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

1881. Safety Across The Board | PSNet
      psnet.ahrq.gov/perspective/safety-across-board
      August 31, 2020 - In addition to a focus on the safety of patients, a strong SAB culture also focuses on workforce safety … Those are the two journeys – (1) developing a culture of healing and (2) the use of Lean Six Sigma to … In that conference room, I've got a white wall that we use for brainstorming and on it, I have pinned … I use this board to emphasize our commitment and focus on the idea that these patients are all people … EL : Our publicly reported data is not perfect; we struggle with a couple of things.

1882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50613/psn-pdf
      October 30, 2019 - The second or third can be like operating on a melted box of crayons. … than average in the face of a lot of ambiguous data, or to just do the C-section. … But they ought use all the information that should be available to them in the room, and that information … We found in our own research that it's not just the physician that matters, it's the nurse. … If you're a clinician, you're fully read in on the value and influence of nurses.

1883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867429/psn-pdf
      December 18, 2024 - A region of hypointensity on T1 weighted images and hyperintensity on T2 weighted images, consistent … pressure of the CSF and may worsen leakage.63 Interestingly, the data supporting this approach are … Surgeons should use bed rest and Trendelenburg positioning with caution, given the risk of postoperative … The use of a novel perfusion-based cadaveric simulation model with cerebrospinal fluid reconstitution … The use of fibrin sealant in cerebrospinal fluid leakage.

1884. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
      January 01, 2022 - Primary-Care Research in Diagnosis Errors (PRIDE) Learning Network, a collaborative project convened … by the Brigham and Women’s Hospital Center for Patient Safety Research and Practice, and the State … in remission) – A history of a pulmonary embolus (treated with a course of anticoagulation, not on … this infection on pathologic examination of the gallbladder specimen … • There was a “failure/delay in eliciting a critical piece of history data”; specifically, overlooking

1885. The Wild West: Patient Safety in Office-Based Anesthesia | PSNet
      psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
      April 01, 2003 - in office-based surgery facilities in 2001.( 4 ) Unfortunately, this rapid growth in the use of OBA … For example, the death of a 26-year-old woman in Virginia as a consequence of receiving 25 mg of midazolam … in OBA would be greatly improved if these three organizations were to agree on a uniform set of standards … Weighty Issue August 21, 2013 Impact of a comprehensive safety initiative on … data.

1886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49720/psn-pdf
      December 01, 2014 - Written protocols for the use of intravenous rtPA in acute stroke have been shown to be a key step in … clinical data necessary to make a decision regarding acute reperfusion therapy. … The safety and efficacy of rtPA in routine clinical use has been subsequently confirmed in a large cohort … door-to-needle time for the use of intravenous rtPA should not exceed 60 minutes.(16) A primary stroke … The patient in a coma (item 1a=3) will automatically score 3 on this item.

1887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60329/psn-pdf
      May 14, 2020 - Health (NIH) and as a guest researcher at the Agency for Healthcare Research and Quality (AHRQ). … Since 1989, GW has focused on maritime and aviation telehealth, as well as supporting remote research … of patients and thousands of visits a day, we need to consolidate and use a single platform and manage … KH: Let’s talk about the use of telehealth as a patient safety tool during the COVID crisis, particularly … coming away with a good understanding of what is going on.

1888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846770/psn-pdf
      March 29, 2023 - and therapeutic purposes, with continued expansion of its use as a safer alternative to traditional … (23% versus 45%), and a 35% decrease in mean length of hospital stay (13 versus 20 days).5 These data … with subsequent triage to a surgical or medical service, depending on the results of imaging. … Impact of trainee involvement on the outcome of ERCP procedures: results of a prospective multicenter … Research and Quality (AHRQ), U.S.

1889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49792/psn-pdf
      May 01, 2017 - based on the available evidence, regardless of patient harm.(16) This definition helps identify, on … Making a diagnosis often involves shades of gray, rather than black and white data points. … Similarly, the use of treatment protocols or algorithms may reduce the risk of error.(12) Ensuring that … Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. … Healthcare Research and Quality (AHRQ), U.S.

1890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46302/psn-pdf
      December 22, 2017 - In this retrospective study, researchers analyzed data from the National Poison Database System. … The study found an average rate of these types of medication errors of 1.73 per 100,000 people. … Death was reported in 0.6% of cases. … In keeping with prior research, the most frequently reported types of medication errors included dosing … A previous WebM&M commentary described a near miss in which a patient almost administered the wrong

1891. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
      February 01, 2014 - If it's rote, for example if there's a sequence of tasks, then a lot depends on where in the task sequence … The design research is clear, and many industries are ahead of us. … the numbers in our cellphones and on Google—or is it just better research tells us that the true number … Or do you think it will always be that this exchange of verbal data is too hard to encapsulate in an … can introduce a significant safety risk.( 12 ) It remains unclear how the simultaneous use of numerous

1892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49692/psn-pdf
      September 01, 2013 - The case was reviewed in light of the tragic outcome. … In this particular case, the overnight read by the resident was based on a comparison of the current … study with the results on the text report of the prior dissection. … report of a prior film to compare with the current images) on which to base his or her current assessment … the broader systems flaw before it led to a tragic outcome.

1893. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
      November 01, 2005 - doctor part of the time and a policy person on the side? … , through the use of run charts and time series statistics, profound changes. … DB: We have a set of values that we try to use here that guide the operational culture of the organization … Again, this is a bit of a data-free zone, and I believe that local culture will determine the "goodness … The IHI has a considerable amount of additional information on RRTs on its Web site and is holding

1894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60363/psn-pdf
      March 01, 2021 - Use of a patient-centered Personal Health Record: Patient understands and utilizes the Personal Health … Use of patient-centered record: Patients need to understand, manage, and use a personal health record … Training is supplemented by use of a Web-based modules. … to share data on program success and address any issues or concerns they might have. … Effectiveness of a national transitional care program in reduce acute care use.

1895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33805/psn-pdf
      April 01, 2016 - We all have to be realists and examine the data as we go, but that would be a vision for success. … we did not conduct, nor cause to be conducted, research to further understand the impact of standards … We hope to have data from both of those studies within about 2 years; at which time, unless something … intervenes in the interim, we would use that information in review and revision of our standards. … All of it's there, but it's spotty and it's largely based on the interest of the trainee to go beyond

1896. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - of worsening dyspnea on exertion. … in data collection methodologies and practices across hospitals. … , additional research is necessary to identify and examine the effects of risk reduction strategies on … Utilization of Smart Pumps The use of smart pumps with ‘dose error reduction software’ is becoming more … For example, ISMP supports 1) use of black and white medication labels (with the exception of the emergency

1897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49696/psn-pdf
      December 01, 2013 - The patient had been on rivaroxaban (a relatively new oral anticoagulant) as treatment for her DVT before … On the second hospital day, she was started on her outpatient dose of rivaroxaban. … receiving her third dose of rivaroxaban, the fellow on the pain service came to remove the epidural … Common Errors Related to TSOAC Use A number of potential errors may occur related to TSOAC use.(10) … The rapidly evolving field of knowledge related to the use of TSOACs highlights the importance of developing

1898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - to use standardized procedures or checklists. … Some data recently came out that suggested as much, which is a bit concerning. … Terry von Thaden has done a very important study on the perception of justice in hospitals across the … If you're the patient or your loved one is the patient, it takes on a completely different nature. … However, there is very strong research that shows that in that position it depends very much on how the

1899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33835/psn-pdf
      June 01, 2017 - His research is internationally recognized for using routine data to identify disparities in quality … We decided to use our large resource of administrative data and look at this in England. … So you would get the same kinds of operations on a Monday as you would expect on a Friday. … We looked at the proportion of patients who could expect to get a brain scan on the day of admission … We're beginning to use some of that data linked to hospital data to learn more about the patient journey

1900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45564/psn-pdf
      October 03, 2017 - https://psnet.ahrq.gov/issue/fostering-transparency-outcomes-quality-safety-and-costs The lack of effective … This commentary recommends ways to enhance the use of quality and safety measures, including establishing … an entity responsible for setting health data standards, developing a robust scientific approach to … performance measurement, and improving how this data is communicated to patients. … fostering-transparency-outcomes-quality-safety-and-costs https://psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers