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Showing results for "caused".

61. Failure Mode and Effects Analysis | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/fmea-analysis
    January 01, 2023 - Failure Mode and Effects Analysis Acronym FMEA Also Known As Failure Mode, Effects, and Criticality Analysis (FMECA) Potential Failure Modes and Effects Analysis Examples Wetterneck TB, Skibinski KA, Roberts TL, et al. Using failure mode and effects analysis to plan implementat…

62. Guide to Reducing Unintended Consequences of Electronic Health Records (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
    August 01, 2011 - automated surveillance techniques to continually monitor and report errors and near misses or close calls caused … The "missing" stop orders had caused some patients to receive intravenous medications longer than necessary … The erroneous weight led to a miscalculation of the heparin infusion, which caused major bleeding. … The nurse did not recognize the error and initiated the heparin infusion, which caused major bleeding … a single nurse did not detect a dosing error and administered an excessive dose of heparin, which caused

63. Standards | Digital Healthcare Research
    digital.ahrq.gov/standards-0
    January 01, 2023 - Wider use of the World Wide Web has increased the visibility of the information access problems caused

64. 3 Data Collection Template (xls file)
    digital.ahrq.gov/sites/default/files/docs/page/3_Data%20Collection%20Template.xls
    June 16, 2021 - Cover Tool 3. Data Collection Template Scenario 1-Patient Care A BP# Business Practice Short Name Business Practice Long Description Scenario Classification (Barrier v. Not a Barrier) Domain Policy: Short Description Policy: Long Description Stakeholder Organization Specify Other Stakeholder (if applicable) Cause…

65. 3 Data Collection Template 0 (xls file)
    digital.ahrq.gov/sites/default/files/docs/page/3_Data%20Collection%20Template_0.xls
    June 16, 2021 - Cover Tool 3. Data Collection Template Scenario 1-Patient Care A BP# Business Practice Short Name Business Practice Long Description Scenario Classification (Barrier v. Not a Barrier) Domain Policy: Short Description Policy: Long Description Stakeholder Organization Specify Other Stakeholder (if applicable) Cause…

66. Murphy Diagram | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/murphy-diagram
    January 01, 2023 - Murphy Diagram Description Murphy diagrams are based on the premise that "if something can go wrong, it will go wrong." They are similar to other analysis methods such as fault trees as they analyze errors based on the potential causes of those errors. The diagrams utilize eight categories of behav…

67. Relations Diagram | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/relations-diagram
    January 01, 2023 - Relations Diagram Also Known As Interrelationship Diagram Network Diagram Description A relations diagram is used for identifying cause-and-effect relationships when evaluating problems that are especially confusing or complicated. When a network of these relationships is present in a pr…

68. Scatter Diagram | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/scatter-diagram
    January 01, 2023 - Scatter Diagram Also Known As Scatter Plot X-Y Graph Description A scatter diagram consists of pairs of numerical data containing one variable on each axis. The diagram is used to find a relationship between the data pairs. Points that create a line or curve indicate correlated variables…

69. Problem Solving | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/problem
    January 01, 2023 - Problem Solving Kepner-Tregoe Matrix Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and eliminating the elements tha…

70. Pareto Chart | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/pareto-chart
    January 01, 2023 - Pareto Chart Also Known As Pareto Diagram Description A pareto chart is a bar graph where the bars appear in decreasing length from left to right. The bar length corresponds to time, frequency, or amount. Uses When you want to find the most significant causes or problems from a l…

71. Medication errors in the outpatient setting: classification and root cause analysis. | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/web-based-renal-transplant-patient-medication-system/citation/medication-errors
    January 01, 2023 - Medication errors in the outpatient setting: classification and root cause analysis. Citation Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Sug 2007 Mar;142(3):278-84. Link Friedman AL, Geoghegan SR, Sowe…

72. Computerized Provider Order Entry - Ambulatory | Digital Healthcare Research
    digital.ahrq.gov/computerized-provider-order-entry-ambulatory
    January 01, 2023 - Project leaders theorized that recent emphasis on adhering to specific medical protocols caused improvements

73. Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
    January 01, 2019 - Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report Using the electronic health record to identify children likely to suffer last-minute surgery cancellation Principal Investigator: J. “Nick” Pratap, MB Chir, MRCPCH, FRCA1 Team…

74. Appendix-E-Cdspain-Sample-Clinical-Practice-Guidelines (doc file)
    digital.ahrq.gov/sites/default/files/docs/citation/appendix-e-cdspain-sample-clinical-practice-guidelines.docx
    October 16, 2020 - Definitions Chronic Pain – Pain persisting or recurring for more than 3 to 6 months and can be caused

75. 09-0071-Ef 1 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/09-0071-EF_1.pdf
    June 01, 2009 - injured party must prove that the RHIO did not take reasonable and appropriate actions, and thus caused … called "imputed liability," means the attachment of responsibility to a person for harm or damages caused … vendors): indemnifies a manufacturer, supplier, or retailer from liability to a purchaser or user caused … organization (or vice versa) against any and all liability, claims, suits, losses, costs and legal fees caused … million • General Liability : $1 million (per occurrence) / $2 million (total) breach) • Damage caused

76. Value of Technology to Transfer Discharge Information (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r01hs015084-graumlich-final-report-2007.pdf
    January 01, 2007 - Adverse events were counted only when adjudicators agreed that medical management probably or definitely caused … Data re-entry may have caused hospitalists to attribute greater effort to the discharge software. … We demonstrated a discharge intervention that caused small improvements in perceptions of patients

77. Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE) | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
    January 01, 2023 - prioritizing effective care plans to prevent falls and related injuries is challenging because falls can be caused

78. AHRQ Webinar: Optimizing Data Visualization to Improve Care - Q&As (pdf file)
    digital.ahrq.gov/sites/default/files/docs/data-visualization-qas-10192022.pdf
    October 19, 2022 - But I will say that the medication timeline is really helpful in isolating whether medication caused

79. Friedman, Amy | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/friedman-amy
    January 01, 2023 - Friedman, Amy Web-based Renal Transplant Patient Medication System - Final Report Citation Friedman A. Web-based Renal Transplant Patient Medication System - Final Report. (Prepared by Yale University under Grant No. R01 HS015038). Rockville, MD: Agency for Healthcare Research…

80. Creating Meaningful Decision Support to Reduce Drug-Drug Interactions | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/creating-meaningful-decision-support-reduce-drug-drug
    January 01, 2023 - Creating Meaningful Decision Support to Reduce Drug-Drug Interactions Theme: Optimizing Care Delivery for Clinicians Subtheme: Optimizing Patient Safety Using Digital Healthcare Solutions By individualizing drug–drug interaction alerts to individual patient circumstances, providers can …