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Total Results: 1,951 records

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

121. Hold the tPA | PSNet
     psnet.ahrq.gov/web-mm/hold-tpa
     July 29, 2020 - The Case A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the … The Commentary The use of tPA in acute ischemic stroke patients has been shown to improve the likelihood … As well, many institutions use a dedicated “stroke team.” … The safe administration of tPA to patients with acute ischemic stroke depends on a well-functioning team … data.

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49514/psn-pdf
     July 01, 2006 - of ACE inhibitors, especially if the record contained a notes field or linkage to laboratory data. … Indeed, even if the record contained only a chronological listing of medication use, the ED physician … This is rarely the role of the emergency physician, but it is incumbent on a new prescriber to ensure … Second, RCTs restrict or prohibit the concomitant use of other drugs that can cause hyperkalemia. … The luxury of hindsight allows us to speculate on how the tragic outcome described in this case might

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49573/psn-pdf
     January 01, 2009 - Based on research about how to cope with complexity, there are three heuristics (15) for designing effective … Eliminate or streamline data entry for use at a later time by distant parties (e.g., billing, legal, … outcome can serve as a barrier to making health care systems safer, less costly, more effective, more … outcome is positive. … , rather than a one-way transfer of independent data elements via a noisy communication channel.(14

124. Diagnostic Failure: The Growing Deficit | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
     June 01, 2005 - On the afternoon of the first hospital day, the patient complained of right arm numbness and weakness … The early signs of stroke can be subtle, so without a hands-on evaluation, most hospitalists in this … a large number of admissions, forcing him or her to use the EHR and phone in the early phases of this … Provide contingency plans focused on the next step and a plan to reengage if the expected outcome did … Sentinel Event Data—Event Type by Year. The Joint Commission. [Available at] 9.

125. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
     April 29, 2020 - The physician also noted that the patient described a skin breakdown on her “backside,” but the affected … The use of a video visit for wound care is possible as skin and wound tissue can be adequately evaluated … , a more thorough and timely physical examination may not have changed the ultimate outcome. … keep the differential diagnosis open to new data and to data that do not trend as expected. … methods, and data-gathering tools.

126. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet
     psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
     April 01, 2009 - on a systems approach to reducing harm, and use of methods and insights from nonmedical industries. … So if you're going to use an outcome as a valid measure of quality, you must have a proven relationship … But those require a lot of effort on the part of hospitals to collect from medical record data. … When I was Commissioner of Health in New York, I created the first program publishing data on risk-adjusted … risk adjustment data with the right time series; physician data are published on a rolling 3-year time

127. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
     July 01, 2017 - think of when trying to explain a bad outcome in the hospital became much more common after the publicity … advent of the patient safety movement and additional research on the causality of medical error, we … ) value.( 4,7,8 ) Proponents of the National Practitioner Data Bank, on the other hand, called for its … individuals in a population who will experience the outcome. … These findings, coupled with the growing availability of data on large groups of physicians and the rapidly

128. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - case at the end of the day also extends the risk for an adverse outcome beyond the index patient; performance … Without a detailed review of the anesthesia record, it is difficult to comment on the specifics of management … Within the anesthesiology team, the use of a structured  handoff tool  could have improved retention … As a late-occurring safeguard that might have caught this patient’s deterioration before the outcome … , both in identification and communication of the risk and in the use of appropriate mitigating strategies

129. A Lot of Pain (Medications) | PSNet
     psnet.ahrq.gov/web-mm/lot-pain-medications
     September 23, 2020 - Rates of opioid use, and long-term use for chronic non-cancer pain, have markedly increased over the … last 2–3 decades.( 1,2 ) Although data regarding the prevalence of chronic opioid use in hospitalized … evaluating a patient on chronic opioids for acute pain, a thorough understanding of the nature or quality … In addition, clinicians should be educated on the use of non-narcotic analgesics either as first-line … the associated adverse outcome.

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49454/psn-pdf
     July 01, 2004 - stopped by the Data Safety and Monitoring Board on the basis of clear lack of effect. … FDA- approved labeling indications help to guide clinicians in the use of a new therapeutic agent. … the impact on clinical outcomes. … Epidemiology of severe sepsis in the United States: analysis of incidence, outcome, and associated costs … Example of a two-page order form explicitly stating patient selection criteria for the use of drotrecogin

131. Emergency Error | PSNet
     psnet.ahrq.gov/web-mm/emergency-error
     January 18, 2013 - The UK emergency laparotomy network study identified variability in the use of postoperative critical … ) Administrative data from the UK has also shown that increased provision of high dependency and intensive … More senior surgeons appear to have a greater degree of certainty when assessing a patient's likely outcome … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. … Effect of a comprehensive surgical safety system on patient outcomes.

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846975/psn-pdf
     March 28, 2023 - We are focused on the conditions that the data support as the leading causes of severe maternal morbidity … Review Committee (MMRC) data or use national MMRC data published by the Centers for Disease Control … research? … I would also like to see more research and progress in developing data. … Much of our data are based on MMRCs, which is incredibly valuable, but those data focus on cases where

133. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
     May 01, 2013 - The best measures we have are based on claims data, and they are just not that great. … 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 … complications) did not accelerate the rate of change.( 17 ) On the other hand, an evaluation of a natural … Therefore, it will be vital that we invest in, and then use, research about the outcomes of these initiatives

134. A Little Shuteye | PSNet
     psnet.ahrq.gov/web-mm/little-shuteye
     December 22, 2018 - In a recent systematic review,( 2,3 ) pooled data from many randomized controlled trials found that cosmetic … outcome of adhesives is similar to that achieved with sutures. … Overall, these last two factors have tipped the scales in favor of the use of the tissue adhesives. … Though it is hard to view the use of tissue adhesives as “invasive,” they are part of the list of procedures … Another example is a demonstration on DERMABOND itself, available on the Ethicon™ Web site.

135. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
     psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
     November 26, 2014 - On the third day of hospitalization, the patient developed bloody ostomy output. … has been applied broadly to GIB, available data supports the use of restrictive transfusion only in … This patient, on the other hand, was likely to have small bowel bleeding from a deep, inflammatory bowel … Risk stratification and the use of risk scores may help to identify patients at risk for severe bleeding … In addition, the commentary does not include information regarding investigational or off-label use of

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841567/psn-pdf
     December 14, 2022 - relied on clinicians to abstract data from paper-based charts. … obtaining data is also a critique of administrative or claims-based measures. … Claims-based measures use billing data elements that are part of claims data to assess quality performance … subset of dQMs that use EMR data, into its quality reporting programs. … This transition has also facilitated the shift from process measures to outcome measures.

137. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
     November 27, 2023 - 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. … 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

138. Late Anemia Following Rh Disease in a Newborn | PSNet
     psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
     June 17, 2010 - The American Academy of Pediatrics (AAP) guidelines are available on the Web. … rather than good data that the treatment thresholds represent bilirubin levels at which the benefits … prevent the outcome in this case) was clearly indicated. … We wonder if part of the family's dissatisfaction in this case (which had a fine outcome) was related … allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49654/psn-pdf
     June 01, 2012 - 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

140. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
     psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
     October 01, 2004 - While this has led to a gradual shift toward the use of process measures (what was done) instead of outcomes … This can occur when the association between the process measure and the desired outcome is weak, or when … The second concern expressed about the public reporting of quality data relates to the phenomenon of … a measure such as the use of aspirin in myocardial infarction while the quality of care for patients … The public release of performance data: what do we expect to gain? A review of the evidence.