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Showing results for "how to do a case study".

121. Becoming a High Reliability Organization. | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization
     May 04, 2015 - Special or Theme Issue Becoming a High Reliability Organization. … High reliability attainment is a stated goal for health care organizations. … March 4, 2015 Evaluating the Patient Safety Indicators: how well do they perform on Veterans … prevent a recurrence of patient safety incidents: an observational study. … improvement: findings from six case studies.

122. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. | PSNet
     psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
     December 15, 2011 - This finding corroborates a prior study in surgical patients. … Author(s) Validating the Patient Safety Indicators in the Veterans Health Administration: do … December 15, 2014 Partnering with VA stakeholders to develop a comprehensive patient … June 20, 2011 How hospitals select their patient safety priorities: an exploratory study … February 10, 2012 How do black-serving hospitals perform on patient safety indicators

123. OR Peeping | PSNet
     psnet.ahrq.gov/web-mm/or-peeping
     May 01, 2015 - The Health Insurance Portability and Accountability Act (HIPAA) regulations do not protect privacy for … the patient's recently bereaved family members in a waiting room, continues to be discussed in a variety … Our solution to this conundrum—how to take advantage of the usefulness of video without compromising … Cognitive properties of a whiteboard: A case study in a trauma center. … March 2, 2011 WebM&M Cases How Do Providers Recover From

124. Putting the patient in patient safety investigations: barriers and strategies for involvement. | PSNet
     psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
     June 23, 2021 - May 1, 2019 A randomized trial of a multifactorial strategy to prevent serious fall injuries … December 3, 2014 Case studies of patient safety research classics to build research capacity … September 17, 2010 So many ways to be wrong: completeness and accuracy in a prospective … August 17, 2022 How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 … A new documentary explores what happens when they do—and how to fix it.

125. How house officers cope with their mistakes. | PSNet
     psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
     June 26, 2015 - In this article, the authors report on how house officers cope with their medical mistakes and how different … RIS Download Citation Related Resources From the Same Author(s) Do … to patients. … September 19, 2016 How accurately do older adult emergency department patients recall … : Why A Thorough Psychosocial History Can Improve Care.

126. A structured judgement method to enhance mortality case note review: development and evaluation. | PSNet
     psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
     May 27, 2011 - A structured judgement method to enhance mortality case note review: development and evaluation. … According to this study, retrospective case note review using a structured approach and a standardized … March 28, 2011 A randomized trial of a multifactorial strategy to prevent serious fall … October 9, 2013 What do hospital staff in the UK think are the causes of penicillin medication … January 30, 2013 How dangerous is a day in hospital?

127. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/845971
     January 01, 2024 - From board to bedside: how the application of financial structures to safety and quality can drive accountability … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit Jochen Profit, MD, … https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit Jochen Profit, MD, … From board to bedside: how the application of financial structures to safety and quality can drive accountability

128. Exploration of a rapid response team model of care: a descriptive dual methods study. | PSNet
     psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study
     March 24, 2021 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … Rapid response team (RRT) activations bring together a team of providers to immediately assess and treat … Qualitative interviews with nurses and physicians highlighted how the collaborative RRT model improves … July 20, 2022 How do nurses use early warning scoring systems to detect and act on patient … deterioration to ensure patient safety?

129. Diagnosing a Missed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
     October 26, 2022 - Reilly, MD, MS, and Christopher Webster, DO | March 1, 2017 View more articles from the same authors … be disproportionately influenced by how a problem is described, by whom it is described, or even the … disease states) Promote knowledge of atypical presentations of disease Symptom-based Reading Case … reports (e.g., NEJM series) Flash card review to build clinical knowledge base Raising awareness … April 8, 2018 Teaching about how doctors think: a longitudinal curriculum in cognitive

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33691/psn-pdf
     December 01, 2009 - what we could do to make things better. … The goal is to have a better understanding of how and why people react the way they do and, through … How do you identify and manage disruptive or inappropriate behaviors? … Study). … Case Study Back to Top (Go to case study citation in perspective) One organization was having a particularly

131. Regret among primary care physicians: a survey of diagnostic decisions. | PSNet
     psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
     November 13, 2019 - patients (e.g., regular blood glucose tests may have prevented a stroke that likely occurred due to … Related Resources From the Same Author(s) Thresholds, rules and defensive strategies: how … January 19, 2022 Blackbox error management: how do practices deal with critical incidents … A qualitative interview study. … September 23, 2020 Signs and symptoms to determine if a patient presenting in primary

132. First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet
     psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
     March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses … First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical … First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical … to do no harm: empowering local leaders to make care safer in low-resource settings. … January 12, 2022 How to do no harm: empowering local leaders to make care safer in low-resource

133. Hand hygiene compliance for patient safety. | PSNet
     psnet.ahrq.gov/issue/hand-hygiene-compliance-patient-safety
     October 19, 2022 - This commentary relates how hand hygiene compliance contributes to infection prevention and safe care … What can we do about it? … January 14, 2011 The Checklist Manifesto: How to Get Things Right. … January 4, 2019 Case study: preventing surgical complications at Baystate Medical Center … February 19, 2014 As she lay dying: how I fought to stop medical errors from killing

134. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. | PSNet
     psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
     August 26, 2015 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … March 4, 2020 Trust, temporality and systems: how do patients understand patient safety … A qualitative study. … theatre case study. … general practice: ethnographic case study.

135. Selection Criteria and Honorarium Information | PSNet
     psnet.ahrq.gov/Webmm/submit-case-info
     August 10, 2025 - How a case is selected How a case is selected … How do I get paid through PayPal? … 101 Primers Topics Glossary Training and Education Continuing Education WebM&M: Case … Studies Training Catalog Submit a WebM&M Case Submit a Training Improvement Resources … And if you do choose to submit as a logged-in user, your name will not be publicly associated with the

136. Malpractice claims related to diagnostic errors in the hospital. | PSNet
     psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
     September 16, 2020 - Citation Text: Gupta A, Snyder A, Kachalia A, et al. … RIS Download Citation Related Resources From the Same Author(s) How … September 16, 2020 Mind the overlap: how system problems contribute to cognitive failure … October 11, 2023 Checklists to reduce diagnostic error: a systematic review of the literature … July 9, 2018 Do written disclosures of serious events increase risk of malpractice claims

137. Systematic biases in group decision-making: implications for patient safety. | PSNet
     psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
     July 24, 2024 - These four concepts can serve as a theoretical framework for future empiric work to characterize and … RIS Download Citation Related Resources From the Same Author(s) How … July 24, 2024 Why do acute healthcare staff behave unprofessionally towards each other … and how can these behaviours be reduced? … addressing disruptive physician behavior: a composite case study.

138. Allergy to Holter | PSNet
     psnet.ahrq.gov/web-mm/allergy-holter
     May 01, 2008 - The Commentary Do your patients understand you? … Holter" case demonstrates how literate patients can have inadequate health literacy. … individuals will make errors, that errors will do harm, or both" ( 5 ) —appear to favor a recurrence … AHRQ's recommended 11 top patient safety practices based on strength of scientific evidence.( 19 ) So, how … case study.

139. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet
     psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
     September 11, 2013 - This article explains how interruptions affect cognition and how disruption may lead to errors. … patient internet portal to prevent adverse drug events: a randomized, controlled trial. … September 1, 2016 Do medical inpatients who report poor service quality experience more … case study. … July 1, 2017 New technology, new errors: how to prime an upgrade of an insulin infusion

140. Weaving a healthcare tapestry of safety and communication. | PSNet
     psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
     September 29, 2017 - This commentary describes how a medical-surgical unit developed an initiative that combined nursing theory … , compassion, clinical nurse leadership, and crew resource management to bolster implementation of a … September 25, 2024 Organizational learning starting points and presuppositions: a case … study from a hospital’s surgical department. … November 19, 2014 (How) do we learn from errors?