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psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
December 21, 2014 - Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. … The authors explored the cost-effectiveness of enhancing hospital administrative claims data with clinical … August 20, 2018
The benefits of health information technology: a review of the recent … use and electronic health records on hospital patient safety. … by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology.
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - in widely varying terms (as a wall, fan, spear, snake, or tree), depending on which part of the animal … Outcome measures assess the incidence or prevalence of adverse events or preventable death . … The Leapfrog Hospital Survey evaluates hospitals based on structural metrics—the use of specific patient … Their specific recommendations included establishing a standardized set of process and outcome measures … for use on a national basis (as well as retiring outdated measures), creating measures of patient safety
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - the most exciting aspects of AI is the ability to access more data. … I think we can do that through better use of
unstructured data, better understanding of patient flow … Up to this point, a lot of our models for patient care only focused on one
outcome at a time. … We can use that
data to help predict outcomes for those patients, such as if the brain may have some … AI systems are trained on training data; in other words, on patterns they’ve seen before, on known failure
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - That is great, but what is the outcome of the process and how is the patient actually doing? … This is our commitment regarding quality measurement—a focus on patient safety metrics, equity, outcome … The timeliness of 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.
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - .( 2 ) More recently, however, AI research has focused on machine learning as a way to use past examples … Machine learning behavior, on the other hand, is dependent on the data on which it has been trained. … labeling of the patient's outcome, or inappropriate application of a machine learning system to a different … clinicians did.( 9 ) In cases such as these, the outcome severity must be considered when training a … Multicentre validation of a sepsis prediction algorithm using only vital sign data in the emergency department
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psnet.ahrq.gov/issue/building-safety-culture
December 21, 2014 - the importance of supporting a just culture in the National Health Service. … analysis of a prospective database of physician self-reported occurrences. … September 28, 2010
The Research on Adverse Drug Events and Reports (RADAR) project. … Veterans Health Administration data? … July 14, 2009
Validity of selected AHRQ Patient Safety Indicators based on VA National
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psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully
June 17, 2015 - June 17, 2015
An overview of research priorities in surgical simulation: what the literature … June 28, 2013
The impact of nontechnical skills on technical performance in surgery: … December 14, 2022
Surgical data recording technology: a solution to address medical … September 18, 2019
AORN Position Statement on Criminalization of Human Errors in the … at a tertiary children's hospital: targeted interventions to increase the rate of reporting.
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - It graphically depicts the frequency with which various values of a variable occur in a set of data. … the distribution of data. … Scatter Plot A scatter plot (or scatter diagram) graphs pairs of numerical data, one variable on each … age of a patient and the frequency of use of “teach-back” methods in a clinic. … Figure 2: Scatter plot of use of teach-back vs patient age
Run Charts A run chart
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - In this study, the instrument yielded overall accuracy of 84%. 2 A study published in 2017 on use of … Examples of research uses include the following:
A study on the incidence and origins of diagnostic … Description of the Innovative Activity
The Safer Diagnosis (Safer Dx) Instrument is a structured data … 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
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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - substances in the operating room, use of highly-specialized technologies, and insufficient clinician … April 5, 2017
Surgeons don't know what they don't know about the safe use of energy in … October 19, 2012
The SAGES Fundamental Use of Surgical Energy program (FUSE): history … June 10, 2013
The Research on Adverse Drug Events and Reports (RADAR) project. … May 8, 2019
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development
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psnet.ahrq.gov/node/33884/psn-pdf
July 01, 2019 - .(2) More recently, however, AI research has focused on machine
learning as a way to use past examples … Machine learning behavior, on the other hand, is dependent
on the data on which it has been trained. … inadequate labeling
of the patient's outcome, or inappropriate application of a machine learning system … "(3) Preliminary results of a large scale
study on the Apple Watch were recently presented to the American … Multicentre validation of a sepsis prediction algorithm using only vital
sign data in the emergency
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psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
February 20, 2019 - A past PSNet perspective highlighted the experience of a health care professional as a patient. … after 20 years of patient safety research. … adverse events or the end of adverse events as a useful metric? … June 9, 2021
Putting out fires: a qualitative study exploring the use of patient complaints … July 10, 2019
Effect of day of the week on short- and long-term mortality after emergency
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psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
March 10, 2011 - Florida data and 6 years of Alabama data reveal. … February 10, 2012
Outcome of 6 years of protocol use for preventing wrong site office … July 5, 2017
The effect of provider characteristics on the responses to medication-related … anaesthesia: protocol, methods, and analysis of data. … January 18, 2012
The effect of executive walk rounds on nurse safety climate attitudes
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Clinical Decision Support
The most prominent focus in the 2022 research on technology, based on the … use of the tool was low. … on color scales, location, and types of data displayed. … rates and the need for more data on why alerts are overridden. … Another topic explored in a scoping review was the use of AI to reduce adverse drug events.
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
March 10, 2021 - . 3 Similarly, while the use of patient-reported outcome measures is not a direct measurement of patient … under stress . [6] Initially, a 100-item scale was created for use in research. … of PFE on patient outcomes and determine the most effective approaches, but generated data can also … There may be an opportunity to use Patient Reported Outcome Measures to assess the impact of PFE on outcomes … research questions, the outcomes of interest, the data collection approach, and recruitment.
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psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
October 27, 2021 - Transparency is touted as central to improving patient safety, but public reporting of data on individual … such data and suggest that other outcome measures may provide a more meaningful indicator of surgical … on pediatric patient safety in the emergency department. … July 16, 2015
Use of the Safety Attitudes Questionnaire as a measure in patient safety … April 22, 2009
Continuous monitoring of adverse events: influence on the quality of care
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psnet.ahrq.gov/issue/patient-perspectives-usefulness-artificial-intelligence-assisted-symptom-checker-cross
November 25, 2020 - Patient Perspectives on the Usefulness of an Artificial Intelligence–Assisted Symptom Checker: Cross-Sectional … Patients who had previously experienced a diagnostic error were more likely to use the tool to determine … Patient Perspectives on the Usefulness of an Artificial Intelligence–Assisted Symptom Checker: Cross-Sectional … Same Author(s)
Closing the loop on test results to reduce communication failures: a rapid … November 3, 2021
A human factors intervention in a hospital--evaluating the outcome of
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Judgments
about appropriateness are often based on incomplete, indirect, or unreliable data. … Issue #1
Overcalling error due to evaluation of a case with knowledge of the patient’s outcome (hindsight … The result of these uncertainties may require a physician to act on one disease to the detriment of another … (14-16) We further assumed that if we found AD
without delay (through the use of a perfectly accurate … Hypothesized Classification Conundrums
Hindsight bias—evaluation of a case with knowledge of the outcome
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psnet.ahrq.gov/issue/concordance-urgent-referral-guidelines-patients-presenting-any-six-alarm-features-possible
February 17, 2021 - in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. … care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). … US during the first 10 months of the COVID-19 pandemic. … February 15, 2023
Effect of prescriber notifications of patient’s fatal overdose on opioid … data.
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis … patients of health systems that do not share patient health data with other systems
Use of … Medications should be withdrawn one by one to allow for accurate evaluation of the outcome of each discontinuation … the use of deprescribing. … of implementation involves identifying current practices within a health system, establishing a data-driven