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

221. Tough Call: Addressing Errors From Previous Providers | PSNet
     psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
     July 17, 2024 - The Case A 55-year-old woman with a history of type 2 diabetes on metformin presented to the emergency … possible diagnostic errors will capture only a fraction of events ( 11 ), organizations must rely on … the intended outcome (i.e., earlier diagnosis with avoidance of human and capital costs associated with … In this more intensive intervention, a trained peer (or leader) would deliver data "suggesting" that … In addition, the commentary does not include information regarding investigational or off-label use of

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49441/psn-pdf
     March 01, 2004 - The Commentary This patient's poor outcome occurred in part due to a breakdown in communication between … The transfer of patient data and care responsibility is commonly referred to as a "signout", "passoff … Verbal signout training and use of read-backs. … Use of information technology to assist in the information transfer. … The impact of a regulation restricting medical house staff working hours on the quality of patient care

223. In Conversation With... James Augustine, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-james-augustine-md
     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.  

224. In Conversation With… Paul Aylin, MBChB | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
     June 01, 2017 - 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 … Looking at 11 years of data, the researchers found significantly better outcomes on weekdays.( 8 ) The

225. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
     psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
     August 14, 2024 - falls, 14,15   one with a meta-analysis, 15 did not find any evidence to support the use of chair or … alarm might cause more rapid treatment after a fall. 9   The evidence for use of, or avoidance of, bedrails … the use of bedrails as a restraint. 16 Further, there is no significant evidence to support the use … While there is still some controversy on the use of full bed rails, if they were present, they may have … Z-drugs and falls in nursing home patients: data from the INCUR study.

226. The Safety and Quality of Long Term Care | PSNet
     psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
     January 01, 2016 - based on research exploring pressure ulcers, adverse drug events, infections, and falls.( 4 ) Much of … ( 5 ), suggesting variability in either how the data are reported and/or the settings where data are … Based on federal regulation, a significant change of condition requires a detailed assessment that should … risk for harm and thus prevented the devastating adverse outcome of sepsis and subsequent death. … In addition, the commentary does not include information regarding investigational or off-label use of

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49719/psn-pdf
     September 01, 2014 - anesthetist's (CRNA) shift, she noticed that the "graphic trends" tab on the monitor had a straight … the 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? … patient monitoring data for research.

228. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
     psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
     March 01, 2015 - up to 30 days after admission, on the premise that, as a result of today's short hospital stays, unsafe … And they gave a report that was consistent with the mortality data. … We hope that people use the data. … When a hospital sees that their HSMR data or other adjusted quality data are not as good as they should … The data that is available to them are the standardized mortality ratios for each of the diagnoses.

229. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-469
     December 31, 2024 - discharge in older patients: a secondary outcome analysis from a randomized controlled trial. … Using data (including from the Hospital Survey on Patient Safety Culture™ [SOPS®]), this cross-sectional … A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation … need for further research into their effectiveness and applicability in analyzing ME data. … Lewis, MD | December 31, 2024 A 54-year-old man with a history of tobacco use presented to the emergency

230. Diagnosing HIV-It Doesn't Take a Brain Surgeon | PSNet
     psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
     January 01, 2018 - drug use (21%). … would have led to a change in the overall outcome. … testing.( 17-19 ) In the absence of direct clinical data showing benefits of routine screening, several … of antibiotics during the current admission would have changed the ultimate outcome given the seriousness … March 15, 2023 Impact of a warning CPOE system on the inappropriate pill splitting

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49446/psn-pdf
     August 30, 2021 - Broader use of insulin drips outside the ICU requires that safeguards be put in place to prevent a potential … support the practice of tighter control (through the use of IV insulin drips) in the surgical ICU. … The extent to which such data can be generalized to medical and surgical patients on the general medical-surgery … Quality improvement efforts that focus on increasing use of medications and "tight control" of physiologic … Rubin, MD, PhD Professor of Medicine Director, Quality of Care Research The Johns Hopkins University

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49466/psn-pdf
     October 14, 2004 - https://psnet.ahrq.gov//#references were made NPO pending the outcome of the swallowing evaluation … information (eg, the notes sometimes left by nurses on the front of charts to draw the attention of … 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

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72835/psn-pdf
     March 10, 2021 - research questions, the outcomes of interest, the data collection approach, and recruitment. … on the color of the paint on the wall. … data alone. … That’s a potential gold mine of information; we just haven't bridged the data collection approach yet … safety work and say, listen, let's use five measures, whether process or outcome measures, that are

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49723/psn-pdf
     January 01, 2015 - all of the women in labor was displayed centrally on a large 40-inch monitor at the nurses' station … a fetal insult remote from labor and the associated high false-positive rate (normal outcome newborn … In the present case, data from 16 patients were displayed on a single 40-inch monitor. … Thus, focusing in on one patient's data is done at the expense of others, even if temporarily. … of the chain of command on the unit.

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49410/psn-pdf
     July 01, 2003 - In a recent systematic review,(2,3) pooled data from many randomized controlled trials found that cosmetic … outcome of adhesives is similar to that achieved with sutures. … Overall, these last two factors have tipped the scales in favor of the use of the tissue adhesives. … Though it is hard to view the use of tissue adhesives as “invasive,” they are part of the list of procedures … Another example is a demonstration on DERMABOND itself, available on the Ethicon™ Web site.

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49854/psn-pdf
     February 01, 2019 - On the afternoon of the first hospital day, the patient complained of right arm numbness and weakness … The early signs of stroke can be subtle, so without a hands-on evaluation, most hospitalists in this … managing a large number of admissions, forcing him or her to use the EHR and phone in the early phases … Provide contingency plans focused on the next step and a plan to reengage if the expected outcome did … Research and Quality (AHRQ), U.S.

237. In Conversation With… David Urbach, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
     June 12, 2019 - mandated either the use of surgical safety checklists, or at least reporting the extent of the use of … If you do a before-and-after study on use of a surgical safety checklist, in the typical design, people … Patients who have a partially completed checklist have a better outcome, but not as good as the patients … We used relatively similar time periods, but we relied on administrative data. … We relied on electronic sources of health information that are held at the research institute.

238. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
     psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
     November 16, 2022 - Perhaps the most important factor is the failure of the health care worker (HCW) to use strict aseptic … was placed on the syringe for inoculation of the blood culture bottles. … consensus organization that publishes guidelines based on best available data, recommends tincture of … of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults. … of the microbiology, epidemiology, and outcome of bacteremia and fungemia in adults.

239. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
     psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
     March 01, 2017 - some outcome. … safety orientation.( 5 ) Workers then observe the outcome of their own and others' actions and select … to get stuck in deciding where to begin.( 7 ) One could select a starting point based on data-derived … 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.

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49837/psn-pdf
     August 01, 2018 - The sole use of physical examination (abdominal palpation) is unreliable in the diagnosis of an AAA, … benefit of one- time screening in women, and there is limited evidence on the benefits of repeat AAA … Had he undergone screening earlier, he might well have had a better clinical outcome. … The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic … Research and Quality (AHRQ), U.S.