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

161. In Conversation with…Troyen A. Brennan, MD, JD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
     December 21, 2022 - And we felt like an administrative compensation scheme would be the way to do that. … How do you get both of these paths moving in the right direction? … a system based on no-fault or preventable injury, they're not sure how much it will cost to insure. … What they really want to know is how much it will cost to insure. … doesn't do anything to help with the deterrent effect of tort law.

162. Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
     January 15, 2025 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … PubMed citation Available at Save Save to your library Print Download PDF … January 15, 2025 How long and how much are nurses now working? … August 9, 2023 How safe do dying people feel at home? … August 3, 2017 From a reactive to a proactive safety approach.

163. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet
     psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
     September 15, 2021 - Analysis of a case and review of the literature. … The Swiss cheese model illustrates how independent weaknesses can combine to result in failure. … the Fishbone diagram to show areas requiring process improvement. … Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up July 31, 2023 … 2015 WebM&M Cases CVC Placement: Speak Now or Do

164. Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet
     psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
     September 28, 2017 - Women patients experience medical gaslighting wherein clinicians, policy makers, or the public do … How is he still practicing? … July 26, 2023 Why do so many Black women die in pregnancy? … May 31, 2023 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … July 8, 2020 Assessment of the implementation of a national patient safety alert to reduce

165. Improving Safety in Maternity Services: a Toolkit for Teams. | PSNet
     psnet.ahrq.gov/issue/improving-safety-maternity-services-toolkit-teams
     February 13, 2013 - This publication discusses how to improve teamwork, communication, training, guidance, and staffing to … November 30, 2016 Safety and Ethics in Healthcare: A Guide to Getting it Right. … April 29, 2015 A Safer Place for Patients: Learning to Improve Patient Safety. … July 24, 2019 How to be a very safe maternity unit: an ethnographic study. … February 20, 2019 What we can do about maternal mortality—and how to do it quickly.

166. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. | PSNet
     psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
     September 23, 2020 - December 2, 2015 A cycle of redemption in a medical error disclosure and apology program … : a multicenter study. … 2018 Improving quality and safety of care using "technovigilance": an ethnographic case … study of secondary use of data from an electronic prescribing and decision support system. … March 20, 2019 How well do health professionals interpret diagnostic information?

167. Caution, Interrupted | PSNet
     psnet.ahrq.gov/web-mm/caution-interrupted
     October 01, 2016 - do before the interruption and simply hung the medication, connecting the bottle of Diprivan to the … Research on how to make technological aids more cooperative and less intrusive would be valuable before … hanging an IV medication) hard; how vulnerabilities are detected; how workers negotiate these tasks ( … Organizational silence: a barrier to change and development in a pluralistic world. … April 10, 2019 Interruptions in a level one trauma center: a case study.

168. In Conversation With… Lorri Zipperer, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
     February 26, 2025 - The case study for that had to do with a Johns Hopkins study participant . … In the writing and teaching that I do, I try to help not only librarians see how their skills fit in … Whereas when individuals use PubMed occasionally to try to do a paper and need to find a couple of review … Considering how to quantify the value of what librarians do is a huge challenge. … I don't know how to do that.

169. From battles to burnout: investigating the role of interphysician conflict in physician burnout. | PSNet
     psnet.ahrq.gov/issue/battles-burnout-investigating-role-interphysician-conflict-physician-burnout
     August 23, 2023 - Participants reported feeling demoralized and burnt out after a conflict and brought those feelings to … February 6, 2013 Comfort with uncertainty: reframing our conceptions of how clinicians … A cross-sectional study. … June 1, 2022 WebM&M Cases "Do You Want Everything Done … January 23, 2019 Do words matter?

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - Describe how variability in processes of care can increase the risk to patients undergoing emergency … , and Plan-Do-Study-Act cycles. … Decisions about how, when, and whether to operate emergently are complex and based largely on experience … be undertaken and, in the case study above, may have increased awareness of the risk of sudden deterioration … Senior physicians are likely to be able to do this more reliably than those with less experience.

171. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
     September 01, 2012 - management of peripheral IVs in the hospital State how frequently peripheral IVs should be changed in … and congestive heart failure (CHF) was admitted to the hospital with a CHF exacerbation. … At this medical center, there was a standard protocol that called for all peripheral IV catheters to … extremities, placing a new peripheral IV was going to be difficult. … inflammation should prompt removal of the IV catheter If peripheral IV catheter–related infections do

172. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
     January 01, 2015 - Five days earlier, the patient’s mom noted a rash on her daughter for which she was advised to administer … “What concerns do you have today?” “How can I help you?” “Anything else?” … seconds Without interruption, it takes a mere 6 additional seconds for patient to completely share … How Would You Feel as a Parent? Angry: “The incompetent doctor should have listened to me.” … Patient- and family-centered care and the role of the emergency physician providing care to a child in

173. Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. | PSNet
     psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
     October 04, 2017 - A set of case studies accompanies the report, which illustrate the professional duty of candor in various … September 10, 2014 Covid-19: Assessing the Risk to Public Protection Posed by a Doctor … August 31, 2016 Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients … November 1, 2024 How do hospital inpatients conceptualise patient safety? … November 15, 2017 Building a Culture of Candour: a Review of the Threshold for the Duty

174. What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. | PSNet
     psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
     February 07, 2024 - Although clinical decision support systems have been shown to improve patient safety, clinicians do … as a barrier to decision support use. … A WebM&M commentary discussed how structured diagnostic assessments can be augmented by decision support … September 11, 2019 How to be a very safe maternity unit: an ethnographic study. … A multisite case study.

175. A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet
     psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
     March 27, 2005 - Or "How could they have ignored the alarm and so many other red flags?" … however, requires the far richer "second stories" about such critical incidents, and these stories do … Even readers familiar with root cause analysis will likely find value in many of the case studies. … introduction to their importance and a resource for further references. … June 16, 2012 The Checklist Manifesto: How to Get Things Right.

176. Doctors' thinking about 'the system' as a threat to patient safety. | PSNet
     psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
     December 09, 2020 - Doctors' thinking about 'the system' as a threat to patient safety. … The author interviewed British physicians to explore how they explained threats to patient safety and … Doctors' thinking about 'the system' as a threat to patient safety. … to care home transitions: a retrospective content analysis. … A multisite case study.

177. Standard Deviations | PSNet
     psnet.ahrq.gov/web-mm/standard-deviations
     January 01, 2006 - issue emerged—how best to deal with an abusive patient who threatens to leave against medical advice. … surprisingly, patients discharged AMA do worse as a group. … The case report does not tell us how the patient's substance abuse condition was handled, but a Canadian … do" or "getting a fix" may seem unworthy and hard to understand.( 13 ) And hospitals that serve substantial … Hospitals should plan in advance how to deal with that risk.

178. A "Weak" Response | PSNet
     psnet.ahrq.gov/web-mm/weak-response
     February 24, 2011 - a reticent patient with a question like: "What do you mean by 'weak'?" … Even in the absence of technology, many patients know how, or can be quickly taught, to take their pulse … should do if the weakness persisted or increased, or what other symptoms should prompt a call. … he still was weak, or called the patient back a few hours later to see how he felt. … February 24, 2011 A piece of my mind. How many have you done?

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35979/psn-pdf
     September 17, 2010 - The authors discuss a measurement approach that focuses on the following: how often do we harm patients … , how often do patients receive the appropriate interventions, how do we know we learned from defects … , and how well have we created a culture of safety. … Building on a model of structure, process, and outcome measures used to evaluate health care quality … They provide a case-type example of their suggested process to illustrate their framework.

180. How nurses and physicians judge their own quality of care for deteriorating patients on medical wards: self-assessment of quality of care is suboptimal. | PSNet
     psnet.ahrq.gov/issue/how-nurses-and-physicians-judge-their-own-quality-care-deteriorating-patients-medical-wards
     November 20, 2015 - a cardiopulmonary arrest or unplanned transfer to the intensive care unit as good, an independent expert … 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. … August 4, 2015 "Did I do as best as the system would let me?" … May 10, 2013 Preventable deaths due to problems in care in English acute hospitals: a … February 23, 2011 Airway carts: a systems-based approach to airway safety.