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Showing results for "failures".

5841. Personal Health Literacy | PSNet
      psnet.ahrq.gov/primer/personal-health-literacy
      October 31, 2023 - December 21, 2022 Health literacy-related safety events: a qualitative study of health literacy failures

5842. Archived: Syphilis Infection: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-screening-1996
      January 01, 1996 - treated with penicillin early in pregnancy (desensitization for penicillin allergy may be required). 21 Failures

5843. Vial Mistakes Involving Heparin | PSNet
      psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
      May 11, 2014 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention

5844. Eptifibatide Epilogue | PSNet
      psnet.ahrq.gov/web-mm/eptifibatide-epilogue
      March 04, 2011 - Failures in communication and ineffective teamwork are leading causes of patient harm.

5845. Toolkits | PSNet
      psnet.ahrq.gov/toolkits
      March 01, 2025 - Administration Errors (8) Dispensing Errors (2) Monitoring Errors and Failures

5846. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
      July 01, 2022 - Effects Analysis Based on In-Situ Simulations: A Methodology to Improve Understanding of Risks and Failures

5847. Healthcare Systems and Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/healthcare-systems.html
      August 01, 2025 - study aims to understand what health system strategies and characteristics contribute to successes or failures

5848. 099-Cusp-Guide-Why-Choose-Cusp-Approach (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
      October 01, 2024 - Successes and failures are outcomes dependent on the design of the systems.

5849. Involving Patients and Families in Safety: Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
      July 25, 2023 - This contributes to the follow-up system failures and highlights the importance of co-designing a follow-up

5850. Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
      August 01, 2025 - Hospital Grant Start Date: September 30, 2022 Develops a Diagnostic Center of Excellence to reduce failures

5851. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, August 1, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
      September 01, 2025 - Annual review of malpractice claims paid shows a similar pattern as previous years with regards to failures

5852. The Unhappy Patient Leaves Against Medical Advice. | PSNet
      psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
      January 31, 2024 - about how they were treated by health care providers. 3 While this case has some obvious systems failures

5853. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication | PSNet
      psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
      July 02, 2019 - February 14, 2024 View More Related Resources Latent and active failures

5854. Layout 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/type-2-diabetes-medications-update_executive.pdf
      March 01, 2011 - Layout 1 Oral Diabetes Medications for Adults With Type 2 Diabetes. An Update Executive Summary Effective Health Care Comparative Effectiveness Review Number 27 Effective Health Care Background Type 2 diabetes is a common chronic illness characterized by insulin resistance and eventually by decreased insulin …

5855. Assessing Applicability (ppt file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/assessing-applicability.ppt
      January 01, 2009 - Assessing Applicability Assessing Applicability Prepared for: The Agency for Healthcare Research and Quality (AHRQ) Training Modules for Systematic Reviews Methods Guide www.ahrq.gov Assessing Applicability Systematic Review Process Overview * Systematic Review Process Overview This slide illustrates the steps…

5856. Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/ferguson-report.pdf
      January 01, 2024 - Final Progress Report: Cardiovascular Care Disparities: Safety-Net HIT Strategy Principal Investigator/Program Director (Last, First, Middle): Ferguson, T. Bruce Jr. Project Title: Cardiovascular Care Disparities: Safety-Net HIT Strategy T. Bruce Ferguson, Jr., MD LSU HSC, HCSD Principal Investigator Michael M .…

5857. e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-enhanced-care-transition-support-complex
      January 01, 2023 - e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients Project Final Report ( PDF , 205.48 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not n…

5858. Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar1/aspire_webinar1.ppt
      January 01, 2011 - Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 1 Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Medicaid Readmissions Webinar 1: Introduction & Overview Agenda Introduction to the AHRQ Reducing Medicaid Rea…

5859. Final Research Plan: Enhanced Risk Assessment for Cardiovascular Disease: Coronary Artery Calcium Scoring | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cardiovascular-disease-enhanced-risk-assessment-non-traditional-risk-factors
      September 26, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Final Research Plan Enhanced Risk Assessment for Cardiovascular Disease: Coronary Artery Calcium Scoring September 26, 2024 Recommendations made by the USPSTF are…

5860. Data Infographics | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/infographics/index.html
      July 01, 2025 - Data Infographics AHRQ Research Data Infographics The Agency for Healthcare Research and Quality (AHRQ) produces evidence to make healthcare safer, higher quality, more accessible, equitable, and affordable. As part of that mission, AHRQ focuses on data and analytics to help healthcare decision makers understan…