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Showing results for "failures".

  1. www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
    January 17, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults PATIENT SAFETY e Issue Brief 22 State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults This page intentionally left blank. e Issue Brief 22 State of the Science and Future Directions…
  2. www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
    March 01, 2020 - healthcare settings, especially transfer of patients from one setting to another Communication failures
  3. effectivehealthcare.ahrq.gov/sites/default/files/pdf/prehospital-airway-management-protocol.pdf
    December 20, 2019 - Concern was expressed about the ability of the literature to reflect and report on unrecognized failures
  4. psnet.ahrq.gov/perspective/safety-and-medical-education
    December 01, 2013 - UME level, the Association of American Medical Colleges has defined the ability to "identify system failures
  5. psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
    November 01, 2006 - January 5, 2017 Preventing adverse events caused by emergency electrical power system failures
  6. psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - However, it will surely take time and patience, as these changes will bring as many failures as successes
  7. www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
    January 01, 2025 - failings and cognitive failings.(2) Among the most common cognitive origins of diagnostic errors are failures
  8. www.ahrq.gov/sites/default/files/2024-01/kharrazi-report.pdf
    January 01, 2024 - These transition failures are exacerbated by various disconnects between in- and outpatient settings
  9. www.ahrq.gov/sites/default/files/publications/files/advancing-patient-safety.pdf
    January 01, 2010 - information for 2009 2010 and beyond 11 understanding patient safety events and health care system failures
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - analysis and planning to prevent recurrences Holds bills In Malizzo case, critical to understanding system failures
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
    December 01, 2017 - Science of Safety Video (Watch the video) This video will help your teams to— • Identify system failures
  12. psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
    March 27, 2024 - more and more to consumer-mediated exchange as a way to get past those disincentives, those market failures
  13. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
    April 01, 2018 - Equipment failures led to 17% of complications.
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
    November 01, 2022 - Analysis of past failures can help you avoid making similar mistakes in implementing your initiative
  15. psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
    September 01, 2003 - like there is something still inside me. " The second case illustrates the consequences of process failures
  16. www.ahrq.gov/sites/default/files/2025-03/mahajan-manojlovich-report.pdf
    January 01, 2025 - recent systematic review revealed no existing framework or intervention for investigating communication failures
  17. www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
    December 27, 2021 - Physical causes include failures of materials such as broken or missing equipment.
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/Best_Practices_Hosp_Leaders_508.pdf
    March 13, 2013 - This means telling patients’ stories, not just sharing statistics, when discussing successes and failures
  19. www.ahrq.gov/patient-safety/reports/advancing/index.html
    July 01, 2022 - be an important source of information for understanding patient safety events and health care system failures
  20. www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - events were divided into the following four description groups: Incorrect action including process failures