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Showing results for "a research on the use of outcome data".

101. Death by PCA | PSNet
     psnet.ahrq.gov/web-mm/death-pca
     January 06, 2017 - Missing from the case at hand is any discussion on the use of pulse oximetry, capnography, or other proven … Safe PCA use is highly dependent on a team comprised of clinicians, administrators, biomedical engineers … A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary … MEDMARX Data Report: A Chartbook of Medication Error Findings from the Perioperative Setting from 1998 … January 5, 2017 Harmful medication errors in children: a 5-year analysis of data from

102. Not a Miscarriage | PSNet
     psnet.ahrq.gov/web-mm/not-miscarriage
     June 01, 2005 - The Case A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin … Putting these data together permits a diagnosis of threatened, inevitable, incomplete, completed, or … the routine use of checklists and meticulous documentation of findings, no matter how experienced the … ), the timely availability of new clinical information (ultrasound report), and the routine use of systematic … Pregnancy outcome of patients with uncorrected uterine anomalies managed in a high-risk obstetric setting

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33719/psn-pdf
     October 01, 2011 - of the measurement and research challenges. … to a "victim" (an actor) on the other side of a glass screen. … "Depends on what?" you ask. This is the central question of some social science safety research. … data, and revise the change accordingly. … We cannot afford not to use these approaches to speed the discovery and use of safety solutions.

104. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
     February 01, 2010 - of the handoff, and the expectations around the use of the information vary depending on the setting … So there's not a lot of outcome information. … than a decade to develop that data. … The next logical step is that we would then have a data system and a reporting system that tracks the … We would have the ability to conduct a research project through all of the educational programs in that

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841566/psn-pdf
     December 14, 2022 - measurement, many of the value-based programs that we use for assessing performance; and the Quality … -2019-covid19-on-healthcareassociated-infections-in-2020-a-summary-of-data-reported-to-the-national-healthcare-safety-network … That is great, but what is the outcome of the process and how is the patient actually doing?  … We need to ensure the right measures for the right use. … This is our commitment regarding quality measurement—a focus on patient safety metrics, equity, outcome

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49819/psn-pdf
     February 01, 2018 - , a series of errors contributed to the tragic outcome described above. … A paucity of high-quality data existed demonstrating the effectiveness of any of these handoff improvement … objective data on effectiveness.(5) In the past few years, however, data on the effectiveness of strategies … In the above case, a positive outcome of the incident was the decision to leverage graduate medical … A systematic review of the literature on the evaluation of handoff tools: implications for research

107. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
     January 01, 2020 - process • State the root causes and dangers of emergency department crowding • Use waiting room patient … • EDs use triage to sort and categorize patients to accommodate the arrival of patients across a continuum … EDs use the ESI triage system, usually performed by a registered nurse 12 1. … by the Agency for Healthcare Research and Quality. – A set of tools aimed at optimizing patient outcomes … What is the impact of multidisciplinary team simulation training on team performance and efficiency of

108. Transfer Troubles | PSNet
     psnet.ahrq.gov/web-mm/transfer-troubles
     December 29, 2014 - than her demographic data. … to the final outcome. … for critical or non-emergent patients: the efficiency of the transfer, the use or presence of guidelines … clinical re-evaluation of the patient on arrival to ensure that the necessary investigations are carried … the flow of information may help standardize processes, particularly if combined with the use of health

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861838/psn-pdf
     January 31, 2024 - The primary outcome evaluated was physician documentation of any adverse effects resulting from the … partners.org Date First Implemented 2015-01-01 Problem Addressed Previous research on the impact … Clinics in the control group provided patient data for chart review to study outcome data, but no patients … Patients were called between 9 a.m. and 7 p.m. on a rotating schedule based on the availability of the … Adoption Considerations Use by Others (Use By Other Organizations) The innovation team reports other

110. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - CBE, by contrast, is focused on the use of knowledge, skills, and competencies to demonstrate application … Classroom Instruction In the classroom, educators use a plethora of pedagogical strategies, including … Interpret benchmark and unit outcome data to inform individual and microsystem practice. … Indirect care experiences are also important, such as designing or evaluating outcome data, looking at … For example, looking at processes and looking at outcome data and trends.

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33787/psn-pdf
     January 01, 2018 - Improvement was not yet on the radar screen of health care in a major way. … I do believe that this way of using data is going to be a powerful driver for safety in the future. … We were looking at this NASA map, and we were saying that, in some ways, the use of electronic systems … Their research said that C + M = O. Context + Mechanism = Outcome. … in every context reliably to produce a certain outcome.

112. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet
     psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
     July 23, 2024 - number of suicide risk screenings for patients. 3 The primary outcome measured was a suicide composite … Staff to measure and report results: at least one person with data related skills who can use the EHR … to the development of the Lean CQI strategy, one of the key elements of ED-SAFE 2, and a focus on collaborative … In addition, the organization will use data discovered in the gap analysis to monitor the success of … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter

113. Code Status vs. Care Status | PSNet
     psnet.ahrq.gov/web-mm/code-status-vs-care-status
     September 30, 2020 - transfer home, including acquiring appropriate equipment, training the patient’s caregivers on use of … of the terminology we use may help prevent harm.  … Along with systemic pressures on care, pressures at the bedside may have impacted this patient’s outcome …  negative outcome affected a vulnerable patient. … July 21, 2017 Patients as teachers: a randomised controlled trial on the use of personal

114. Don't Use That Port: Insert a PICC | PSNet
     psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
     December 22, 2018 - Don't Use That Port: Insert a PICC. PSNet [internet]. … (DVT) involving the axillary and subclavian veins on the side of the PICC. … of infection.( 6,7 ) There are no data comparing the incidence of ICVP-related infection during acute … outcome. … Complications associated with the use of Port-a-Caths in patients with malignant or haematological disease

115. Anticoagulation: Held Too Long | PSNet
     psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
     April 01, 2008 - Because of the mechanical valve, she was chronically on warfarin (a blood thinner). … a bad outcome. … Thus, clinicians and guideline panels must use the limited evidence and extrapolate data from other settings … Given the limitations of the available data, it is not surprising that there is no consensus on management … For patients on OAC due to VTE, use of prophylaxis-dose anticoagulation may be an efficacious and safer

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33750/psn-pdf
     May 01, 2013 - It seems less about federal research funding—maybe research with a capital R? … The best measures we have are based on claims data, and they are just not that great. … That to me is what the research agenda for patient safety has to focus on over the next 3 to 5 years … What we have seen in the data has been a pretty impressive uptick in terms of adoption. … System) system we use is actually not bad, but it's the same one I was using as a resident at the San

117. Monitoring Fetal Health | PSNet
     psnet.ahrq.gov/web-mm/monitoring-fetal-health
     September 08, 2010 - of a fetal insult remote from labor and the associated high false-positive rate (normal outcome newborn … In the present case, data from 16 patients were displayed on a single 40-inch monitor. … In order to display data from 16 patients each tracing would be limited to about a 10-minute window of … Thus, focusing in on one patient's data is done at the expense of others, even if temporarily. … emergent cesarean section on maternal and neonatal outcome.

118. Are Two Insulin Pumps Better Than One? | PSNet
     psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
     March 01, 2005 - use of CSII in the hospital. … If the patient is considered a candidate for continued use of CSII in the hospital, orders are written … Although the above data indicate that implementing a formal policy on inpatient insulin pump use permits … safe continued use of CSII in the hospital, there are insufficient data to address the effectiveness … guidelines and outcome measures.

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74691/psn-pdf
     January 01, 2021 - In this study, the instrument yielded overall accuracy of 84%.2 A study published in 2017 on use of … diagnostic data.18  There are no published results on validation of the revised tool. … Department of Veterans Affairs (VA) Health Services Research and Development Service VA National Center … (Use By Other Organizations) Use of the tool has primarily been for research purposes to measure the … Examples of research uses include the following: https://psnet.ahrq.gov//#19 A study on the incidence

120. Dangerous Dapsone | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dapsone
     January 10, 2011 - However, her arterial blood gas (ABG) showed a paO2 of > 430 on 100% O2, with no A-a (alveolar-arterial … limit to the number of prescriptions a pharmacist may fill on each shift.( 3 ) A survey of community … Pharmacists should not dispense any drug based on a prescription without data that support its use in … Use of cisapride with contraindicated drugs in The Netherlands. … June 2, 2021 A qualitative exploration of the impact of a distressed family member on