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Showing results for "failures".

441. Appendix G. References for Fault Tree Model Probability Estimates | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapg.html
     October 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix G. References for Fault Tree Model Probability Estimates Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chap…

442. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-slides.pptx
     November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia Best Practices in the Diagnosis and Treatment of Hospital-Acquired Pneumonia AHRQ Safety Program for Improving Antibiotic Use Acute Care AHRQ Pub. No. 17(20)-0028-EF November 2019 HAP AHRQ Safety Program for Improv…

443. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-slides.pptx
     November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia Best Practices in the Diagnosis and Treatment of Ventilator-Associated Pneumonia Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 VAP AHRQ Safety Program f…

444. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
     January 01, 2024 - Identification of systems failures in successful paediatric cardiac surgery. Ergonomics. … The contribution of latent human failures to the breakdown of complex systems. … Failures without errors: quantification of context in HRA. … An analysis of major errors and equipment failures in anesthesia management: Considerations for prevention

445. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
     May 01, 2025 - Healthcare Safety Competencies Affinity Group Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery.  …

446. St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201511.html
     May 01, 2015 - St. Joseph’s Hospital Improves Patient Safety Using AHRQ Tools Search All Impact Case Studies May 2015 St. Joseph's Hospital, a 72-bed facility in Breese, Illinois, has improved care and increased satisfaction among patients by using three evidence-based resources from AHRQ: The Hospital Consumer Asses…

447. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17C: Medicaid-Only HCBS Participants 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 Indicators for…

448. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17B: Dually Eligible HCBS Participants 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 Indicators f…

449. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17D: Intellectual/Developmental Disabilities Subpopulation 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 …

450. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17A: National HCBS Population 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 Indicators for the HC…

451. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17G: HCBS Population Age 65+ 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 Indicators for the HCB…

452. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Populat…

453. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
     January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors Improving Patient Safety by Reducing Medication Errors Brian Strom, MD, MPH, Principal Investigator: Director, Administrative Core; Director, Data Collection Core Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…

454. Implementing the _x000b_SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation.pptx
     July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

455. Implementing the SPPC-II Teamwork Toolkit - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation.pptx
     July 01, 2023 - "Spend the next 10 minutes writing down all the reasons you believe these failures occurred.

456. Phoneroleplay (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/phoneroleplay.docx
     June 02, 2025 - Phone Call Role Play CALLER: Hello Ms. Smith, I am Brian, a nurse from [Hospital]. When you left the hospital, Lynn, your discharge educator, mentioned you’d receive a call checking in on things and I’m glad to help with this call. I am hoping to talk to you about your medical issues, see how you are doing, and see if …

457. Phone Call Role Play (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/phoneroleplay.pdf
     June 02, 2025 - Phone Call Role Play 1 Phone Call Role Play CALLER: Hello Ms. Smith, I am Brian, a nurse from [Hospital]. When you left the hospital, Lynn, your discharge educator, mentioned you’d receive a call checking in on things and I’m glad to help with this call. I am hoping to talk to you about your medical issues, see …

458. Chapter 2. ST-PRA Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
     April 01, 2018 - events are added together, with the overlap subtracted to prevent double counting of the gate if both failures

459. Chartbook on Care Coordination: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/carecoordination-slides.html
     June 01, 2018 - Chartbook on Care Coordination: Slide Presentation National Healthcare Quality and Disparities Report Slide 1 National Healthcare Quality and Disparities Report Chartbook on Care Coordination June 2016 Slide 2 National Healthcare Quality and Disparities Report Annual report to Congress mandat…

460. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
     October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Epidemiology of Invasive Devices and Complications Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devic…