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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - A great example of this is the issue of the Meaningful Use standard for discharge summaries. … Clinicians need to start beating on the vendors to make this stuff easier to use. … shoved the outcome downward. … As the shared hospital medical record and individual data-gathering gadgets start to build a cloud of … One area that has seen significant advances is public reporting of quality data, at a federal level (
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - 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. … a particular data item.( 18 ) The third involves use of computer-based triggers, or indications stored
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - There's a lot of
data, templates, and imported macros. … I think putting patients on the other end of notes is a little bit of a social nudge. … At the end of the year, there was a single "yes or no" primary outcome: Would patients and doctors want … said they would use the availability of notes as a criterion for choosing a health care provider or … It's called "The Cost of Technology"—at least the way we often use it
now.
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Many a baseball game hinges on the accuracy of calls made by the men in black
behind home plate. … decision-making
processes that guarantee the best chance of the correct outcome. … involve defective synthesis of the available data.(9) More than 40 cognitive pitfalls have been described … in
these programs regularly review a standard set of films, with feedback on the findings they missed … to quote Croskerry, use
"cognitive pills for cognitive ills."
Focus on the final common pathway.
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psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
June 30, 2021 - This study used Medicare data to examine the relationship between potential opioid misuse and opioid … These results provide insight on how best to use data from prescription drug monitoring programs , which … data: a systematic review. … State of the Evidence: Proceedings of a Workshop—in Brief. … Benefits and Risks of Prescription Opioid Use.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - concluded that "available evidence does not support the use of a single criterion for transfusion such … important data. … The primary outcome (being able to walk 10 feet or across the room at 60 days) was similar in both the … The decision to transfuse should be based on a thorough assessment of each patient's individual clinical … The appropriateness of red blood cell use and the extent of overtransfusion: right decision?
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - in communication.( 10 ) While there is a growing body of research that supports the benefits of strong … Phase three of our research is focusing on factors that cause bad behaviors to occur. … The scope of the outcome was varied. … There are also a few who are impaired due to drug and alcohol use. … outcome.
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psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - On the other hand, if the hCG levels do not fall, or instead continue to rise, the diagnosis of ectopic … Although there are no data to indicate the amount of blood in the pelvis above which it is unsafe to … It should be noted that most patients have at least one episode of increased pain after the use of methotrexate … patient has contraindications to its use and for counseling the patient. … Diagnosis and management of tubal pregnancy: effect on fertility outcome.
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - They have opposed making the data public. … Yes, some people will not use that information correctly or not use it at all, but the dominant effect … For me, it's this combination of writing and the research that makes that possible. … All of the data are de-identified.
If it ended here, it would already be a great step forward. … On a yearly basis, all of the Matrix outlines are published and distributed to the division in a packet
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - on the floor,
confused with a hematoma on her forehead. … use of the belt restraint. … Older Adult Falls Data. … History of falls and fear of falling are predictive of future falls:
outcome of a fall rate model applied … [Free full text]
https://www.cdc.gov/falls/data-research/index.html#:~:text=In%20the%20United%20States
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - Using data from the Australian and New Zealand Audit of Surgical Mortality database over a 1-year period … June 3, 2020
Creating a high-reliability health care system: improving performance on … May 1, 2019
Evaluation of a patient safety programme on Surgical Safety Checklist compliance … and frequency of data-entry errors for outpatient serology tests. … October 31, 2014
The use of report cards and outcome measurements to improve the safety
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psnet.ahrq.gov/node/50949/psn-pdf
February 26, 2020 - patients are
misidentified, the use of handwritten labels at any point, mix-ups occurring before or … Such rainbow draws are controversial, and no data
exists to support the benefit of this practice. … Based on CAP data, multiplying this cost with the number of
mislabeled specimens, it is believed hospitals … Future directions may include the use of advance informatic tools
and RFID could significantly reduce … The use of RFID technology may further reduce specimen loss rates by as much as 75%.
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - safety people, but our data suggests that little has changed about the fundamental
organization of … safety of the clinical environment, and we're
superimposing these interventions on top of a defective … of stay is a relentless burden on
nurses in terms of increased workload without further increasing the … , we're working on the idea of causation. … If you buy a new
piece of equipment, you could probably estimate what your revenues are on the new piece
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Per the hospital’s safety protocol, the planned lumbar puncture was put
on hold because of her agitation … The patient was connected to a
cardiac monitor on a crash cart, which showed polymorphic ventricular … The Commentary
The almost fatal outcome in this case directly resulted from treatment with high and … Use of high-dose intravenous haloperidol in the treatment of
agitated cardiac patients. … ill: a review of the literature.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - use of a computer control module or a handheld remote. … year in the US.( 11 ) A systematic review of 21 studies over 15 years tested the impact of the use of … RW : Looking back over the last 10 to 20 years of research, how would you summarize what the research … the use of complex medical technology before use. … But there will be other opportunities—especially the simulation of big data at the system levels.
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - sepsis in older patients, the use and limitations of sepsis screening tools, and the genesis of diagnostic … Thus, clinicians should understand the appropriate use of sepsis screening when an infection is suspected … However, overreliance on decision tools at the expense of clinical expertise is dangerous. Casey A. … The effect of age on the development and outcome of adult sepsis. Crit Care Med. 2006;34:15-21. … data, 2009--2014.
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - Shojania is a leading expert on evidence-based patient safety strategies and translating research into … That's a very structured type of data collection. … a fair amount known about the risk factors for the event, so you can almost have a structured data collection … is likely to increase the use of reporting systems, increasing the absolute number of reports has been … Additional research on the safety action feedback loop would be valuable, but leaders wishing to improve
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - Describe key principles regarding the use of opioids in palliative care. … reporting systems are rare, and empirical research on patient safety is scant.(3)
There is no reliable … A systematic review of the use of opioid
medication for those with moderate to severe cancer pain and … renal impairment: a European Palliative
Care Research Collaborative opioid guidelines project. … Sykes N, Thorns A. The use of opioids and sedatives at the end of life.
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - The Commentary Background and Prevalence of Robotics in Surgery The use of robotic assistance in surgery … The data has generally been equivocal in this area; standardized, comparable, long-term data are lacking … In addition, the commentary does not include information regarding investigational or off-label use of … Hussain A, Malik A, Halim MU, Ali AM. The use of robotics in surgery: a review. … Systematic review and meta-analysis of studies reporting oncologic outcome after robot-assisted radical
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - RW : Looking back over the last 10 to 20 years of research, how would you summarize what the research … the use of complex medical technology before use. … But there will be other opportunities—especially the simulation of big data at the system levels. … use of a computer control module or a handheld remote. … year in the US.( 11 ) A systematic review of 21 studies over 15 years tested the impact of the use of