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Showing results for "cases".

101. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
     November 01, 2023 - November 12, 2008 WebM&M Cases Culture Clash No More: … Techno Trip March 1, 2005 WebM&M Cases … Failure to Report March 1, 2007 WebM&M Cases … Dangerous Dapsone June 1, 2004 WebM&M Cases … Shake Well September 1, 2003 WebM&M Cases

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74857/psn-pdf
     February 23, 2022 - Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 … Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during the COVID-19 … https://psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during … Researchers asked primary care providers taking care of COVID-19 adult patients to describe cases when … https://psnet.ahrq.gov/issue/clinical-reasoning-dire-times-analysis-cognitive-biases-clinical-cases-during-covid

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47880/psn-pdf
     June 18, 2019 - A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient … A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient … https://psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and- … study, an academic hospital adopted a systems-based morbidity and mortality conference model to review cases … https://psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/859351/psn-pdf
     January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. … Changing the patient safety mindset: can safety cases help? … https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examination and discussion … https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help https://psnet.ahrq.gov … /issue/safer-clinical-systems https://psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study

105. Du Moulin MFMT et al. 2003 "The reliability of diagnosis using store-and-forward teledermatology." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/du-moulin-mfmt-et-al
     January 01, 2023 - In 31% of the cases, three images were transmitted. … There was full concordance between store-and-forward and face-to-face diagnoses in 57 of 106 cases (54% … "The GPs mentioned exposure as a photographic obstacle in 24 of the 117 cases (22%); less frequently … "There was full diagnostic concordance between the SAF and FTF diagnosis in 57 of the 106 cases (54%) … ; in an additional 10 cases (9%) there was partial concordance (i.e. overlap between the differential

106. Retained Surgical Items: Definition and Epidemiology. | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
     September 15, 2024 - /RFB will identify different elements of causation and different preventive strategies in examining cases … Some RSI cases qualify as reportable adverse events [called serious reportable events (SRE) by the … In some cases, the surgical team is still looking for an item that they know is missing, but they have … In these cases, there is still internal organizational reporting where the organization (1) discloses … (30%) involved SMI and device fragments. 9 cases (11%) involved instruments. 7/9 cases involved one

107. Icdcodecorrections (pdf file)
     hcup-us.ahrq.gov/toolssoftware/ccs/ICDCodeCorrections.pdf
     January 01, 2002 - Mis-assignment of ICD code 41403 to this CCS category resulted in approximately 16,905 NIS 2008 cases … When using CCS 101 during the years, 2000-2008, remove cases with ICD code 41403 Diagnosis 42682 … Mis-assignment of ICD code 42682 to this CCS category resulted in approximately 4,884 NIS 2007 cases … When using CCS 117 during the years, 2005-2007, remove cases with ICD code 42682 Diagnosis 53530 … When using CCS 148 during the years, 2007-2008, remove cases with ICD code 8485

108. AHRQ Toolkit Helped NorthShore Health Track Data to Keep Infection Rates Low | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201809.html
     January 01, 2019 - eliminating a number of unnecessary catheters, we had already seen a major decrease in the number of CAUTI cases … ,” Shah said, noting that CAUTI cases had dropped from 43 in 2012 to 7 in 2015. … It gives me all the variables in one place, and in many cases allows me to determine whether a CAUTI … In cases where other procedures are done correctly, this may identify the possibility that a urinary … dropped further to just six cases in 2016.

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73493/psn-pdf
     July 14, 2021 - Safety cases for digital health innovations: can they work? July 14, 2021 Sujan M, Habli I. … Safety cases for digital health innovations: can they work? … https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work This commentary discusses … the use of “safety cases” to communicate the safety of a product, system or service in industry (e.g … https://psnet.ahrq.gov/issue/safety-cases-digital-health-innovations-can-they-work https://psnet.ahrq.gov

110. Redesigning surgical decision making for high-risk patients. | PSNet
     psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
     July 20, 2016 - making can contribute to safer and more patient-centered care in this setting, particularly for complex cases … March 1, 2023 WebM&M Cases Missing a Large Vessel Occlusion … May 3, 2017 WebM&M Cases Misleading Complaint July … 1, 2012 WebM&M Cases Duty to Disclose Someone … May 1, 2011 WebM&M Cases The Worst Headache

111. Exhibit 14. Schematic showing the sampling process for chart review and the assignment of true and false positives and negatives | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh14.html
     April 01, 2018 - the figure, routine surveillance results in a set of surveillance-positive and surveillance-negative cases … Cases that are surveillance-positive and algorithm-negative are considered false negatives and not examined … further; of cases that are surveillance-positive and algorithm-positive, up to 50 are selected at random … Similar analysis is done for surveillance-negative cases: those that are surveillance-negative and algorithm-negative … are classed as true negatives for SSI; of cases that are surveillance-negative and algorithm-positive

112. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - Stated another way, for every 1,000 CLABSI cases there are 150 excess deaths. … estimated at 0.036 (95% CI: 0.004 to 0.079) per HAC case (meaning for every 1,000 in-hospital CAUTI cases … estimated at 0.15 (95% CI: 0.070 to 0.027) per HAC case (meaning for every 1,000 in-hospital CLABSI cases … (meaning that for every 1,000 cases there are 260 excess deaths). … and may misclassify community-acquired cases as hospital-acquired.

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74130/psn-pdf
     December 01, 2021 - Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … Malpractice cases in breast surgery: an assessment of litigation involving surgeons. … https://psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons … While prior research has described malpractice cases related to breast cancer diagnosis and treatment … https://psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons

114. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet
     psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
     January 23, 2019 - initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases … May 11, 2019 WebM&M Cases The "Customer" Is Always Right … July 1, 2004 WebM&M Cases Missed Appendicitis

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860015/psn-pdf
     September 01, 2024 - RFB will identify different elements of causation and different preventive strategies in examining cases … In some cases, the surgical team is still looking for an item that they know is missing, but they have … In these cases, any items discovered through subsequent imaging would not be considered retained or … In these cases, there is still internal organizational reporting where the organization (1) discloses … (30%) involved SMI and device fragments. 9 cases (11%) involved instruments. 7/9 cases involved one

116. The Hidden Harms of Hand Sanitizer | PSNet
     psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
     March 04, 2020 - October 3, 2017 WebM&M Cases Discharge Against Medical … Advice May 1, 2005 WebM&M Cases Shortcuts … High-Fidelity Simulation March 1, 2006 WebM&M Cases … The Deadly Duo October 1, 2010 WebM&M Cases … Too Tight Control May 1, 2004 WebM&M Cases

117. Ruptured Heterotopic Pregnancy | PSNet
     psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
     August 16, 2023 - Techno Trip March 1, 2005 WebM&M Cases … Suicidal Man With Gun May 1, 2003 WebM&M Cases … Lethal Vertigo June 1, 2004 WebM&M Cases … 1, 2003 WebM&M Cases Bloody BP Cuff May 1, … 2003 WebM&M Cases Premature or Overdue?

118. Webinar #1: Fuzzy Set Analysis (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
     July 01, 2013 - "Fuzzy set" QCA allows cases to have partial (or ‘fuzzy’) membership, between 0 and 1. … That is, the set of cases with the outcome is a subset of the cases with the characteristic. … Cases with elevated HC are a subset of cases with elevated MMA. … Step 1: create a data set of cases with key characteristics and outcome of interest. … Our decision - Separate by program structure rather than practice (8 cases).

119. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
     May 14, 2013 - Many cases Qualitative Qualitative and quantitative Quantitative Intensive, case oriented Cross-case … “Fuzzy set” QCA allows cases to have partial (or ‘fuzzy’) membership, between 0 and 1. … That is, the set of cases with the outcome is a subset of the cases with the characteristic. … Cases with elevated HC are a subset of cases with elevated MMA. … ) **There were eight total cases, but two cases did not have >0.5 membership in any configuration so

120. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
     June 03, 2008 - Methods: A Mortality Review Task Force selects cases for presentation at the monthly MM&I. … Results: Twenty-one cases (12 medical, 9 surgical) representing adverse events were presented at the … A Mortality Review Task Force reviews potential cases and selects cases to be presented at each conference … Eligible cases include all deaths, significant patient injuries, and near-miss situations that could … Both medical (N = 12) and surgical (N = 9) cases were represented.