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psnet.ahrq.gov/node/49669/psn-pdf
November 01, 2012 - concluded that "available
evidence does not support the use of a single criterion for transfusion such … important data. … further research. … 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/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - Systematic data collection of the hazards of health care can be traced back at least to the time of Florence … harm, policy initiatives to address safety, a dedicated research program, and the beginnings of a more … implemented use of crew resource management, team-based training. … So often the incident report is of an outcome or some unsafe process that's been observed. … Another activity focuses on research and development.
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - Four hours later, the patient arrived at the academic medical center and was placed on a telemetry floor … Lastly, recent data suggests that the use of telemedicine may reduce the volume of transfers (by obviating … The use of telemedicine to consult with a dermatologist and/or critical care physician in advance of … A review of the evidence for the use of telemedicine within stroke systems of care: a scientific statement … intervention on patient safety: final results of the MARQUIS study.
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - The Commentary
This otherwise healthy young man presented initially with a pustule on his left buttock … primary outcome of clinical cure whether
patients received antibiotic or placebo.(14-16) The IDSA MRSA … Based on currently available published literature and
data presented in this case study, it is unclear … that the use of clindamycin, to which the organism was not
susceptible, led to progression of this … The IDSA guidelines
recommend use of adjunctive antibiotic therapy after incision and drainage in cases
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - 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 sepsis … Research and Quality (AHRQ), U.S.
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - 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. … venous thromboembolism do not provide clear answers regarding the optimal
use of prophylactic anticoagulation … Trauma Data Bank. … Research and Quality (AHRQ), U.S.
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - center, a consortium of 34 networks that will use electronic health data to conduct comparative effectiveness … On a societal level, the burden of morbidity is really greatest because the "normal" rate is higher than … use of antibiotics. … I had assumed that knowing when and how to order a medication were sufficient to analyze the data on … on the design of clinical studies that have defined protocols of data collection and analysis.
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - Further, the Innovation Team observed that the clinical team needed
coaching in how to use the A-F bundle … the use of the wrong plan to
achieve an aim. … Scripts and tools to facilitate ongoing data literacy training (e.g., daily use of a huddle sheet for … focused excitement on improving
compliance ratings
Adoption Considerations Use by Others (Use By Other … Impact of adverse events on outcomes in intensive care unit patients.
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - bedside and the clinical outcome. … 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 ).
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - In addition to the consistent use of screening tools, we also advocate for a number of process and system … Sleep disruption is such a factor, and recent trial data indicates that patients randomized to the use … 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
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - for opioid use after surgery, based on recent changes in practices due to the opioid epidemic. 28 Early … , the likelihood of a good surgical outcome with minimal complications can be significantly increased … Use data analytics to track infection rates, complications, and patient outcomes. … research and guidelines to assure the highest standard of care. … The influence of corticosteroid injections on postoperative outcomes of carpal tunnel release: a systematic
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - The hospitalist never received the new report and, lacking a reminder
system, forgot to follow up on … ) that can focus on improving the systems of
care in a given setting.(2) Taken together, these forces … this error by exposing another hole in the Swiss Cheese of our data transmission
"system." … Is volume related to outcome in health care? … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - implemented use of crew resource management, team-based training. … So often the incident report is of an outcome or some unsafe process that's been observed. … Another activity focuses on research and development. … Systematic data collection of the hazards of health care can be traced back at least to the time of Florence … harm, policy initiatives to address safety, a dedicated research program, and the beginnings of a more
-
psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - A study
on laboratory and pharmacy data found that safety reporting did not identify issues in populations … Medical reparations are based on the idea that the past unequal
treatment and exploitation of 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. … research that directly investigates the intersection of equity and patient safety.
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - On the top of the vial was a chalky dried substance, and the admixture remaining in the bottle was cloudy … was very upset and spoke with the ED physician on duty about the event, as 450 mg of IM cefazolin is … of an untoward outcome. … In addition, the commentary does not include information regarding investigational or off-label use of … Error Reporting on the Increase—South Australian Department of Health [news release].
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Develop a baseline understanding of human factors research. … use of checklists and timeouts. … remains the focus of ongoing research. … The impact of rapid response
team on outcome of patients transferred from the ward to the ICU: a single-center … The Safety Attitudes Questionnaire: psychometric
properties, benchmarking data, and emerging research
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - Inouye, MD, MPH, one of the world's leaders in geriatrics research and
innovation, is a Professor of … for Aging Research at Hebrew SeniorLife. … I showed him this, and he said, "You need to give a lecture to the
house staff on prudent use of meds … RW: That is a powerful argument to push for publicly accessible data about whether or not hospitals have … It does sound like one of the twists here is
that using the outcome measure of delirium is still problematic
-
psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - unsafe outcome. … Others argue that clinicians hold an
obligation to restrict the use of very expensive, low-yield procedures … effect would be
patient harm or inappropriate use of limited resources. … 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.
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - The
innovation was designed to align with three principles that support the use of a second clinician … While the research design did not include randomization or test for a causal
relationship between the … support and the dedication of resources to collect data analytics on adverse
events. … Review data on adverse events. … Also, use ongoing data tracking to track compliance with the program and to observe for a
decrease in
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - At Tenet, the staff at the corporate center
would do the research on what the latest advances in patient … RW: What's the role of data when you're sitting centrally in a large organization? … When one of them
presented the data and the ways in which one could improve, most of the doctors got … I can imagine that you might hear about a case with a terrible
outcome from one particular hospital, … The specialists have a target for next
year to achieve 100% use of the ambulatory medical record.