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Total Results: 2,386 records

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

141. Getting to the Root of the Matter | PSNet
     psnet.ahrq.gov/web-mm/getting-root-matter
     September 01, 2005 - How would you do it? What would you be likely to find? What solutions could be implemented? … We do have a small amount of additional information from this event available to us to review. … for septic shock do not recommend it for use as a first-line vasopressor, and, when used, recommend … the scope of this commentary but has been reviewed in a past WebM&M case.( 11 ) Although we do not know … September 27, 2023 How physicians think: a case-based diagnostic simulation exercise.

142. How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet
     psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health
     March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study … How hospitals select their patient safety priorities. … How hospitals select their patient safety priorities. … develop a comprehensive patient safety data display: lessons learned from the field. … 2014 Validating the Patient Safety Indicators in the Veterans Health Administration: do

143. Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment. | PSNet
     psnet.ahrq.gov/issue/do-patients-disruptive-behaviours-influence-accuracy-doctors-diagnosis-randomised-experiment
     July 03, 2014 - Study Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis … Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? … To examine how patients' disruptive behaviors may provoke emotional responses in physicians that contribute … Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? … July 3, 2014 Exposure to media information about a disease can cause doctors to misdiagnose

144. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
     March 01, 2018 - Nurses who have too many patients to care for do not have time to complete all necessary care, and this … How necessary steps in a task get omitted: revising old ideas to combat a persistent problem. … We decided to study hospital patient outcomes and make it our primary interest to analyze how much of … RW : So 10 years from now how is all of this going to look? … of equipment, but it's more difficult to do that with human resources.

145. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
     psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
     November 02, 2022 - A 2019 PSNet Spotlight Case highlights systems issues that contributed to a patient’s suicide following … November 2, 2022 Safe opioid prescribing: a prognostic machine learning approach to predicting … June 1, 2022 How do patients respond to safety problems in ambulatory care? … October 28, 2020 A program to provide clinicians with feedback on their diagnostic performance … October 14, 2020 How incident reporting systems can stimulate social and participative

146. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet
     psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
     September 29, 2021 - Enacting a new role to support staff who raise concerns about quality and safety in the English National … Download Citation Related Resources From the Same Author(s) Why do … A multisite case study. … June 16, 2021 How to be a very safe maternity unit: an ethnographic study. … April 29, 2015 How not to waste a crisis: a qualitative study of problem definition and

147. Deciphering the Code | PSNet
     psnet.ahrq.gov/web-mm/deciphering-code
     November 16, 2022 - be DNR/DNI (do not resuscitate/do not intubate). … A thought-experiment of walking through the frequently nurse-driven activation of a code—including how … It would allow residents and other physicians to see how their actions fit with the actions of other … The effect of do-not-resuscitate orders on physician decision-making. … March 4, 2019 Mind the overlap: how system problems contribute to cognitive failure and

148. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
     psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
     February 01, 2004 - Prior malpractice cases do not provide specific guidance, applicable to all circumstances, regarding … A jury can find them negligent if they do not do what a reasonable patient should do, such as respond … to obtain them, and what to do after that. … Assess how reliably individual patients are likely to be contacted and customize your approach. … of care provided, tests pending, and how to obtain the results.

149. Primary Workaround, Secondary Complication | PSNet
     psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
     January 24, 2018 - circumvent a problem to achieve a goal, or do so more easily. … In the case study, the use of a Foley catheter to maintain the patency of a stoma in the absence of a … For example, the case study described using a Foley catheter to maintain patency of a stoma in the absence … In the case study, the radiology staff did not question the disappearance of the catheter. … To Do No Harm: Ensuring Patient Safety in Health Care Organizations. Jossey-Bass; 2005.

150. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - On face value, it is almost impossible to imagine how this could have occurred. … understand how the error happened. … How Often do Errors of This Nature Occur? … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … July 29, 2020 The devil is in the detail: how a closed-loop documentation system for

151. Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet
     psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
     June 12, 2024 - June 12, 2024 Investigating hospital supervision: a case study of regulatory inspectors … a mortality review in a department of gastrointestinal surgery. … June 1, 2022 Why even good physicians do not wash their hands. … November 20, 2015 View More Related Resources How do we learn about … May 9, 2012 Attitudes to teamwork and safety in the operating theatre.

152. A Mid-Summer Fog | PSNet
     psnet.ahrq.gov/web-mm/mid-summer-fog
     September 29, 2017 - concern, and how easily a well-intentioned protocol designed to improve glycemic control may not only … fail to do so, but may even contribute to the occurrence of hypoglycemia. … How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

153. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet
     psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
     August 01, 2007 - RW: If the CEO has a hard time figuring out how much to bite off when he or she is trying to change … to do. … getting better, and how do we compare to the theoretical ideal? … There's a third question that boards are very interested in—how do we compare to others? … The case study experience out of things like the Pursuing Perfection program offers examples like the

154. Preventing medical errors: how to proceed with caution. | PSNet
     psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
     January 24, 2024 - Newspaper/Magazine Article Preventing medical errors: how to proceed with caution … April 10, 2024 Making a move: using simulation to identify latent safety threats before … November 22, 2017 How safe are paediatric emergency departments? … A national prospective cohort study. … July 12, 2006 How safe do patients feel?

155. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
     February 01, 2012 - : Define e-prescribing Describe ways in which e-prescribing can reduce health care costs State how often … electronically transmit a new prescription to a pharmacy. … Although he thought it was a bit strange to receive two medications for his problem, he was willing to … do anything to reduce his anxiety. … structured format for patient instructions For example, if a provider prescribes a medication to be taken

156. Code Status Confusion | PSNet
     psnet.ahrq.gov/web-mm/code-status-confusion
     September 01, 2006 - appreciate how effective it is likely to be in their situation. … In more usual cases, patients who suffer cardiopulmonary arrest in the hospital do not have a reversible … Teach residents how to elicit patients’ preferences and arrive at goals of care.( 8 ) Physicians rarely … Opening the black box: how do physicians communicate about advance directives. … How do medical residents discuss resuscitation with patients?

157. When Things Go Wrong: Voices of Patients and Families. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
     November 19, 2015 - Foundation Copy Citation Related Resources From the Same Author(s) First, Do … No Harm Part 1: A Case Study of Systems Failure. … November 28, 2016 Patients' and family members' views on how clinicians enact and how … November 28, 2016 A new structure of attention? … Open disclosure of adverse events to patients and their families.

158. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
     March 01, 2011 - Describe how the inability to communicate clearly can place pediatric patients at risk for medical errors … * * Case: Pediatric Patient Safety (1) A 22-month-old infant was admitted to the hospital in … 15999965 * Dosing in Adults Doses of common medications in adults are generally recognizable and do … Pediatric medication errors: what do we know? What gaps remain? … Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary

159. Disclosing errors to patients: perspectives of registered nurses. | PSNet
     psnet.ahrq.gov/issue/disclosing-errors-patients-perspectives-registered-nurses
     February 17, 2011 - team event rather than as a patient–physician conversation . … September 19, 2016 Implementing an error disclosure coaching model: a multicenter case … study. … July 28, 2014 How do we know when we have done enough? … June 24, 2020 How policy makers can smooth the way for communication-and-resolution programs

160. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet
     psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
     May 01, 2005 - How to explain to the patient how a diagnosis so widespread and worrisome could have been delayed for … how to do so? … , or what to do if she observed or felt a change in the lump? … While cognitive failures may have played a role, we can do more to ensure that systems support clinicians … and patients and make it easier for them to do the right thing.