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

81. Strengthening the Business Case for Patient Safety | PSNet
    psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
    May 01, 2013 - 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 best measures we have are based on claims data, and they are just not that great. … What we have seen in the data has been a pretty impressive uptick in terms of adoption. … System) system we use is actually not bad, but it's the same one I was using as a resident at the San

82. Variation in hospital mortality associated with inpatient surgery. | PSNet
    psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
    August 02, 2015 - a standardized checklist of safe surgical practices. … This study used data from the National Surgical Quality Improvement Program to examine whether mortality … Prior research has demonstrated that optimal  nurse staffing ratios  and use of intensivists may be associated … March 10, 2021 A comprehensive estimation of the costs of 30-day postoperative complications … and mortality review: surgical outcome analysis, part II.

83. Dangerous Shift | PSNet
    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - Based on research about how to cope with complexity, there are three heuristics ( 15 ) for designing … Eliminate or streamline data entry for use at a later time by distant parties (e.g., billing, legal, … outcome is positive. … , rather than a one-way transfer of independent data elements via a noisy communication channel.( 14 … July 12, 2017 A qualitative analysis of outpatient medication use in community settings

84. The Context Is the Intervention | PSNet
    psnet.ahrq.gov/perspective/context-intervention
    August 05, 2020 - First, individuals have been found to overestimate their contribution to a positive outcome (e.g., good … to a "victim" (an actor) on the other side of a glass screen. … "Depends on what?" you ask. This is the central question of some social science safety research. … data, and revise the change accordingly. … We cannot afford not to use these approaches to speed the discovery and use of safety solutions.

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33702/psn-pdf
    November 01, 2010 - His research interests include comparative effectiveness; the use of outcomes data to improve the quality … The first track was that we did a fairly comprehensive review of the health services research literature … represent an adverse outcome of inpatient care. … Do you feel that that's a reasonable use of PSIs? … If people use the data to pose questions, I think that's great.

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50858/psn-pdf
    January 31, 2020 - focus of this Perspective is on the use of AI in healthcare diagnostics, specifically imaging. … AI systems can detect at the time of imaging whether the quality of the data acquired is optimal for … use of AI becomes more pervasive and plays a greater role in patient diagnosis. … AI systems may not be trained in the same ways as humans to ‘err on the side of caution’. … is a serious safety outcome for the patient.7 Conclusion Despite the potential of AI in diagnostic

87. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
    April 01, 2008 - prescribing for individual patients and the population at large Review the evidence on the effectiveness … Adv Data. … Examination of the bowel showed Aspergillus, leading to a diagnosis of disseminated Aspergillosis. … In this case, the patient suffered a tragic outcome likely related to inappropriate prescribing of antibiotics … This patient’s complications and outcome are very rare However, inappropriate antibiotic use remains

88. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
    psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
    December 14, 2022 - the best outcome. … A lot of value is placed on “work-as-documented.” … What contributed to a successful outcome?” … The typical outcome of this analysis is to standardize and adjust a linear process to remove variability … and research strategies that use resilience engineering to understand its effectiveness on safety.

89. One ACE Too Many | PSNet
    psnet.ahrq.gov/web-mm/one-ace-too-many
    June 21, 2016 - ACE inhibitors, especially if the record contained a notes field or linkage to laboratory data. … Indeed, even if the record contained only a chronological listing of medication use, the ED physician … This is rarely the role of the emergency physician, but it is incumbent on a new prescriber to ensure … Second, RCTs restrict or prohibit the concomitant use of other drugs that can cause hyperkalemia. … The luxury of hindsight allows us to speculate on how the tragic outcome described in this case might

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33838/psn-pdf
    July 01, 2017 - .(4-7) A founding premise of the National Practitioner Data Bank was that arming health care institutions … ") value.(4,7,8) Proponents of the National Practitioner Data Bank, on the other hand, called for its … individuals in a population who will experience the outcome. … These findings, coupled with the growing availability of data on large groups of physicians and the … Although these avenues of research have potential to advance understanding of the who, how, and why of

91. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - So if you're going to use an outcome as a valid measure of quality, you must have a proven relationship … But those require a lot of effort on the part of hospitals to collect from medical record data. … When I was Commissioner of Health in New York, I created the first program publishing data on risk-adjusted … risk adjustment data with the right time series; physician data are published on a rolling 3-year time … on a systems approach to reducing harm, and use of methods and insights from nonmedical industries.

92. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
    psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
    July 10, 2024 - they get discharged from the hospital and then get admitted a month later to a hospital on the other … The National Committee for Quality Assurance (NCQA) has a standard set of Healthcare Effectiveness Data … Good data, aligned focus on high quality of care, and shared patient outcome goals are also key to successful … data and the actual outcome, rather than just whether someone had a vaccine or a specific screening. … , AHRQ’s patient safety indicators (PSIs) are a set of measures that use hospital administrative data

93. Health Plan Patient Safety Initiatives | PSNet
    psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
    July 10, 2024 - , AHRQ’s patient safety indicators (PSIs) are a set of measures that use hospital administrative data … they get discharged from the hospital and then get admitted a month later to a hospital on the other … The National Committee for Quality Assurance (NCQA) has a standard set of Healthcare Effectiveness Data … Good data, aligned focus on high quality of care, and shared patient outcome goals are also key to successful … data and the actual outcome, rather than just whether someone had a vaccine or a specific screening.

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49559/psn-pdf
    April 01, 2008 - A review of that day's laboratory data revealed that the patient had developed severe hypernatremia … Although no randomized data exist, many experts recommend placement of an ICP monitor in order to be … be used only on a very temporary basis in patients with elevated ICP.(4) Osmotic therapy remains the … Use of neuromonitoring to objectively assess ICP in a patient whose clinical examination is poor remains … Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group.

95. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
    psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
    July 23, 2024 - Summary of University of Kansas results also include data from a 7-year observation period. … Sessions focused on the appropriate response to a variety of potential emergency situations that may … All involved staff commented on how well prepared they felt to handle these cases as a result of the … Lessons from a series of research on teamwork, leadership and team training. … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter

96. Rethinking Root Cause Analysis | PSNet
    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - not assess the impact of corrective actions on outcomes, although it did highlight the value of the … Tools also tend to focus on a linear or temporal view of an event, rather than a systems view of events … Hindsight bias occurs when people investigating a situation already know the outcome. … actions, measuring implementation and impact on outcomes, and considering the use of abbreviated incident … to reinvent this important safety process based on accumulated experience and data.

97. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet
    psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - utility of the data collected.  … in prior research ).  … This pattern likely influenced the spectrum of problems reported; only a small proportion of reported … A prior commentary proposed a theoretical framework for using incident reporting data to improve safety … of safety through the use of an adverse event reporting mechanism.

98. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
    psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
    December 14, 2022 - The typical outcome of this analysis is to standardize and adjust a linear process to remove variability … and research strategies that use resilience engineering to understand its effectiveness on safety. … the best outcome. … A lot of value is placed on “work-as-documented.” … What contributed to a successful outcome?”

99. Computerized Provider Order Entry and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
    January 01, 2014 - In 2015, the literature on CPOE and safety evolved; current research reflects not only the experience … The research on CPOE makes clear that the technology reduces prescribing errors. … A longitudinal analysis of 5 years of CPOE use in patients receiving chemotherapy noted a significant … In 2015, the FDA released a white paper on the safety of CPOE systems. … Moving Forward Future directions in CPOE research should include more data on usability and errors

100. Signout Fallout | PSNet
     psnet.ahrq.gov/web-mm/signout-fallout
     November 16, 2022 - , a series of errors contributed to the tragic outcome described above. … A paucity of high-quality data existed demonstrating the effectiveness of any of these handoff improvement … data on effectiveness.( 5 ) In the past few years, however, data on the effectiveness of strategies … In the above case, a positive outcome of the incident was the decision to leverage graduate medical education … A systematic review of the literature on the evaluation of handoff tools: implications for research and