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

341. The "Customer" Is Always Right | PSNet
     psnet.ahrq.gov/web-mm/customer-always-right
     January 22, 2014 - unsafe outcome. … , an observation supported by the lack of widespread adoption of patient-centered practices seen on a … In addition, the commentary does not include information regarding investigational or off-label use of … The effect of physician behavior on the collection of data. Ann Intern Med. 1984;101:692-696. … The unexpected in primary care: a multicenter study on the emergence of unvoiced patient agenda.

342. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
     psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
     September 28, 2022 - A patient safety event can be the furthest downstream outcome of a series of events that starts with … Right now, there's a lot of data in the literature showing the impact of community health workers, both … , focus on the integration of data. … A lot of clinics now have data visualization software, but really, I believe what's needed on the collaborative … , and there’s an outcome.

343. In Conversation with...Richard P. Shannon, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
     August 01, 2010 - Since he is one of the first chairs of a major academic department whose career has focused on quality … And of course when you show people the data they're astonished, because, although we collect these data … By that, I mean use of evidence and the reluctance to change without strong data. … daily results—every member of this team gets a daily report on whether or not there's an infection on … ACGME Outcome Project: Core Competencies.

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33649/psn-pdf
     May 01, 2007 - and implemented use of crew resource management, team-based training. … Ultimately, the challenge for reporting is how much of the data you gather can be rapidly translated … So often the incident report is of an outcome or some unsafe process that's been observed. … Another activity focuses on research and development. … One of the tasks of the Alliance's research program is to do prevalence studies of medical error and

345. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
     October 28, 2020 - Had the correct diagnosis been made earlier, the outcome might have been different. … an array of physiologic and clinical data. … However, these alerts generally tend to have low positive predictive values.( 18,19 ) The use of such … and improve sepsis outcomes.( 25 ) At the same time, clinicians must not anchor on a diagnosis of … data, 2009--2014.

346. Operationalizing Patient Safety at Academic Medical Centers | PSNet
     psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
     August 01, 2010 - In addition, such multidisciplinary training can be facilitated through the use of simulation to give … ACGME Outcome Project: Core Competencies. … Since he is one of the first chairs of a major academic department whose career has focused on quality … And of course when you show people the data they're astonished, because, although we collect these data … By that, I mean use of evidence and the reluctance to change without strong data.

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49860/psn-pdf
     April 01, 2019 - diabetes slipped on a rug at home and fell, fracturing his left hip. … For example, in the preoperative use of echocardiograms, a retrospective review of hip fracture patients … The interdisciplinary workgroup in charge of the protocol should have measurable process and outcome … retrospective observational study on prospectively collected data from the Danish Fracture Database … Research and Quality (AHRQ), U.S.

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846125/psn-pdf
     March 15, 2023 - Based on this experience, the team created the I-READI framework as a guide for healthcare systems to … framework is based on the steps taken by a multidisciplinary team at the University of Pennsylvania … Adoption Considerations Use by Others (Use By Other Organizations) The innovation team published an … A retrospective study of endotracheal or tracheostomy tube blockage and their impact on the patients … Independent effects of etiology of failure and time to reintubation on outcome for patients failing

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49540/psn-pdf
     August 21, 2007 - Propose the use of checklists by rescuers at their institution to assess the readiness of the defibrillator … for high-use areas) equipment checklist should be completed by a member of the resuscitation team or … Rescuers should be trained on the device they are going to use and should have frequent hands-on experience … Rescuers should use checklists to assess the readiness of the defibrillator and its components on a … Outcome of out-of-hospital cardiac arrest in New York City: the Pre- Hospital Arrest Survival Evaluation

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49522/psn-pdf
     November 01, 2006 - care is still in its infancy and there are as of yet only a small number of measures based on sound … While this has led to a gradual shift toward the use of process measures (what was done) instead of … This can occur when the association between the process measure and the desired outcome is weak, or … a measure such as the use of aspirin in myocardial infarction while the quality of care for patients … The public release of performance data: what do we expect to gain? A review of the evidence.

351. How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet
     psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
     December 21, 2014 - Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and … Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and … Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and … from the adult population: justifying the need for pediatric-focused outcome measures. … August 11, 2010 The impact of electronic medical records data sources on an adverse drug

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49775/psn-pdf
     November 01, 2016 - 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

353. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet
     psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
     July 23, 2024 - In addition to the APRN, the MOQI involves nursing home teams focused on use of tools to better detect … inclusion of a dedicated APRN on the clinical team. … provided monthly feedback reports to the nursing homes on resident outcome measures associated with hospital … on research conducted by the Quality Improvement Program for Missouri (QIPMO) . … inclusion of a dedicated APRN on the clinical team.

354. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - The intravenous dose of naloxone recommended for use in newborn babies is 10 mcg/kg every 2-3 minutes … , and a digoxin loading dose is 10 mcg/kg to 17.5 mcg/kg depending on the age of the baby and whether … Defenses could be built in at many stages, depending on the outcome of the investigation. … The effects of a patients’ own drugs scheme on the incidence and severity of medication administration … : a descriptive analysis of national patient safety incident data.

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49467/psn-pdf
     December 01, 2004 - use it after the call. … There might have been a better outcome had the physician asked the patient to come in the next day if … Many telephone mistakes occur as a result of inadequate data available to the covering physician. … The increasing use of telemedicine has the potential to improve the quality of telephone medicine in … back after a few hours to check on the progression of a symptom can be reassuring to both patient and

356. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
     psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
     January 13, 2010 - In the meantime, on hospital day 4, the patient had been started on 7500 units of unfractionated heparin … better and a poor outcome potentially averted. … thromboembolism do not provide clear answers regarding the optimal use of prophylactic anticoagulation … in a patient on anticoagulation. … Trauma Data Bank.

357. Delayed Diagnosis of Mesenteric Ischemia | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
     March 31, 2021 - None of these physicians followed up on the possibility of mesenteric ischemia, reportedly because they … On another ED visit, the covering gastroenterologist consulted a surgeon, and a mesenteric angiogram … the setting of hypovolemia, vasopressor use, or poor cardiac output. … to the patient”. 13  Based on a wide-ranging review of studies, the rate of diagnostic error in clinical … All in all, both system and cognitive causes of diagnostic error led to the tragic outcome presented.

358. Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. | PSNet
     psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
     November 09, 2022 - : a case example of patient quality and safety interventions in the ICU. … This study used RAP to evaluate the implementation of a package of patient safety interventions in intensive … with the sites, engaging sites in participatory data collection, rapid team analysis of data sources … : a case example of patient quality and safety interventions in the ICU. … use of real-time electronic clinical data to improve the safety and reliability of their own care.

359. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
     February 01, 2007 - Many a baseball game hinges on the accuracy of calls made by the men in black behind home plate. … best chance of the correct outcome. … defective synthesis of the available data.( 9 ) More than 40 cognitive pitfalls have been described. … For me, the message from Friedman's work is that if you're going to rely on the confidence of a physician … Yes, we might use a set of digital questionnaires to help us ask all the right questions, but finally

360. Incidence and trends of sepsis in US hospitals using clinical vs claims data, 2009--2014. | PSNet
     psnet.ahrq.gov/issue/incidence-and-trends-sepsis-us-hospitals-using-clinical-vs-claims-data-2009-2014
     February 27, 2019 - Although inpatient mortality due to sepsis declined somewhat, there was no change in the combined outcome … In contrast, analysis of claims-based data suggests a significant increase in the incidence of sepsis … The authors conclude that analysis of clinical data may provide a better understanding of sepsis trends … June 21, 2023 The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated … infections in 2020: a summary of data reported to the National Healthcare Safety Network.