U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: over 10,000 records

Showing results for "failures".

  1. Why Checklists for Diagnosis Are Not Performing as Expected | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-5.html
    September 01, 2020 - identity. 2 These checklists are meant to prevent errors of execution, so-called “slips” (attention failures … ) or “lapses” (memory failures). 20 Typical for these errors is that the clinician had the right plan

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42875/psn-pdf
    January 22, 2014 - operating room identified six key concepts: indicators of effective communication, signs of communication failures … https://psnet.ahrq.gov/issue/communication-operating-theatre https://psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and

  3. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
    July 01, 2007 - have negative effects on survival from cardiac arrest List the most common causes of defibrillator failures … Defibrillator failures: causes of problems and recommendations for improvement. … failures due to device-related issues Failure to properly maintain and check devices Batteries not … Defibrillator failures: causes of problems and recommendations for improvement. … Defibrillator failures: causes of problems and recommendations for improvement.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41416/psn-pdf
    May 23, 2012 - emphasizes the importance of anesthesiologists performing pre-surgery safety checks to prevent equipment failures … association-anaesthetists-great-britain-and-ireland https://psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention

  5. Staff Safety Assessment

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
    January 01, 2006 - and Effects Analysis -Probabilistic Risk Assessment Tools to examine defects or failures … Learn from Defects Form Causal Tree Worksheet Coding defects or failures Learn From Defects Form Eindhoven … information by residents during rounds Electronic progress note developed Examples of Defects or Failures … Sensemaking and Identifying Defects Identify defects and Sensemaking share several common themes Defects or failures

  6. Maternity Pre-arrival Instructions by 999 Call Handlers. | PSNet

    psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers
    February 16, 2022 - Pre-hospital emergency care can be vulnerable to timing, information, and task failures that compromise … November 4, 2020 Clinical Investigation Booking Systems Failures: Written Communications

  7. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  8. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  9. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.innovations.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  10. Hand Hygiene Observational Audit Tracking Tool (xls file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  11. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  12. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  13. Hand Hygiene Observational Audit Tracking Tool (xls file)

    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/hand-hygiene-observational-audit-tool-tt.xlsx
    December 01, 2021 - per Assessment for Job: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 Month … per Assessment for Job: Average # Failures per Audit - - - - - - - - - - #N/A … per Assessment for Location: Average # Failures per Audit Month_1 Month_2 Month_3 Month_4 Month_5 … per Assessment for Location: Average # Failures per Audit - - - - - - - - - - … Skin is intact without open wounds or rashes # Failures

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43603/psn-pdf
    October 15, 2014 - psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings Communication failures … coaching-improve-quality-communication-during-briefings-and-debriefings https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps

  15. Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
    January 31, 2024 - Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures … January 24, 2024 Multiple Failures in Test Results Follow-up for a Patient Diagnosed … October 25, 2023 Failures in Care Coordination and Reviewing a Patient's Death at the

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845277/psn-pdf
    March 01, 2023 - effects, and criticality analysis (FMECA) to create an acute stroke diagnostic process map, identify failures … The FMECA process identified several steps in the diagnostic process as the most critical failures to

  17. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)

    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … • Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.

  18. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)

    www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … • Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.

  19. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)

    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … • Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.

  20. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)

    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … • Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (8190)

www.ahrq.gov (2785)

ce.effectivehealthcare.ahrq.gov (1569)

effectivehealthcare-admin.ahrq.gov (1268)

effectivehealthcare.ahrq.gov (1156)

hcup-us.ahrq.gov (903)

cmext.ahrq.gov (884)

digital.ahrq.gov (774)

www.qualitymeasures.ahrq.gov (747)

ecareplan.ahrq.gov (739)

www.uspreventiveservicestaskforce.org (550)

www.cpsi.ahrq.gov (414)

pcmh.ahrq.gov (394)

www.talkingquality.ahrq.gov (385)

www.monahrq.ahrq.gov (382)

www.healthcare411.ahrq.gov (379)

www.innovations.ahrq.gov (373)

pbrn.ahrq.gov (362)

cahps.ahrq.gov (358)

healthcare411.ahrq.gov (357)

monahrq.ahrq.gov (353)

www.cahps.ahrq.gov (335)

talkingquality.ahrq.gov (269)

patientregistry.ahrq.gov (253)

ahrqpubs.ahrq.gov (246)

preventiveservices.ahrq.gov (237)

teamstepps.ahrq.gov (186)

qualityindicators.ahrq.gov (150)

nhqrnet.ahrq.gov (85)

meps.ahrq.gov (84)

cds.ahrq.gov (66)

srdr.ahrq.gov (60)

pso.ahrq.gov (15)

cdsic.ahrq.gov (13)

staging-meps.ahrq.gov (5)

www.psoppc.org (5)

datatools.ahrq.gov (4)

srdrplus.ahrq.gov (4)

covid-acts.ahrq.gov (2)

hcupnet.ahrq.gov (2)

cahpsdatabase.ahrq.gov (1)