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Showing results for "failures".

  1. 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
  2. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - Patient Safety and COVID-19 Page | 3 • Patient failures to obtain proper COVID-19 test prior to arrival … critical processes related to current and future PHEs and implement policies and procedures to reduce failures
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-facguide.docx
    January 01, 2017 - SAY: Which failures would impede sustainability of the safety program?
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus Patent Ductus Arteriosus Characteristics ■ A persistent open connection beyond 3 months of age between the pulmonary artery and the aorta with blood flow from the aorta to the pulmonary artery. ■ An open ductus may lead to: – Congestive heart…
  5. www.ahrq.gov/research/findings/final-reports/ssi/ssiapp.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Appendix P. Focus Group Risk Factors Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Admini…
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 14B: Outcome Indicators by State Supply of Health Care Providers 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 H…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 16B: Outcome Indicators by State Socioeconomic Status 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 Outco…
  8. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
    February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 15B: Outcome Indicators by State 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 Indic…
  9. www.ahrq.gov/news/newsroom/case-studies/201506.html
    April 01, 2015 - Penn Medicine Chester County Hospital Implements AHRQ Toolkit to Reduce Readmissions Search All Impact Case Studies April 2015 Penn Medicine Chester County Hospital, a 257-bed complex in West Chester, Pennsylvania, part of the University of Pennsylvania Health System, was one of 10 hospitals involved in AHR…
  10. www.ahrq.gov/funding/grant-mgmt/closeout.html
    October 01, 2024 - Grant Closeout Requirements This section provides details regarding required documentation that must be submitted to AHRQ's Grants Management within 120 days of the project end date of a grant or cooperative agreement to close out a grant in accordance with HHS regulations and AHRQ policy. This section provid…
  11. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
    January 01, 2013 - Section 5, Tables 8 and 9 …
  12. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-summ.html
    October 01, 2015 - Chartbook for Hispanic Health Care Priority Areas Identified by the U.S.-Mexico Border Commission: Summary & Definitions Previous Page   Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety Nation…
  13. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm2.html
    October 01, 2015 - Chartbook for Hispanic Health Care Priority Areas Identified by the U.S.-Mexico Border Commission (continued) Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Q…
  14. www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
    January 01, 2024 - Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes Final Progress Report Title: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes Principal Investigator: Matthew D. McHugh Team Members: Linda H. Aiken (primary mentor); Jeffrey H.…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ger.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Gastroesophageal Reflux Gastroesophageal Reflux Characteristics ■ Common problem in premature infants. – Lower esophageal sphincter hypotonia. – Transient relaxation of the esophageal sphincter. – Less frequent esophageal peristaltic activity. – Delayed gastric em…
  16. www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-participant-worksheet.pdf
    June 02, 2025 - TeamSTEPPS Mutual Support Facilitator Participant Worksheet …
  17. www.ahrq.gov/research/findings/final-reports/ptmgmt/evaluation-table3c.html
    July 01, 2018 - Patient Self-Management Support Programs: An Evaluation Table 3c. Examples of Evaluation Measures; Additional Categories Previous Page Next Page Table of Contents Patient Self-Management Support Programs: An Evaluation Acknowledgments Introduction and Purpose Summary Background Methodology…
  18. www.ahrq.gov/news/blog/ahrqviews/maternal-health-indicators.html
    October 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders New Healthcare Quality Indicator from AHRQ Aimed at Addressing Maternal Morbidities OCT 30 2024 By Whitney Schott, Ph.D., and Judy George, Ph.D. The U.S. has one of the highest maternal morbidity rates in the world among wealthy natio…
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    June 02, 2025 - C1 Prioritization Worksheet Prioritization Worksheet Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Prioritization Worksheet Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange Own Rate and National Comparat…
  20. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-technical-specifications.pdf
    June 02, 2025 - Technical Specifications for Timely Fluid Bolus for Children With Severe Sepsis or Septic Shock Section 2. Technical Specifications Sepsis Measure 5: Timely Fluid Bolus for Children with Severe Sepsis or Septic Shock 1 Description The proportion of hospitalized children with severe sepsis or septic shock w…

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