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

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49650/psn-pdf
     March 01, 2012 - The surgery site was marked after the patient confirmed the biopsy site with use of a mirror, two physicians … identified a biopsy scar within a clinical lesion on the left cheek, the diagram from the referring … The surgeon then excised a lesion on the left cheek. … Outcome of 6 years of protocol use for preventing wrong site office surgery. … Research and Quality (AHRQ), U.S.

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49409/psn-pdf
     July 01, 2003 - 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

203. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
     psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
     April 01, 2005 - A lack of screening was a significant issue identified in the eA process for AAA. 1 Based on the eA … total of 12 eA/eB studies on a wide variety of topics, identifying many needed system improvements. … A common outcome of these methods is for the involved provider to increase their education and “be more … : a research consultant(s) who consult(s) with clinical leaders on the disease being reviewed, and specialty … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60856/psn-pdf
     August 26, 2020 - 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

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33663/psn-pdf
     September 15, 2008 - by a reduction in mortality, acute renal failure, use of mechanical ventilation, length of stay, and … Focus on a Specific Service Line On top of these efforts, after our Risk Management Department found … A total of 1000 points are available to earn, based on the Leapfrog methodology. … as the "ultimate outcome measure." … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research

206. Misidentifying the Unidentified – John Doe and the EHR | PSNet
     psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
     September 27, 2017 - The largest study of a consecutive series of John Does (1) concluded that alias use is highly associated … For example, an unknown male patient admitted on the 24th of April at the start of a new name cycle … Concerns about accurate identification and the “unintended” consequences of Doe use stretch back to the … consequences of Doe use in the era of the EHR will continue to focus on catching, as opposed to preventing … The John Doe syndrome: Diagnosis and outcome of patients unidentified at the time of emergency department

207. Artificial Intelligence and Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
     January 31, 2020 - focus of this Perspective is on the use of AI in healthcare diagnostics, specifically imaging. … is a serious safety outcome for the patient. 7 Conclusion Despite the potential of AI in diagnostic … The amount of material that’s put in front of radiologists on a daily basis is, quite frankly, unsustainable … The ED doc is incredibly busy, forgets to put it on a work list, or puts it on a work list that doesn … So I think in the oncology space there is an opportunity to use big data and AI to provide value to the

208. EMS Patient Safety in the Field | PSNet
     psnet.ahrq.gov/perspective/ems-patient-safety-field
     July 28, 2021 - In other cases, data is collected for all calls, and a patient care report and the demographics of the … to use a couple of years ago. … The ability to use correct data systems and quality measures, not over-apply quality measures, and not … or stroke, or trauma, etc., and then discuss the basic approaches that we use to get to the right outcome … the outcome of the patient.

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49804/psn-pdf
     September 01, 2017 - 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 … ; Belgian IBD Research Group. … Research and Quality (AHRQ), U.S.

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49404/psn-pdf
     June 01, 2003 - Putting these data together permits a diagnosis of threatened, inevitable, incomplete, completed, or … the routine use of checklists and meticulous documentation of findings, no matter how experienced the … repeat ultrasound on this patient was a limited study assessing the progress of the intrauterine pregnancy … ), the timely availability of new clinical information (ultrasound report), and the routine use of systematic … Pregnancy outcome of patients with uncorrected uterine anomalies managed in a high-risk obstetric setting

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49447/psn-pdf
     June 01, 2004 - However, her arterial blood gas (ABG) showed a paO2 of > 430 on 100% O2, with no A-a (alveolar-arterial … limit to the number of prescriptions a pharmacist may fill on each shift.(3) A survey of community pharmacists … drug (macrolides, etc.); therefore, no data regarding the nature and impact of the intervention could … Pharmacists should not dispense any drug based on a prescription without data that support its use in … Use of cisapride with contraindicated drugs in The Netherlands.

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73553/psn-pdf
     July 28, 2021 - In other cases, data is collected for all calls, and a patient care report and the demographics of the … to use a couple of years ago. … The ability to use correct data systems and quality measures, not over-apply quality measures, and not … or stroke, or trauma, etc., and then discuss the basic approaches that we use to get to the right outcome … the outcome of the patient.

213. Building a Safety Program Using Principles of Resilience Engineering | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
     October 23, 2013 - When an incident or error does occur, aspects of work are analyzed through the lens of the negative outcome … The field of resilience engineering focuses on learning proactively about how things usually go well … The following are some of the key challenges that influence the implementation of a resilience engineering-based … Method being the most common.( 9 , 10 ) However, the majority of resilience engineering research has … Resilience engineering: current status of the research and future challenges.

214. Identifying Safety Events in the Prehospital Setting | PSNet
     psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
     May 16, 2022 - EMS clinical data based on a national EMS data standard, the National EMS Information System, or NEMSIS … , including oversight of a warehouse research data set of de-identified records (the ESO Data Collaborative … We do a lot of quality improvement and research work with clinical data. … Tell me a little bit more about what a trigger tool is, what kind of data that might use, and what that … data on the SOPS?

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49658/psn-pdf
     July 01, 2012 - Yes—the diagnosis of subdural hematoma was delayed. Was there an adverse outcome? … suggestion that the delay led to impaired neurologic outcome. … Ely and colleagues (7) have proposed the use of a diagnostic checklist designed to aid and offload clinicians … None of the tools will come with a guarantee of providing the correct diagnosis, but the use of multiple … Research and Quality (AHRQ), U.S.

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73902/psn-pdf
     September 29, 2021 - Outcome. … The use of gadolinium contrast ensures visualization of SEA; non-contrast studies have poor sensitivity … on a febrile patient with CSF concerning for bacterial meningitis Over-reliance on the classic triad … It relies on the presence of neurologic deficit, which is a late- stage finding in cases of SEA and … 1986–2010: an analysis from the National Practitioner Data Bank.

217. More Treatment—Better Care? | PSNet
     psnet.ahrq.gov/web-mm/more-treatment-better-care
     August 11, 2021 - to provide him with the 2010 evidence-based guidelines on the use of plasmapheresis in Guillain-Barré … , requiring a longer hospitalization and use of the indwelling catheter, which led to a serious infection … This means that a focus on the harms rather than the costs of unnecessary, non–evidence-based care may … Clinicians should consider whether they could achieve the same outcome (treatment of GBS) with less testing … Involving patients in clinical decisions: impact of an interactive video program on use of back surgery

218. Unexpected Drawbacks of Electronic Order Sets | PSNet
     psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
     December 01, 2017 - However, to minimize the amount of information presented on each screen, a separate order set was created … order set was a contributing factor to the outcome in this case. … There are limited data regarding the unintended consequences of order sets. … Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider … Use of order sets in inpatient computerized provider order entry systems: a comparative analysis of usage

219. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? | PSNet
     psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
     June 01, 2017 - Looking at 11 years of data, the researchers found significantly better outcomes on weekdays.( 8 ) The … 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're beginning to use some of that data linked to hospital data to learn more about the patient journey … The increase in the amount of real-time observation data is a potential tool to identify patients who

220. The Missing Abscess: Radiology Reads in the Digital Era | PSNet
     psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
     January 01, 2009 - List interventions that health care institutions can use to reduce the risk of error associated with … Based on the report, she took the patient to the operating room for treatment of a presumed recurrent … in the digital era may have affected the outcome of this patient's surgery. … Whatever the merits of the decision, this particular case had a problematic outcome: after an uncomplicated … of PACS, a radiologist typically reviewed images on the same day they were acquired.