Results

Total Results: 1,951 records

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

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49676/psn-pdf
     February 01, 2013 - ) or the use of the wrong opioid product.(3) Even with recent use of human factors engineering approaches … Missing from the case at hand is any discussion on the use of pulse oximetry, capnography, or other … 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

182. How Do Providers Recover From Errors? | PSNet
     psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
     May 22, 2024 - on the left and a persistent unchanged pleural effusion on the right. … Essentially the entire literature on this subject concerns resident physicians; data on fully trained … One is the patient outcome resulting from the error, and the other is the degree of personal responsibility … There are few quantitative data on the impact of disclosure to patients on physician distress after errors … direct causative role and the patient's poor outcome.

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849598/psn-pdf
     May 31, 2023 - 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 identification … Higher adverse outcome rates for sepsis are related to the clinical complexity of impacted patients … queue of an available nurse on the CAT. … technical and informatics team to improve the process based on needs and available data.

184. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
     psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
     June 01, 2003 - hospitalized patient outcomes ( 1-3 ), a line of inquiry that took on additional momentum with the publication … The standard rule of thumb is to have a nurse – patient ratio o f 1:4-5 on medical–surgical units, 1 … It is important to mitigate the stressors of short staffing on a shift to shift basis. … While we are not provided with details regarding the physiologic causes of this tragic outcome—it is … numbers and educational level: analysis of administrative data.

185. Diagnosing a Missed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
     October 26, 2022 - A brain CT on admission showed no evidence of a stroke or intracranial bleed. … of chronic lithium use and subsequent progressive hypernatremia demonstrates a fairly typical presentation … By focusing solely on the calcium level and failing to consider a broader differential diagnosis, the … encounter takes place Hindsight bias Knowing the outcome of an event influences the perception … July 3, 2016 Use of a novel, modified fishbone diagram to analyze diagnostic errors.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33718/psn-pdf
     October 01, 2011 - 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. … vary quite a bit depending on the population that you're dealing with and the type of beta-blocker that … A standard of care might emerge, the data about whether you do it or not might be publicly reported,

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49602/psn-pdf
     April 01, 2010 - 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 … 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

188. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
     psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
     October 30, 2024 - That is a lot given that we have decades of data supporting the efficacy of these programs for reducing … the data was first collected in 2020. 3 People who use substances (PWUS) may be at acute risk of harm … and technicians to interpret the results. 17,18 Research on the effectiveness of drug-checking on health … One important avenue for future research is evaluating the effectiveness of drug-checking services on … Implementation and uptake of the Massachusetts drug supply data stream: a statewide public health-public

189. Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. | PSNet
     psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
     November 25, 2020 - the initial failure to suspect and investigate for CS was the primary cause of the poor outcome. … A systematic review evaluating the commonly accepted clinical signs of CS (i.e., pain, pain on passive … American Academy of Orthopaedic Surgeons’ (AAOS) “Appropriate Use Criteria (AUC) Summary” on the diagnosis … data that may support the clinical assessment and confirm clinical suspicion for CS. … The impact of postdischarge telephonic follow-up on hospital readmissions.

190. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
     psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
     October 30, 2024 - action steps: Convene a multidisciplinary team of clinicians to review and use evidence-based … ’s EHR and assigns an AAM score. 7 The model uses a variety of clinical data, including composite scores … An analysis of program data during this period indicated a patient reached the alert threshold during … Review and share program data on a consistent basis to guide performance improvement activities to continue … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866618/psn-pdf
     December 31, 2024 - A 54-year-old man with a history of tobacco use presented to the emergency department (ED) with a … The patient thought the pain was related to his diet and put himself on a juice cleanse one week before … degenerated into VF. 1 The case exemplifies how a poor patient outcome is often the product of a series … Impact of clinical decision support preventing the use of QT- prolonging medications for patients at … Research and Quality (AHRQ), U.S.

192. Primary Workaround, Secondary Complication | PSNet
     psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
     January 24, 2018 - outcome. … In the case study, the use of a Foley catheter to maintain the patency of a stoma in the absence of a … 'on track' in the face of the unexpected, and modi? … To harness their potential to inform improvement, it is essential to capture data on the use of workarounds … Data on the use of workarounds can be used by managers, patient safety officers, and frontline staff

193. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
     psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
     March 01, 2017 - What people can do is take that and use it as a way of disturbing what they're doing in a very positive … Hearing you discuss the loose use of the word "culture," it strikes me that there's almost a 2x2 table … I'm Deputy Editor of BMJ Quality and Safety, so I see a lot of the research coming out. … some outcome. … to get stuck in deciding where to begin.( 7 ) One could select a starting point based on data-derived

194. In Conversation With… Kaveh Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
     February 26, 2025 - falls amounted to a form of patient safety research. … It gives you a general lay of the land, but it's not a very good outcome to use to look at progress. … In clinical research, we don't use some general measure of heart health. … How has the electronification of the literature and the ability to collect data electronically changed … I would say that as a journal editor, social media and the impact that has had on research dissemination

195. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
     psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
     April 01, 2010 - NQF continues to use a consensus-based review process to update the original 30 Safe Practices, based … Both consumers and providers need to be able to understand and act on performance data. … While we don't attempt to pass judgment on specific applications, we encourage everyone to use those … We don't have as many outcome measures as we would like to assess the impact of health care on patient … RW: You have a unique perspective on all of this having been at and helped lead the IOM reports on safety

196. How Does Infection Prevention Fit Into a Safety Program? | PSNet
     psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
     March 01, 2014 - Health care–associated infections: a meta-analysis of costs and financial impact on the US health care … AH : The use of data to drive quality improvements—Florence Nightingale was looking at infection-related … of collecting data. … but also to make sure that they are reinforcing and supporting the delivery of whatever process or outcome … , on a ward, whatever.

197. Pregnant With Danger | PSNet
     psnet.ahrq.gov/web-mm/pregnant-danger
     January 12, 2011 - presentation of aortic dissection varies and depends on the location and acuity of the dissection. … Little published data describe the clinical presentation of aortic dissection in pregnancy. … Careful attention to the differential diagnosis, appropriate consultation and the judicious use of diagnostic … tragic outcome. … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured

198. No BP During NIBP | PSNet
     psnet.ahrq.gov/web-mm/no-bp-during-nibp
     March 01, 2011 - (CRNA) shift, she noticed that the "graphic trends" tab on the monitor had a straight line for heart … use of better monitoring.( 6 ) As in this case, the anesthesia machines and patient monitors in the … vital signs, and allow the use of decision support systems to alert anesthesia providers of potential … outcome? … monitoring data for research.

199. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. | PSNet
     psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
     August 31, 2022 - This trial demonstrated an overall benefit in functional outcome at 90 days, with 49% of treatment group … This trial also showed a benefit in functional outcome at 90 days, with 45% of treatment group versus … typically involve notification of an on-call neurologist, a radiologist, and nursing and pharmacy team … Perfusion Imaging The routine use of CT angiography and perfusion imaging as part of an initial stroke … In pooled patient-level data from five clinical trials, the odds of better disability outcomes at 90

200. Adverse Events in Dentistry | PSNet
     psnet.ahrq.gov/perspective/adverse-events-dentistry
     December 22, 2020 - the safety and quality of oral healthcare, with a particular focus on using data for electronic health … the safety and quality of oral healthcare, with a particular focus on using data for electronic health … since 2007 with a focus on trying to use data and informatics approaches to measure and improve the … records on the medical side, as well as a number of dental clinics, and they use the same electronic … able to use a module called Wisdom for dental care and all of their data will be together.