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Total Results: 1,922 records

Showing results for "failures".

81. 5 Tk2 P3T3-Antibiogram Factsheet Phase 3 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T3-Antibiogram_Factsheet_Phase_3.pdf
    May 01, 2014 - reduced reliance on broad-spectrum antibiotics as initial therapy and can result in fewer clinical failures

82. 5 Tk2 P1T4-Antibiogram Factsheet Phase 1 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P1T4-Antibiogram_Factsheet_Phase_1.pdf
    May 01, 2014 - reduced reliance on broad-spectrum antibiotics as initial therapy and can result in fewer clinical failures

83. Lee Health TAKEheart Profile | Agency for Healthcare Research and Quality
    www.ahrq.gov/takeheart/about/initiative/partner-hospitals/lee-health.html
    November 01, 2022 - To address referral failures, Harris-Barter and Lee Health adopted a strategy described by another TAKEheart

84. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - occurred and the consequences of these failures. … We classified failures in terms of causes, which are listed below: 1. Turf issues 2. … Frequency and outcome of cervical cancer prevention failures in the United States. … Establishing the frequency and outcome of cervical cancer screening failures in the United States. … Anatomic pathology failures.

85. Table 2. Self-management Support Content and Prerequisites for Coaches | Agency for Healthcare Research and Quality
    www.ahrq.gov/research/findings/final-reports/ptmgmt/design-table2.html
    July 01, 2018 - Information on patient's prior goals, problems, needs, knowledge, behavior change successes and failures

86. 5 Tk1 T5-Sample Policy Letter Final (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
    October 01, 2016 - helps reduce reliance on broad-spectrum antibiotics as initial therapy and leads to fewer clinical failures

87. 5 Tk1 T5-Sample Policy Letter Final (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
    October 01, 2016 - helps reduce reliance on broad-spectrum antibiotics as initial therapy and leads to fewer clinical failures

88. TeamSTEPPS Research/Evidence Base: Surgical Care and OR | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/evidence-base/surgical.html
    July 01, 2023 - Communication failures in the operating room: An observational classification of recurrent types and … a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

89. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Slide 29: Case Study: Renal Transplant Image: Renal Transplant Case: System Failures and Opportunities … System failures are listed in orange shapes that point toward blue boxes of opportunities for improvement … Slide 34: Case Study: Renal Transplant Image: Renal Transplant Case: System Failures and Opportunities … System failures are listed in orange shapes that point toward blue boxes of opportunities for improvement

90. Final Progress Report: Risk-Informed Interventions in Community Pharmacy: Implementation and Evaluation (pdf file)
    www.ahrq.gov/sites/default/files/2024-02/cohen2-report.pdf
    January 01, 2024 - can also significantly reduce patient nonadherence to prescribed therapy, which leads to treatment failures … mismanagement and inadequacies in preparation.38 The stories of technology failures are peppered with … HAMMERS™ allows providers to identify which system attributes and failures have the highest impact on … Using probabilistic risk assessment to model medication system failures in long-term care facilities. … Examples of common, costly, and preventable information technology failures.

91. Executive Summary | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/summary.html
    August 01, 2022 - About half of the identified individual, team, and system failures associated with these events were … care at hospital discharge accounted for a considerable proportion of malpractice claims and involved failures

92. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
    May 05, 2008 - of patient information among health care providers.12 An association between these communication failures … Research suggests that communication failures frequently occur during the operative procedure, with … Despite recognizing that communication failures can significantly affect clinical outcomes, limited … Since adverse events are often the result of a series of system failures, a direct causal relationship … Identification of systems failures in successful paediatric cardiac surgery.

93. TeamSTEPPS Research/Evidence Base: Anesthesiology | Agency for Healthcare Research and Quality
    www.ahrq.gov/teamstepps-program/evidence-base/anesthesiology.html
    May 01, 2023 - a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

94. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
    www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
    January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the … Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures … We will use an in-depth, semi-structured qualitative research approach to trace the source(s) of failures … framework_for_conducting_a_root_cause_analysis_and_action_plan https://caph.org/priorities/medi-cal-2020-waiver/prime Investigating Failures

95. Figure 11: Comparison of Audit Techniques | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.html
    July 01, 2022 - intervention (MD, RN, RPh, reviewer) and also shows missed opportunities (medication reconciliation failures

96. Next Steps and a Call to Action | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
    June 01, 2023 - transitions, sources of error, and potential mitigating strategies Care Transition Latent Failures

97. Figure 11: Comparison of Audit Techniques | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
    July 01, 2022 - intervention (MD, RN, RPh, reviewer) and also shows missed opportunities (medication reconciliation failures

98. Learning From Defects | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/learning-from-defects.html
    October 01, 2024 - Every system, no matter how well designed, will include failures.

99. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/index.html
    January 01, 2007 - address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic failures

100. Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
     January 01, 2025 - The specific aims were to: Explore solutions to failures in diagnosis, selection, and prescribing of … Develop methods to reduce failures in the preparation, administration, and recording of intraoperative