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Total Results: 1,049 records

Showing results for "specific".

201. Shining a Light: Safer Health Care Through Transparency. | PSNet
     psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
     November 23, 2016 - The report includes a series of specific recommendations for clinicians, health care organizations, and

202. In Conversation with...Patrick S. Romano, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
     July 10, 2024 - Inpatient Quality Indicators or IQI, including risk-adjusted mortality measures and measures of volume on specific … were indicators that were in the literature that AHRQ simply adapted to HCUP data and put into this specific … With the PSI, our original charge from AHRQ was to identify specific coded events occurring in hospitals … present on admission, so we had to make educated guesses based on some preliminary data about whether a specific … Complications, and that title better captures the fact that we're focusing on patients who've experienced specific

203. Retained Surgical Items: Definition and Epidemiology. | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
     September 15, 2024 - Instruments Surgical tools designed to perform specific functions such as cutting, dissecting, grasping … These implant systems are frequently loaned from a vendor for a specific case or procedure and are referred … The specific non-biological implantable devices, which are also part of the systems, are then opened … Individual facilities and healthcare entities have reported improvement in the incidence of specific

204. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
     psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
     September 27, 2023 - Laboratory test results were also similar except that the hemoglobin was even higher as was the urine specific … The accuracy of CT for diagnosing the cause of abdominal pain depends on the location of pain and the specific … For example, the authors of a 2008 meta-analysis found CT to be 91% sensitive and 90% specific for diagnosing … Although the patient’s bilirubin was mildly elevated, this is a non-specific finding and could have represented … However, diagnostic radiographs are only 69% sensitive and 57% specific. 7 CT is 92% sensitive and provides

205. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
     psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
     March 19, 2019 - number (such as medical record number), date of birth, telephone number, home address, or another person-specific … The implementation of first-fill counseling reinforces understanding of the patient’s treatment plan, specific … Pharmacies also can use error reporting to track trends and themes of medication errors within their specific … environment in order to develop medication error-prevention strategies to address specific local issues … Unfortunately, the pharmacy failed to communicate to the patient specific plans, or implement them, for

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 15, 2024 - There are many specific techniques that can be used to analyze errors, including retrospective methods … analysis (FMEA) attempts to prospectively identify error-prone situations, or failure modes, within a specific … Specific solutions thus vary widely depending on the type of latent error, the severity of the error

207. Measurement of Patient Safety | PSNet
     psnet.ahrq.gov/primer/measurement-patient-safety
     September 15, 2024 - The Leapfrog Hospital Survey evaluates hospitals based on structural metrics—the use of specific patient … Retrospective chart review using trigger tools or well-defined specific adverse events is often used … Their specific recommendations included establishing a standardized set of process and outcome measures

208. Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. | PSNet
     psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey
     February 17, 2017 - outlines the recommendations made by the ICD-11 Quality and Safety Topic Advisory Group , advancing specific

209. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet
     psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
     June 09, 2010 - They use case examples to illustrate specific incidents and demonstrate the utility of a systems approach

210. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet
     psnet.ahrq.gov/issue/exploring-sociotechnical-intersection-patient-safety-and-electronic-health-record
     May 01, 2015 - The study demonstrates how eight specific human–technological factors in a sociotechnical model (people

211. Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet
     psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
     July 18, 2018 - However, the specific content and assessment methods varied widely between fields.

212. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet
     psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
     November 12, 2014 - standardized mortality ratio is unlikely to reflect hospital quality, and argue for using condition-specific

213. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet
     psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
     June 01, 1989 - examination was not performed, with smaller proportions reporting misinterpretation or failure to conduct a specific

214. Overdose risk in young children of women prescribed opioids. | PSNet
     psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids
     September 07, 2016 - The authors recommend specific practices for safe opioid use, including prescription of smaller quantities

215. FDA drug prescribing warnings: is the black box half empty or half full? | PSNet
     psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
     December 19, 2011 - nearly 1 million automated claims data, investigators determined the above prescribing rate for 216 specific

216. Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet
     psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
     January 15, 2014 - Improvements in SAQ scores have been previously linked to reductions in specific safety outcomes, such

217. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
     February 03, 2011 - studies, including focusing on identifying technical and sociotechnical dependencies, developing EHR-specific

218. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. | PSNet
     psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
     January 12, 2012 - In 2007, the Food and Drug Administration adopted Tall Man lettering, in which specific letters in

219. Intervention to reduce transmission of resistant bacteria in intensive care. | PSNet
     psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
     February 29, 2012 - Prior successful efforts to reduce HAI have emphasized the role of safety culture in addition to specific

220. A surgical safety checklist to reduce morbidity and mortality in a global population. | PSNet
     psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
     February 09, 2011 - It also included specific measures to improve teamwork and reduce the risk of surgical site infection