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. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
    February 26, 2025 - This methodology stresses the importance of implementing solutions that are resilient to future failures … Perspectives on Safety Annual Perspective Impact of System Failures

  2. The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - This methodology stresses the importance of implementing solutions that are resilient to future failures … Perspectives on Safety Annual Perspective Impact of System Failures

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857059/psn-pdf
    November 29, 2023 - https://psnet.ahrq.gov//#21 https://psnet.ahrq.gov//#37 https://psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers … A systematic review of failures in handoff communication during intrahospital transfers.

  4. Individualized, Multi-Media Materials in Spanish and English Help Seniors Manage Medications and Communicate with Clinician Team (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/SuccessStory072012_Lapane.pdf
    June 16, 2021 - Individualized, Multi-Media Materials in Spanish and English Help Seniors Manage Medications and Communicate with Clinician Team “                             ”  — 9HRQ HE9LTH INFORM9TION TECHNOLOGY 1 9MBUL9TORY S9FETY 9ND QU9LITY • PCC Individualized, Multi-Media Materials in Spanish and English Hel…

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
    November 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Treatment Challenges After Discharge * * Source and Credits This presentation is based on the November 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Chase Coffey, MD, Henry Ford Health System,…

  6. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - PowerPoint Presentation Spotlight Case July 2003 Code Status Confusion webmm.ahrq.gov Source and Credits This presentation is based on the July 2003 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Bernard Lo, MD, Univers…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49539/psn-pdf
    June 01, 2007 - Informed or Misled? June 1, 2007 White SM. Informed or Misled? . PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/informed-or-misled The Case A 50-year-old man arrived at the hospital for an elective total knee replacement. Based on preoperative discussions, the patient expected to receive spinal anesthesia.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49671/psn-pdf
    November 01, 2012 - Electrocardiogram Results: ***READ ME*** November 1, 2012 Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me The Case A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset che…

  9. Learndefects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - Learn From Defects Tool Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect. Wh…

  10. Adverse Events, Near Misses, and Errors | PSNet

    psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
    March 30, 2022 - Adverse Events, Near Misses, and Errors Citation Text: Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  11. Root Cause Analysis | PSNet

    psnet.ahrq.gov/primer/root-cause-analysis
    March 30, 2022 - Root Cause Analysis Citation Text: Root Cause Analysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. The CAHPS Ambulatory Care Improvement Guide: Open Notes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/cahps-strategy-6c.pdf
    March 01, 2017 - The CAHPS Ambulatory Care Improvement Guide: Open Notes The CAHPS Ambulatory Care Improvement Guide Practical Strategies for Improving Patient Experience Section 6: Strategies for Improving Patient Experience with Ambulatory Care 6.C. OpenNotes Visit the AHRQ Website for the full Guide. March 2017 https:/…

  13. Webinar 1: Introduction & Overview: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
    December 01, 2017 - Webinar 1: Introduction & Overview: Slide Presentation Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions Text version of Webinar slide presentation. Slide 1: Designing & Delivering Whole-Person Transitional Care The Hospital Guide to Reducing Med…

  14. Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar04/formative_evaluation_webinar.pptx
    July 15, 2013 - Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4: Formative Evaluation Advanced Methods in Delivery System Research – Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement Webinar #4…

  15. Learn from Defects Tool | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - Learn from Defects Tool CUSP Toolkit Health care organizations can increase the extent to which they learn from defects. Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…

  16. Hypertension-Pulmonary-Arterial Research-Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypertension-pulmonary-arterial_research-protocol.pdf
    January 30, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: January 30, 2013 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Pulmonary Arterial Hypertension: Screening, Management, and Treatment Amendment Date(s): January 28, 2013 (Amendment Details – see Section VII) I. Back…

  17. Assessing the Relationship between Care Processes and Clinical Decision Support for Order Entry – Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r03hs0S26266-zhang-final-report-2022.pdf
    January 01, 2022 - Assessing the Relationship between Care Processes and Clinical Decision Support for Order Entry – Final Report Assessing the Relationship between Care Processes and Clinical Decision Support for Order Entry Principal Investigator: Yiye Zhang Team: Jessica Ancker, Richard Trepp, …

  18. Patient Safety and Adverse Events, 2011 and 2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
    January 01, 2014 - Patient Safety and Adverse Events, 2011 and 2014 1 February 2018 Patient Safety and Adverse Events, 2011 and 2014 Pamela L. Owens, Ph.D., Rhona Limcangco, Ph.D., Marguerite L. Barrett, M.S., Kevin C. Heslin, Ph.D., and Brian J. Moore, Ph.D. Introduction Improving patient safety and t…

  19. Layout 1 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain_executive.pdf
    October 01, 2011 - Layout 1 Background Osteoarthritis is a chronic condition involving degeneration of cartilage within the joints. It is the most common form of arthritis and is associated with pain, substantial disability, and reduced quality of life.1 Surveys indicate that 5 to 17 percent of United States (U.S.) adults have symptom…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850675/psn-pdf
    June 14, 2023 - healthcare and the Safety-II framework, which seeks to define safety by understanding successes rather than failures
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 (7831)

www.ahrq.gov (1954)

effectivehealthcare.ahrq.gov (919)

hcup-us.ahrq.gov (839)

digital.ahrq.gov (608)

www.uspreventiveservicestaskforce.org (347)

meps.ahrq.gov (34)

cds.ahrq.gov (25)

integrationacademy.ahrq.gov (19)

pso.ahrq.gov (15)

cdsic.ahrq.gov (14)

qualityindicators.ahrq.gov (9)

datatools.ahrq.gov (3)