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Showing results for "failures".

261. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - • Structured, multidisciplinary review is required to identify system processes that may result in failures

262. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 15A: Outcome Indicators by County Demographics Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indi…

263. Using Data To Drive Change and Improve Patient Safety Slides
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-slides.pptx
     April 01, 2022 - Do failures need to be addressed? Do milestones need to be celebrated?

264. Advancing Methods of Implementing and Evaluating Patient Experience Improvement Using CAHPS® Surveys: Summary of Presentations | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/news-and-events/events/2020-meeting-summary.html
     December 01, 2020 - Recommendations based on this work include focusing on improvements in the implementation process rather than failures

265. Ldusafety Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
     May 01, 2017 - The types of failures resulting from these behaviors are different. … Errors associated with failures of attentional behavior are labeled “mistakes” and often occur because

266. Module 3: Staff Empowerment: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/mod3-facguide.html
     March 01, 2017 - Recognize that there will often be failures in addition to successes. … Encourage staff to find the silver linings or the pearls of wisdom in these failures.

267. Strategies for Improving Patient Experience with Ambulatory Care: Service Recovery Programs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6-p.pdf
     November 02, 2017 - you make it hard for members or patients to complain, you will continue to miss important service failures … • Use this team to develop planned protocols for service recovery for your most common service failures

268. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
     March 01, 2012 - very rare, such as the risk of SSI in the ambulatory surgery environment, and examining single-point failures … Also important is the tool’s utility in examining single-point failures, as well as combinations of … thereby allowing the investigators to design interventions aimed at reducing the risks associated with failures … events are added together, with the overlap subtracted to prevent double counting of the gate if both failures … the Birnbaum measure ranks the risks based upon the relative contribution of individual component failures

269. CAUTI Prevention Implementation in a Community Hospital
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
     March 01, 2009 - Factors Individual Provider Task Factors Patient Characteristics Corporate 16 17 System Failures

270. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
     January 01, 2017 - Once these systems are understood, staff will be able to effectively identify system failures that can

271. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
     February 01, 2017 - Early Mobility in the Intensive Care Unit: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Early Mobility in the Intensive Care Unit Slide 2: Learning Objectives After this session, you will be able to— …

272. Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays, 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heartfailure.pdf
     June 02, 2025 - Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays, 2017

273. Device or Medical/Surgical Supply, Including HIT Dashboard | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/devices.html
     September 01, 2024 - Device or Medical/Surgical Supply, Including HIT Dashboard Learn more about how the dashboards are set up . This dashboard details the type of device; type of device by residual harm to the patient; device defect, failure, or user error; device defect, failure, or user error by residual harm to the patient; …

274. Sustainability and the Premortem Tool: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/sustainability/premortem-slides.html
     December 01, 2017 - Sustainability and the Premortem Tool: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustainability and the Premortem Tool Slide 2: Learning Objectives After this session, you will be able to– List benefits of a premortem exercise from…

275. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
     www.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…

276. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - Abstract High-reliability organizations (HROs) are complex and have the potential for catastrophic failures … the work of Weick and Sutcliffe.1 HROs are highly complex and have the potential for catastrophic failures … review of PEERs reports revealed that approximately 25 percent of all events could be attributed to failures

277. 30-Day Readmission Rates to U.S. Hospitals, 2010 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/readmission-rates.pdf
     June 02, 2025 - 30-Day Readmission Rates to U.S. Hospitals, 2010 Medicare Medicaid Privately Insured Uninsured Medicaid Medicare Privately Insured Uninsured 30-DAY READMISSION RATES TO U.S. HOSPITALS *Readmissions were for all causes and did not necessarily include the same procedure or diagnosis as the original admission (…

278. Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/heart-failure-hospital.html
     July 01, 2023 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19   Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 (PDF, 490 KB) Key: API = Asian or Pacific Islander. Note: Data for American Indians and Alaska Natives were not available. Racial gro…

279. Diagnostic Error in the Testing Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship4.html
     August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Diagnostic Error in the Testing Process Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the …

280. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
     January 01, 2024 - Device or Medical/Surgical Supply including Health Information Technology Dashboard Introduction Introduction-Device or Medical/Surgical Supply including Health Information Technology The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …