and Tests Principal Investigators Sar…

2290. Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-133-fullreport.pdf
      January 01, 2019 - Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies 1 Availability of Outpatient Maternal Fetal Medicine and Specialty Care for Women with High-Risk Pregnancies Section 1. Basic Measure Information 1.A. Measure Name HROB V: Availability of Outpatient Matern…

2291. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph3-report.pdf
      August 31, 2021 - complex settings suggests that adverse events are often caused by a combination of active and latent failures

2292. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
      January 01, 2024 - complex settings suggests that adverse events are often caused by a combination of active and latent failures

2293. Appendixa-Graphs-Cx (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/appendixa-graphs-cx.pdf
      January 31, 2018 - 2016 National Healthcare Quality and Disparities Report Appendix A | 27 APPENDIX A. SELECTED MEASURE DATA Trends in Access Graph 1: Access No change overall: Adults who needed care right away for an illness, injury, or condition in the last 12 months who sometimes or never got care as soon as needed, 2002-2014 …

2294. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/liability/brock.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Comment…

2295. Saint Joseph Mercy Health System–Ann Arbo | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/cusp-success/stjoe.html
      September 01, 2012 - Stories of Success: Using CUSP To Improve Safety Saint Joseph Mercy Health System–Ann Arbo Previous Page Next Page Table of Contents Stories of Success: Using CUSP To Improve Safety About This Guide What Is CUSP? How To Learn More About CUSP With the CUSP Toolkit NorthCrest Medical Center …

2296. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/19989-Phillips-report.pdf
      October 31, 2013 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges FINAL PROGRESS REPORT Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor, Texas A&M …

2297. Facilitator's Notes (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/simulation/traininggd1.html
      July 01, 2016 - Facilitator's Notes (continued) Training Guide: Using Simulation in TeamSTEPPS Training 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 saf…

2298. TeamSTEPPS Fundamentals Course: Module 2. Team Structure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module2/igteamstruct.pdf
      November 18, 2015 - TeamSTEPPS Fundamentals Course: Module 2. Team Structure TEAM STRUCTURE SUBSECTIONS • What Defines a Team? • Partnering With Patients and Families • Multi-Team System for Patient Care TIME: 50 minutes TeamSTEPPS 2.0 | Team Structure B-2-3 Slide MODULE TIME: …

2299. Team Structure Instructor Guide – PDF (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module2/ts2-0ltc_module2_ig_teamstructure.pdf
      June 27, 2017 - Team Structure Instructor Guide – PDF TEAM STRUCTURE SUBSECTIONS • What Defines a Team? • Partnering With Residents and Families • Multi-Team System for Resident Care TIME: 50 minutes B-2-3 Slide MODULE TIME: 50 minutes MATERIALS: Content Page # Approx. Time…

2300. Making Effective Changes in Antibiotic Decision Making (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
      November 01, 2019 - Making Effective Changes in Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Making Effective Changes in Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Number and Slide Making Effecti…