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Total Results: over 10,000 records

Showing results for "failures".

6821. S9 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/s9.pdf
      October 01, 2007 - As the program unfolds, successes and particularly perceived failures of Part D become highly public

6822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - referred to as involuntary automaticity), sapping any potential benefit from the process.(8) All of these failures

6823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74251/psn-pdf
      January 26, 2022 - Complications and failures of subclavian-vein catheterization. 

6824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33738/psn-pdf
      December 01, 2012 - We ultimately chose 9 active failures and about 9 latent conditions.

6825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - guidelines for safe transportation, technical problems occurring during transport (e.g., equipment failures

6826. Section 6: Operating a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
      October 01, 2014 - implementation strategy, States should draw on other States' experiences, other program successes and failures

6827. Getting the Diagnosis Both Right and Wrong | PSNet
      psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
      May 29, 2024 - WebM&M Cases Delay in Malignancy Diagnosis Reflects Systemic Failures

6828. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
      November 16, 2022 - Perspectives on Safety Annual Perspective Impact of System Failures

6829. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - The main causes of “never events” in surgery are communication failures, lack of situational awareness

6830. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
      psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
      January 01, 2009 - WebM&M Cases Delay in Malignancy Diagnosis Reflects Systemic Failures

6831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49588/psn-pdf
      August 01, 2009 - holes" in nurse staffing are allowed to remain unfilled at times like these, my guess is that such failures

6832. Communication During Transitions of Care | PSNet
      psnet.ahrq.gov/perspective/communication-during-transitions-care
      July 10, 2024 - topic may explore Safety II approaches , which seek to understand safety through successes rather than failures

6833. Improving Communication and Teamwork in the Surgical Environment Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
      October 01, 2020 - Slide 7: The Impact of Poor Communication on Patient Outcomes Studies show that communication failures

6834. I. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/intro1.html
      May 01, 2016 - Although consumer reporting has the potential to increase knowledge about system failures amenable to

6835. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
      psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
      June 28, 2023 - processes and outcomes: The team agrees on and implements reliable and timely feedback on successes and failures

6836. Digital Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
      May 01, 2024 - Brigham and Women’s Hospital; Independent Hospital Develops a Diagnostic Center of Excellence to reduce failures

6837. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - SPOTLIGHT CASE An Inadvertent Bolus of Norepinephrine. Citation Text: Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation F…

6838. Characteristics and Quality of Inpatient Stays at Hospitals Affiliated With Health Systems, 2009-2012 #197
      hcup-us.ahrq.gov/reports/statbriefs/sb197-Characteristics-Quality-Hospitals-Health-Systems.jsp
      December 01, 2015 - Characteristics and Quality of Inpatient Stays at Hospitals Affiliated With Health Systems, 2009-2012 #197 An official website of the Department of Health & Human Services Search All AHRQ Websites …

6839. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - Presentation: Program Overview Program Overview AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: You have embarked on a unique journey. 1 Never doubt that a small group of thoughtful, committed citizens ca…

6840. Key Issues in Developing a Successful Hospital Safety Program | PSNet
      psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
      July 01, 2006 - And, how do you keep the organization's enthusiasm up when there are glaring failures that we all experience