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. Does the Leapfrog program help identify high-quality hospitals? | PSNet

    psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
    February 10, 2015 - Study Does the Leapfrog program help identify high-quality hospitals? Citation Text: Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. Copy Citation Format: Google Scholar Pub…

  2. Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet

    psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
    April 26, 2023 - Study Proactive patient safety: focusing on what goes right in the perioperative environment. Citation Text: Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…

  3. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
    June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary case conferences. Citation Text: Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…

  4. Total Parenteral Nutrition, Multifarious Errors | PSNet

    psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - As occurred in this case, multiple failures across the PN-use process are usually identified in retrospect

  5. Hypoxic Gas Supply from Cross-Connected Pipelines | PSNet

    psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
    February 05, 2020 - Despite the multiple safety features on anesthesia machines to prevent cross-connection, rare safety failures

  6. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
    April 03, 2008 - safety article, Edmondson wrote, “Organizations that systematically and effectively learn from the failures

  7. Innovations in Using Health IT for Chronic Disease Management (pdf file)

    digital.ahrq.gov/sites/default/files/docs/lesson/09-0029-ef-cdm.pdf
    January 01, 2009 - Findings The interviews provided rich detail about grantees’ successes, failures

  8. Methods – Applying HCUP Quality Indicators (pdf file)

    hcup-us.ahrq.gov/reports/methods/2019-01.pdf
    January 01, 2019 - Methods – Applying HCUP Quality Indicators HCUP Methods Series Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2018 National Healthcare Quality and Disparities Report (QDR) Report # 2019-01 Contact Information: Healthcare Cost and Utilization Project (…

  9. Description of Data Elements (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/DataElements_NIS_2002_Severity.pdf
    January 01, 2002 - Description of Data Elements Description of Data Elements Nationwide Inpatient Sample (NIS) Disease Severity Measure File This document contains cumulative descriptions of data elements across all states and years of HCUP data from 1988 to the current data year. Please refer to the I…

  10. Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/DataElements_NIS_2004_Severity.pdf
    January 01, 2004 - Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes Description of Data Elements Nationwide Inpatient Sample (NIS) Disease Severity Measure File Prior to 2004, severity measures are not available for every state. Please check the "State Specif…

  11. Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes (pdf file)

    hcup-us.ahrq.gov/db/nation/nis/DataElements_NIS_2003_SEVERITY.pdf
    January 01, 2003 - Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes Description of Data Elements Nationwide Inpatient Sample (NIS) Disease Severity Measure File Severity measures are not available for every state. Please check the “State Specific Notes” section …

  12. Renal-Function Research-Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-function_research-protocol.pdf
    June 13, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: June 13, 2013 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Troponin Cardiac Marker Interpretation During Renal Function Impairment I. Background and Objectives for the Systematic Review Troponin is a protein compl…

  13. Comparative Effectiveness of Strategies to De-escalate Aggressive Behavior in Psychiatric Patients in Acute Care Settings (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/aggression_executive.pdf
    October 01, 2016 - Comparative Effectiveness of Strategies to De-escalate Aggressive Behavior in Psychiatric Patients in Acute Care Settings 1 Comparative Effectiveness Review Number 180 Strategies To De-escalate Aggressive Behavior in Psychiatric Patients Executive Summary Background Aggressive Behavior Aggressive behavior con…

  14. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - We identified and categorized potential failures, the likelihood of making a mistake, and potential … hospital discharge that would be evidence-based and patient-centered and would target existing systems failures

  15. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
    May 01, 2003 - Because adverse events usually occur as a result of multiple failures, it is imperative that medical

  16. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet

    psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
    June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment Citation Text: Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  17. Cauti-Sustainability-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
    January 01, 2014 - Continue to engage in failures because you're going to continue to have them. … The turnaround like failure cycle can be tough, particularly when success and failures have occurred

  18. Microsoft Word - Clinical Classifications Software_lp11.doc (pdf file)

    hcup-us.ahrq.gov/reports/methods/2004CCSUserGuideFinal.pdf
    September 01, 2004 - Microsoft Word - Clinical Classifications Software_lp11.doc HCUP Methods Series kbr33831 HCUP CONTACT INFORMATION For AHRQ: Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project (HCUP) 540 Gaither Road, 5th Floor Rockville, Maryland 20850 Phone: (301) 427-1410 Fax…

  19. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
    January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…

  20. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - physician-patient communications in sustaining the integrity of that relationship and how communicational 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)