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Showing results for "failures".

321. Library of PCOR Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/pcor/library-of-resources/index.html
     April 01, 2021 - Library of PCOR Resources The Agency for Healthcare Research and Quality (AHRQ) provides this comprehensive Web library of patient-centered outcomes research (PCOR) resources to highlight the existing collection of PCOR projects conducted by public, private, nonprofit, and academic sources. The library of resou…

322. Tools for Sustainability: Premortem and Scorecard: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-fac-guide.html
     February 01, 2017 - Say: Which failures would impede sustainability of the safety program?

323. Enhancing Care Coordination | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/training/care-coordination/index.html
     April 01, 2023 - Enhancing Care Coordination This focus area will walk you through the decisions and steps needed to optimize care coordination for your cardiac rehabilitation (CR) patients. Effective care coordination (CC) is a proven strategy for increasing patient participation. Care coordinators begin to work with patie…

324. Final Progress Report: Evaluating treatment options and patterns of care in early pregnancy failure (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/dalton-report.pdf
     January 01, 2024 - Final Progress Report: Evaluating treatment options and patterns of care in early pregnancy failure Principal Investigator/Program Director (Last, First, Middle): Dalton, Vanessa, Kathleen 1. Title Page Evaluating treatment options and patterns of care in early pregnancy failure Study Team: Vanessa K. Dalton MD…

325. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - Financial and Demographic Influences on Medicare Patient Safety Events 437 Financial and Demographic Influences on Medicare Patient Safety Events Didem Bernard, William E. Encinosa Abstract Background: The hospital market is stratified between the “have” and the “have not” hospitals. Whether financial dis…

326. Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 - Infographic (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heart-failure-hospital.pdf
     January 01, 2019 - Heart Failure Admissions Down but Hospital Deaths Higher in First Year of COVID-19 - Infographic This Is a Sample Two Line Infographic Arial BK - 24 PT Source: The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in 8.5/10 point Arial. The source should be in …

327. Tools for Sustainability: Premortem and Scorecard: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/sustainability/premortem-scorecard-slides.html
     February 01, 2017 - Tools for Sustainability: Premortem and Scorecard: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Tools for Sustainability: Premortem and Scorecard Slide 2: Learning Objectives After this session, you will…

328. AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201522.html
     August 01, 2015 - AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals Search All Impact Case Studies August 2015 Three California hospitals are among those in the San Francisco-based Dignity Health system using AHRQ's Re-Engineered Discharge (RED) Toolkit to reduce hospital readmissions and improve car…

329. Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
     April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

330. Recommendations and Areas for Future Research | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
     August 01, 2022 - This case revealed numerous system failures that contributed to the initial misdiagnosis and needless

331. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses6.html
     August 01, 2022 - Communication failures: an insidious contributor to medical mishaps.

332. Module-8-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-8-slides.pdf
     November 18, 2021 - improvement ideas • Solicit feedback on what and how well things are working • Discuss struggles and failures

333. References (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/14-diagnostic-safety-toolkit-references.pdf
     November 24, 2020 - Contextual errors and failures in individualizing patient care: A multicenter study.

334. Exhibit 12. Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting component failure points individually | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraexh12.html
     April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Exhibit 12. Probability of an intervention reducing the risk of surgical site infection (SSI) by interventions targeting component failure points individually Previous Page Next Page Table of Contents Proactive Risk A…

335. Labor and Delivery Unit Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
     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

336. Section 2: Engaging Stakeholders in a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
     October 01, 2014 - the program is implemented, communicating routinely with stakeholders regarding program successes, failures … Communicating routinely with lobbyists regarding program successes, failures, and new initiatives will

337. Can We Talk? Priorities for Patient Care Differed Among Health Care Providers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf
     January 01, 2003 - Introduction Failures of communication among health care providers can lead to medical errors and … where such a discrepancy exists.4 Although no data exist to document how widespread communication failures

338. Hospital Readmissions: Not Just a Problem for Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hospital-readmission-problem.pdf
     June 02, 2025 - Hospital Readmissions: Not Just a Problem for Medicare 0% 5% 10% 15% 20% 25% 30% Medicare Medicaid Knee Arthroplasty Hip Replacement PneumoniaCongestive Heart Failure Acute Myocardial Infarction 18.417.8 8.99.0 5.2 7.5 18.1 13.9 24.4 29.4 Pe rc en ta ge o f P at ie nt s Re ad m itt ed …

339. Health Care Quality: How Does Your State Compare? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/qdr-state-snapshot.pdf
     June 02, 2025 - Health Care Quality: How Does Your State Compare? AHRQ’s 2016 State Snapshots used more than 250 statistical measures to provide state-by-state summaries of health care quality. Examples in this illustration show top-scoring states in 2014 in three areas – avoiding sepsis in surgery patients, ensuring specialty…

340. Table 8: Prevalence of selected conditions among adults with diabetes by project site. Fiscal year 2010. | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chap5tab8.html
     December 01, 2017 - Table 8: Prevalence of selected conditions among adults with diabetes by project site. Fiscal year 2010. ARRA Grants Initiative Findings from a set of 16 grants on improving delivery systems and on spreading evidence-based practices through delivery systems; recommendations and methods for advancing delivery …