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

321. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
     February 26, 2025 - Another study on medication safety reports on the use of a tool based on HRO principles for reducing … The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration … patient falls. 9 Prior research has found that the widespread use of care pathways that standardize … Data on high reliability principles requires scale because it is a collective concept. … In terms of outcome measures, many of the studies I have done rely on a health system being willing to

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33699/psn-pdf
     August 01, 2010 - "(13) More persuasive strategies for change involve presenting the analyses of data that demonstrate … In addition, such multidisciplinary training can be facilitated through the use of simulation to give … The Institute of Medicine report on medical errors challenged AMCs to be leaders in providing safe care … Improving safety on the front lines: the role of clinical microsystems. … ACGME Outcome Project: Core Competencies.

323. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
     psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
     September 01, 2017 - a particular data item.( 18 ) The third involves use of computer-based triggers, or indications stored … The analogy I use for this is getting on a plane where the pilot hasn't been through the simulator. … The meaningful use program has a lot of administrative overhead. … That was a theme of my research in thinking about this for a year: the unanticipated consequences of … I'm very enthusiastic about the outcome. It's a voluntary, public–private partnership.

324. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
     July 01, 2008 - syndrome Describe the treatment of opioid withdrawal syndrome including the use of Clinical Opioid … and the potential impact on the quality of care provided Case: Dependence vs. … Pain A 56-year-old man with a long history of heroin use presented to the hospital with abdominal pain … Opioid Dependence Defined as a maladaptive pattern of use of illicit or prescription opioids leading … Overview of 5-year followup outcomes in the drug abuse treatment outcome studies (DATOS).

325. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - deep vein thrombosis (DVT) and PE. 3-5 Anchoring on the diagnosis of asthma led to a delay in the diagnosis … data available at her presentation, the patient in this case had a low pretest probability for PE (Wells … Use of the d-dimer for Detecting Pulmonary Embolism in the Emergency Department. … Lactate Outcome Study. … The impact of a pulmonary embolism response team on the efficiency of patient care in the emergency department

326. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet
     psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
     August 20, 2018 - This study examined 3 and a half years of data from the University HealthSystem Consortium, which represents … Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and … August 4, 2021 The impact of racism on child and adolescent health. … largest military hospital: an analysis of National Surgical Quality Improvement Program data. … study of process and outcome.

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49588/psn-pdf
     August 01, 2009 - Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. … and hospitalized patient outcomes (1-3), a line of inquiry that took on additional momentum with the … The standard rule of thumb is to have a nurse–patient ratio of 1:4-5 on medical–surgical units, 1:3- … 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

328. Patient Safety 101 | PSNet
     psnet.ahrq.gov/primer/patient-safety-101
     January 16, 2025 - preventable adverse event except for the outcome. … settings, but a growing body of research documents that preventable harm is common in all sites of … research, resulting in some of the most prominent successes in the safety field. … Their efforts focus on enhancing patient and caregiver engagement, tracking and sharing safety data, … There is now a general consensus that the field should shift from focusing on single types of adverse

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33608/psn-pdf
     February 01, 2024 - potentially contributing to a substantial increase in use of unnecessary cesarean delivery.16 While … Preeclampsia and other hypertensive disorders of pregnancy are complex, occur on a spectrum of severity … to move from collecting data toward a 4-step action process with each of the steps now considered through … Use data to understand the scope of the problem to identify and review complementary data to MMRC data … maternal outcome disparities.

330. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. | PSNet
     psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and
     October 06, 2021 - Study Association of electronic health record use above meaningful use thresholds … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID … March 1, 2023 The impact of electronic health record interoperability on safety and quality … February 23, 2022 The secondary use of data to support medication safety in the hospital … October 14, 2020 Impact of structured interdisciplinary bedside rounding on patient outcomes

331. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - innovations will be curated by the PSNet team based on their impact on the provision of health care. … the use of interprofessional rapid safety rounds. … Data Science Institute, a part of Ascension health system that provides data analytic support, determined … use of the electronic incident reporting system for such incidents. … Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49787/psn-pdf
     March 01, 2017 - A brain CT on admission showed no evidence of a stroke or intracranial bleed. … lithium use and subsequent progressive hypernatremia demonstrates a fairly typical presentation of … diagnostic errors, supported by new research and as demonstrated by the National Academy of Medicine … By focusing solely on the calcium level and failing to consider a broader differential diagnosis, the … takes place Hindsight bias Knowing the outcome of an event influences the perception and memory of

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866993/psn-pdf
     October 30, 2024 - Most of the folks we see come in specifically hoping to get started on medication for opioid use disorder … Could elaborate on the concept of harm reduction? … , with the idea that abstinence was the only acceptable outcome. … Abstinence absolutely is part of harm reduction, but it is not the only acceptable goal or outcome. … That is a lot given that we have decades of data supporting the efficacy of these programs for reducing

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49633/psn-pdf
     September 01, 2011 - 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. … The Characteristics of Long-term Care Users: AHRQ Research Report. AHRQ Publication No. 00-0049.

335. Communication Failure—Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/communication-failure-whos-charge
     April 01, 2018 - not have a complete picture of the child's condition; similarly, the ICU attending focused on stabilizing … The Commentary On the surface, this outcome has a straightforward cause. … The intensivist must weigh the data and move patient care forward by directing and focusing a team of … However, the only available data on aggregating children into PCICUs did not find improvement in length … A qualitative study of expert and team cognition on complex patients in the pediatric intensive care

336. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49564/psn-pdf
     July 01, 2008 - Case & Commentary: Part 1   A 56-year-old man with a long history of heroin use presented to the hospital … use of oxycodone products.(6) Furthermore, according to the DAWN Mortality Data Report, hydrocodone … We are told that the patient in this case has a long history of heroin use and likely suffers from the … .(32-34) Considering the effects of alcohol and other drug use disorders on patients and their environment … Overview of 5-year followup outcomes in the drug abuse treatment outcome studies (DATOS).

337. Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. | PSNet
     psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
     June 24, 2020 - health care system: a qualitative study of aggregated root cause analysis data. … health care system: a qualitative study of aggregated root cause analysis data. … research reporting: the SAFER reporting framework. … study of care practices based on a systemic approach. … for patient outcome.

338. Waiting Too Long | PSNet
     psnet.ahrq.gov/web-mm/waiting-too-long
     February 01, 2013 - The anesthesiologists were short-staffed and also covering the operating rooms on a different floor, … If data such as the frequency of medication errors, incidence of wound infections, or patient satisfaction … For a given risk, larger units have the ability to staff more efficiently (particularly if workers on … The use of high-fidelity patient simulators for training health care professionals has increased in recent … Neurosurgical trauma call: use of a mathematical simulation program to define manpower needs.

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49831/psn-pdf
     June 01, 2018 - non-ED responsibilities (such as helping out on a small inpatient unit), making treatment of high- … timeliness and quality of care.(17-20) Using ED-based systems, a rural provider can use a single button … Mohr has received research funding from the Federal Office of Rural Health Policy, US Department of … The commentary does not include information regarding investigational or off-label use of products or … The shortage of on-call surgical specialist coverage: a national survey of emergency department directors

340. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - outcome data to evaluate the overall program. … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research … ), where he directs the Department of Human Systems Integration Research. … As one of the world's leading experts in the use of simulation and teamwork training, he has studied … get feedback on the skills that they've been trained on, and not from a lot of information and demonstration