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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - may have contributed to a worse patient outcome. … diagnostic error in this case, as curbside consultation played a significant role in the outcome. … Gender differences in the management and clinical outcome of stable angina. … A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice … claims data.
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - use it after the call. … There might have been a better outcome had the physician asked the patient to come in the next day if … Many telephone mistakes occur as a result of inadequate data available to the covering physician. … The increasing use of telemedicine has the potential to improve the quality of telephone medicine in … back after a few hours to check on the progression of a symptom can be reassuring to both patient and
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - Sessions focused on the appropriate response to a variety of potential emergency situations
that may … All involved staff commented on how well prepared they felt to handle these cases as a
result of the … Summary of
University of Kansas results also include data from a 7-year observation period. … The
National Health Service requires use of PROMPT or a similar program annually by every hospital offering … Lessons from a
series of research on teamwork, leadership and team training.
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - ) 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 … 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
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - with it, generally the care provider.( 1 ) In this case, the patient’s use of the PCA pump is another … because it focuses attention and reliance on the means of providing care, rather than on the patient … Actors who fit the role can be changed and yet the outcome of their performance will be the same, because … To change the outcome of their performance, the script must be changed. … Keynote address to: The conference on Minimizing the risk of medical errors: focus on the system; November
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Responding to a patient care event, which may have had a desired or
an undesired outcome, provides a … get the best outcome. … A lot of value is placed on “work-as-documented.” … What contributed to a
successful outcome?” … globally, and a fair amount of European-based or other international research.
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
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
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - Further, event reporting is variable, depending on whether a provider
chooses to use the reporting system … and fail to provide information on the true rate of a particular
safety event for a given population … ,
data are generated without depending on the willingness of caregivers to self-report. … Safety
measurement lags behind quality measurement, in which a relatively robust set of outcome and … Jha AK, Prasopa-Plaizier N, Larizgoitia I, Bates DW; Research Priority Setting Working Group of the
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - number of suicide risk screenings for patients.3 The primary outcome measured was a suicide
composite … of the Lean CQI strategy, one of the key elements of ED-SAFE 2, and a focus on collaborative safety … In addition, the organization will use data
discovered in the gap analysis to monitor the success of … In addition, the
smaller ED could conduct a modest amount of chart reviews rather than using EHR data … Staff to measure and report results: at least one person with data related skills who can use the EHR
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
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 … The MMRC data identified that mental and behavioral health conditions, including substance use disorders … 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
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - The team found that having a remote monitoring team is a more efficient use of staff and expertise. … intra-abdominal infections. 5 , 6 To reduce the adverse effects of sepsis, research supports early … Higher adverse outcome rates for sepsis are related to the clinical complexity of impacted patients due … and informatics team to improve the process based on needs and available data. … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - In fact, data on sales and distribution of opioids per person, per year, show an increase from 96 mg … , the dramatic rise in use of therapeutic opioids is not based on evidence of their long-term efficacy … programs (statewide electronic databases) that collect data on substances dispensed in the states may … : striking the right balance to achieve the optimal public health outcome. … Institute of Medicine (US) Committee on Advancing Pain Research, Care, and Education.
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Yes—the diagnosis of subdural hematoma was delayed. Was there an adverse outcome? … suggestion that the delay led to impaired neurologic outcome. … or clinics with initial impressions, opinions from the patient, and triage data. … Ely and colleagues ( 7 ) have proposed the use of a diagnostic checklist designed to aid and offload … None of the tools will come with a guarantee of providing the correct diagnosis, but the use of multiple
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 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 … The MMRC data identified that mental and behavioral health conditions, including substance use disorders … 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
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - by a reduction in mortality, acute renal failure, use of mechanical ventilation, length of stay, and … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research … At Tenet, the staff at the corporate center would do the research on what the latest advances in patient … RW: What's the role of data when you're sitting centrally in a large organization? … The specialists have a target for next year to achieve 100% use of the ambulatory medical record.
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psnet.ahrq.gov/node/49577/psn-pdf
January 01, 2009 - 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.
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - the transfer home, including
acquiring appropriate equipment, training the patient’s caregivers on use … of the terminology we use may help prevent harm. … negative outcome affected a vulnerable patient. … Decades of data demonstrate
healthcare’s systemic racism and the many barriers to care experienced by … Guidelines for the appropriate
use of do?not?resuscitate orders.
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - Not only is there a lack of
peer-reviewed prospective evidence of its effects on patient care and the … A scoping
review in 2021 explored the impact of AI on eight main patient safety domains, suggesting … originally predicted outcome. … AI models are only as
good as the data they are trained on, and if the training data are biased or underrepresent … variables, and by
exploring the use of synthetic data, which involves creating artificial data that
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - completion of the diagnostic evaluation (ie, if the patient were made NPO pending the outcome of the … (eg, the notes sometimes left by nurses on the front of charts to draw the attention of treating physicians … outcome. … First, clinicians must identify the subset of patient-related data (lab results, diagnostic evaluation … sensed exasperation or impatience on the part of a physician she had paged with similar information.
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - the organizational setting, what kind of HIT system it was, what kind of outcome they were hoping to … Those things are all built on a large body of information about the physiology of the condition and about … outcome dimension. … quite a bit depending on the population that you're dealing with and the type of beta-blocker that you're … A standard of care might emerge, the data about whether you do it or not might be publicly reported,