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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - These devices can also lessen the data collection and reporting burden on patients and enable the care … team to more seamlessly access treatment and physiological data on a regular basis. 10 , 11 … of telehealth visits: Early data from the start of the COVID-19 pandemic. … Bluetooth availability and being able to use different platforms to register data for patients. … There are really good publications on safety and the risk of an outcome.
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psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
December 04, 2016 - December 4, 2016
Agency for Healthcare Research and Quality pediatric indicators as a … February 29, 2012
The influence of stress responses on surgical performance and outcomes … October 31, 2018
The influence of hospital leadership support on burnout, psychological … data. … from the adult population: justifying the need for pediatric-focused outcome measures.
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - health care and health outcome. … After a 30% decline
between 1991 and 2005, the rates are again on the rise.(25-27) Pregnancy rates in … Reinehr T, Schober E, Wiegand S, Thon A, Holl R, on behalf of the DPV-Weiss Study Group. … Estimated pregnancy rates by outcome for the United
States, 1990-2004. … Agency for Healthcare
Research and Quality (AHRQ), U.S.
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - benefits and risks
of these programs is based on a small n. … Using data from the
National Healthcare Safety Network, a recent analysis found that while catheter-associated … complications) did not
accelerate the rate of change.(17) On the other hand, an evaluation of a natural … Therefore, it will be vital that we invest
in, and then use, research about the outcomes of these initiatives … The meaning of translational research and why it matters. JAMA. 2008;299:211-213.
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psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes
June 08, 2022 - However, research regarding the impact of concurrent surgery on patient outcomes has produced conflicting … in surgical training and suggests that further research is needed to settle the debate regarding the … June 14, 2017
A multi-stakeholder consensus-driven research agenda for better understanding … and supporting the emotional impact of harmful events on patients and families. … night surgery on postoperative mortality and morbidity: a multicentre cohort study.
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - A patient safety event can be the furthest downstream outcome of a series of events that starts with … Functions of primary care, how they map to the six aims of quality, and the potential impact
on patient … The remainder of the
discussion focuses on interventions that target the availability of health services … use of telehealth services to reduce some of the barriers to primary care represents a third
possible … In particular, use of telehealth
services can eliminate the need for travel to a primary care facility
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - dilation is perforation with a reported incidence ranging from 0-9%, depending on the underlying etiology … the more prevalent use of general anesthesia in children. … , depending on the level of sedation. … Loop Closure
Regardless of the outcome of a procedure, the most important conversations are those held … On the need for precise, concise communication during resuscitation: a
proposed solution.
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - sites by leveraging the participation of Boston Children's Hospital as a non-data collection site. … Following
the success of the I-PASS research study, the Boston Children's residents were trained each … year in I-
PASS and now use I-PASS as their primary method of handoff communication. … with all the robust outcome measures and data
collection that we ended up achieving. … goes beyond the impact of the handoffs—that focusing on one discrete set of processes
with a rigor
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - In healthcare, algorithms use patient variables to estimate risk for various outcomes, such as the worsening … A study on laboratory and pharmacy data found that safety reporting did not identify issues in populations … of the Agency for Healthcare Research and Quality (AHRQ) compared severe maternal morbidity among Black … patients based on two indicators of structural racism: incarceration and a measure of racialized economic … special issue of Health Services Research on healthcare equity.
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psnet.ahrq.gov/node/861881/psn-pdf
January 31, 2024 - larger umbrella of health services research. … teams and a team science approach
to conduct research. … Both of those have a significant impact on health. … Those assumptions and the lack of real data could lead to quality
and safety errors. … because they have a record of what this patient is on.
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - use of continuous waveform capnography during moderate and deep
sedation.4,8 The use of waveform capnography—which … in pre-filled, single-use syringes can reduce the risk of a medication overdose. … The use of shared terminology is a critical component of closed loop communication. … via performance
feedback and staff education demonstrated a significant increase in the use of closed-loop … Characterize the outcome adverse events as minimal, moderate or sentinel outcome.
5.
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - The outcome was not ideal and there was apparently a lot of shouting and some blaming. … stress. 3 Evidence supporting the use of debriefing as a core component of simulation education was … and objective data, inquiry into the mindsets of those present, and clarification of takeaway points … Recent literature suggests the utility of a charge nurse or shift leader simply ‘checking in’ on the … Group norms of going around the circle giving each person the opportunity to share or use of a “talking
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - First, he is as hard on himself as on others, a nice example of personal accountability. … KB : I think it depends on the data source. … And most of today's claims data are focused on the inpatient stay, but length of stay has decreased a … Most of it is based on that flawed administrative data and nonstandard, unaudited data. … As we can provide better data to the patients, I think they'll use that data over the recommendation
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - The experience and data ( 1 , 4 ) convinced me that we need to look at the concept of safety culture … For example, I observed the use of a written document called "the list" by resident teams to structure … , over time the collective attention would form a shared meaning system about the use of this list for … use the list for safety-related concerns and learning, as a normal part of their workday ( Table ). … bedside and the clinical outcome.
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - I see the development of a
journal. I see a research agenda. … All the numbers we have were based on research studies. … We saw
that a lot in the research study I did of diagnostic errors. … So if you're relying on the physicians to use
these products, they may not. … outcome was on their patients, whether they got it right or whether
they got it wrong.
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Inouye, MD, MPH, one of the world's leaders in geriatrics research and innovation, is a Professor of … I showed him this, and he said, "You need to give a lecture to the house staff on prudent use of meds … It does sound like one of the twists here is that using the outcome measure of delirium is still problematic … Sleep disruption is such a factor, and recent trial data indicates that patients randomized to the use … The effect of earplugs during the night on the onset of delirium and sleep perception: a randomized controlled
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - On the top of the vial was a chalky dried
substance, and the admixture remaining in the bottle was cloudy … of an
untoward outcome. … In addition, the commentary does not include information
regarding investigational or off-label use … Error Reporting on the Increase—South Australian Department of Health [news release]. … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - On the same day, a 76-year-old man with coronary artery disease and a prosthetic aortic valve was admitted … The frequency of these outcomes, based on 46 contaminated platelet products transfused at a single facility … One guiding principle relates to the temperature rise: prospective data reveal that a 2°C rise in temperature … The blood bank will perform a stat gram stain on a sample drawn from the implicated platelet bag and … outcome—relating to the quantity of the endotoxin administered—and therefore promptness in discontinuing
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psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - can vary depending on the time of day or day of the week. … This Annual Perspective will summarize the state of research on the weekend effect and
highlight advances … A seminal 2001 study was among the first to document the weekend effect on a large scale. … Patients who present to the hospital on weekends may have a condition of greater severity or
multiple … Most studies
of the weekend effect rely on hospital-based administrative data.
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - KB : I think it depends on the data source. … And most of today's claims data are focused on the inpatient stay, but length of stay has decreased a … Most of it is based on that flawed administrative data and nonstandard, unaudited data. … As we can provide better data to the patients, I think they'll use that data over the recommendation … First, he is as hard on himself as on others, a nice example of personal accountability.