Results

Total Results: 747 records

Showing results for "failures".

21. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - address the lack of dedicated research into improving medical diagnosis and in particular, diagnostic failures

22. TeamSTEPPS®: National Implementation Research/Evidence Base | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/evidence-base/surgical-care.html
    July 01, 2015 - 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

23. Final Progress Report: Advancing Patient Safety Innovation in Rheumatology (ASPIRE) (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/2024-02/yazdany-report.pdf
    January 01, 2024 - classic framework to identify and classify both latent and active errors,14 examining errors such as failures … in preventive practices that reduce adverse medication events and failures in safety monitoring for … Failures in preventive practices that are known to reduce adverse events included failures to determine … patients who plan to begin CD20-depleting therapies such as rituximab.16 Thus, we examined process failures

24. Enhancing-Care-Heart-Failure-Patients (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/enhancing-care-heart-failure-patients.pdf
    February 13, 2023 - TAKEheart Affinity Group: Enhancing Care for Heart Failure Patients in Cardiac Rehabilitation H i c h a m S k a l i , M D , M S c S t e v e n K e t e y i a n , P h D D a n i e l F o r m a n , M D M i c h e l l e Yo u n g , M S N , A N P - B C N o v e m b e r 2 , 2 0 2 1 Welcome and Background for Tod…

25. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/resources/learning-lab/index.html
    February 01, 2024 - Using incident reports to assess communication failures and patient outcomes . … The PIQS Lab examined radiology imaging failures through similar conceptual lenses of shared sense making … The specific aims are to: Explore solutions to failures in diagnosis, selection, and prescribing of … Develop methods to reduce failures in the preparation, administration, and recording of intraoperative … /19-09/09/23 Description: This project addresses diagnostic errors in primary care often caused by failures

26. AHRQ's Quality & Patient Safety Programs by Setting: Hospital Labor and Delivery Units | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/index.html
    July 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures

27. Module 3, Communication (Instructor Guide, TeamSTEPPS 2.0) (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module3/igcommunication.pdf
    October 08, 2015 - Communication Failures 8 - 9 3 mins* 4. … Communication http://www.jointcommission.org/sentinel_event.aspx Slide (OPTIONAL) COMMUNICATION FAILURES … www.jointcommission.org/sentinel_event.aspx Slide (OPTIONAL) COMMUNICATION FAILURES … Continued) OBJECTIVES TEAMSTEPPS TEAMWORK SKILLS IMPORTANCE OF COMMUNICATION (OPTIONAL) COMMUNICATION FAILURES … (OPTIONAL) COMMUNICATION FAILURES(Continued) COMMUNICATION IS… COMMUNICATION IS… (Continued) STANDARDS

28. Designing Consumer Reporting Systems for Patient Safety Events: Project Overview (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
    July 01, 2011 - patient safety and assist in the detection of patterns associated with medical errors or health system failures

29. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
    April 27, 2022 - Newman- The author distinguishes between diagnostic process failures and diagnostic labeling failures … Diagnostic process failures are Toker10 problems in the diagnostic workup. … Diagnosis label failures are an incorrect diagnosis or no attempt at a diagnosis. … Preventable diagnostic error is the overlap between diagnostic process failures and diagnostic label … failures.

30. Fallpxtool2C (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2c.docx
    January 28, 2013 - The goal of defining a process is to hone in on patient safety vulnerabilities and potential failures

31. Lee Health TAKEheart Profile | Agency for Healthcare Research and Quality
    www.qualitymeasures.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

32. TeamSTEPPS®: Research/Evidence Base | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/evidence-base/phys-nurse-collab.html
    July 01, 2015 - a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

33. TeamSTEPPS Communication - Module 1
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-1-slides.pptx
    August 03, 2022 - Communication 4 Importance of Communication Joint Commission data identify communication failures

34. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
    January 01, 2015 - childrens.harvard.edu TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 12 Communication Failures … Slide ‹#› 76 Results Overall, the 23 hospitals involved saw reduction in handoff related care failures … TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 77 BCH Handoff Related Care Failures

35. 3 Tk1 T5-Draft Policies And Procedures For The Antimicrobial Stewardship Program Final (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T5-Draft_Policies_and_Procedures_for_the_Antimicrobial_Stewardship_Program_final.docx
    October 01, 2016 - The use of this procedure can help reduce unnecessary prescribing and lead to fewer antibiotic failures

36. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/diagnostic-safety/research/index.html
    March 01, 2024 - Year 2022 In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures

37. TeamSTEPPS®: National Implementation Research/Evidence Base | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps/evidence-base/anesthesiology.html
    July 01, 2015 - a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

38. Readiness Assessment | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/implement/pre/ready.html
    January 01, 2024 - If these problems are directly linked to teamwork and communication failures, they may help show the

39. Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/research/publications/search.html
    January 01, 2024 - experiences, explores how patient-reported experiences can augment other methods of identifying diagnostic failures

40. Toolkit for Improving Perinatal Safety | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/index.html
    July 01, 2023 - units and decrease maternal and neonatal adverse events resulting from poor communication and system failures