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. The Wrong Shot: Error Disclosure | PSNet

    psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
    May 01, 2011 - responsibility for an error, especially given the patient safety movement's emphasis that most errors are not failures

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - The main causes of “never events” in surgery are communication failures, lack of situational awareness

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49450/psn-pdf
    June 01, 2004 - responsibility for an error, especially given the patient safety movement's emphasis that most errors are not failures

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49584/psn-pdf
    April 01, 2009 - blaming clinicians' character flaws for the tepid adoption of EMRs, vendors should look to their own failures

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852808/psn-pdf
    August 30, 2023 - processes and outcomes: The team agrees on and implements reliable and timely feedback on successes and failures

  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
    January 01, 2023 - processes and outcomes: The team agrees on and implements reliable and timely feedback on successes and failures

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49437/psn-pdf
    March 01, 2004 - Complications and failures of subclavian- vein catheterization.

  8. Breakage of a PICC Line | PSNet

    psnet.ahrq.gov/web-mm/breakage-picc-line
    June 21, 2023 - .( 9 ) Among approximately 1650 PICCs, the most common complications were mechanical and accidental failures

  9. Antibiotic-Targets-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
    June 01, 2021 - Other words we could use to describe this are mistakes, errors, failures, near misses, defects, or problems

  10. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
    August 01, 2025 - you do not want to happen again Errors Provide Useful Information • We can learn more from our failures

  11. Engage Patients and Families for Perinatal Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
    May 01, 2017 - Family AHRQ Safety Program for Perinatal Care Engagement 11 SAY: Adverse events are often system failures

  12. AHRQ Safety Program for MRSA Prevention

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
    October 01, 2024 - | ICU & Non-ICU What Are The Four Es 12 Engage: Identify Causes Determine the root causes of the failures

  13. Dangerous Dialysis | PSNet

    psnet.ahrq.gov/web-mm/dangerous-dialysis
    June 12, 2024 - flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures

  14. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/research/grants-2022.html
    August 01, 2025 - 2022 In fiscal year 2022, Congress authorized funding to support AHRQ's research to address failures

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33622/psn-pdf
    November 01, 2005 - is a value, but means here not honesty in the ethical sense, but we mean we want to tell about our failures

  16. Burnout | PSNet

    psnet.ahrq.gov/primer/burnout
    November 20, 2024 - protective equipment (PPE) and inadequate testing protocols provided a stark reminder of how system failures

  17. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study (pdf file)

    www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
    August 01, 2024 - Responses to the two feedback questions on failures in the diagnostic process suggested a gap in open

  18. 035-Importance-Mrsa-Prevention-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
    October 01, 2024 - antibiotic resistance genes in S. aureus, leading to increasing antimicrobial resistance and treatment failures

  19. Facilitator-Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
    March 01, 2017 - If leadership is not supportive or if the facility has experienced several failures in performance improvement

  20. Check Twice, Transport Once | PSNet

    psnet.ahrq.gov/web-mm/check-twice-transport-once
    March 15, 2023 - Incidence of patient safety events and process-related human failures during intra-hospital transportation
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)