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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4u
Selected Best Practices and Suggestions for Improvement
PDI 09: Postoperative Respiratory Failure
Why focus on postoperative respiratory failure in chi…
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www.qualitymeasures.ahrq.gov/teamstepps/officebasedcare/module2/office_structure.html
September 01, 2015 - A wooden bucket labeled "Failures" contains many fish.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-data-spotlight-heart-failure-hospital.pdf
July 01, 2023 - Hospital Deaths for Common Heart Conditions Increased While Hospitalizations Decreased During the First Year of COVID-19
1
Hospital Deaths for Common Heart
Conditions Increased While
Hospitalizations Decreased During
the First Year of COVID-19
Deaths From Heart Disease Increased in 2020
Heart disease is the mo…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-4.pdf
April 30, 2018 - Table 4. Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three Study Sites
Table 4: Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three
Study Sites
Site Eligibility Criteria/
Measure Numerator
Number of
Records
R i d
N Agreed (%) Kappa
St…
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ptflow/section6.html
July 01, 2018 - Previous failures to implement or maintain quality improvement efforts led to cynicism among some staff … addition, many staff members were skeptical about the implementation of the open-bed policy because of failures
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www.qualitymeasures.ahrq.gov/ncepcr/care/coordination/atlas/chapter3.html
June 01, 2014 - a health care professional, care team, or health care organization) will be expected to answer for failures … Monitor for successes and failures in care and coordination. … Refine the care plan as needed to accommodate new information or circumstances and to address any failures
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/fundamentals/module3/igcommunication.html
March 01, 2019 - Communication Failures
8—9
3 mins *
4. … Objectives
TeamSTEPPS Teamwork Skills
Importance of Communication
(Optional) Communication Failures … Return to Contents
(Optional) Communication Failures
Instructor Note: Create a slide showing your
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www.qualitymeasures.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
December 01, 2017 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/edenvironmentalscan/edenvironmentalscan.pdf
December 01, 2014 - 41
Appendix D: Past Interventions Aimed to Prevent ED Discharge Failures 42
Emergency Department … ED discharge failures have been described as follows:
ED revisits within specified timeframes (e.g … All
have fairly low specificity, underscoring the difficulty in predicting discharge failures. … ED discharge failures for uninsured and underinsured
patients included 72-hour returns1 (odds ratio … Appendix D: Past Interventions Aimed To Prevent ED Discharge Failures
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - , the Birnbaum measure ranks the risks based upon the relative contribution of individual component failures … process of care, and should include redundant process steps to minimize the occurrence of single-point failures
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www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/mutual/tools/advocacy.html
June 01, 2023 - hierarchical, such as healthcare, the military, and commercial aviation, have all experienced tragic failures
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www.qualitymeasures.ahrq.gov/tools/index.html?page=3
September 01, 2012 - aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures
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www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
October 01, 2014 - Skip to main content
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www.qualitymeasures.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/customer-service/strategy6p-service-recovery.html
April 01, 2022 - If you make it hard for members or patients to complain, you will continue to miss important service failures … Use this team to develop planned protocols for service recovery for your most common service failures
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - Discuss some of the lessons learned through both successes and failures.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2023.xlsx
January 01, 2023 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports …
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
October 01, 2017 - Final Topic Refinement Document: Home Mechanical Ventilators
Final Topic Refinement Document
Home Mechanical Ventilators
ID: PULT0717
Agency for Healthcare Research and Quality
Technology Assessment Program
Mayo Clinic Evidence-based Practice Center
16 October 2017
Preliminary Key Questions (KQs) …
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/899.html
February 01, 2024 - Skip to main content
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www.qualitymeasures.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
June 01, 2023 - Excellence
In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - • Structured, multidisciplinary review is required to identify system processes that may result
in failures