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

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42984/psn-pdf
     February 26, 2014 - This commentary discusses unique barriers that affect error disclosure in obstetric care and reviews how … efforts to enhance transparency can address liability concerns and improve patient-centered communication … Suggested interventions include disclosure training and implementing a just culture. … delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/first-do-no-harm-part … -1-case-study-systems-failure https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

202. Errors in after-hours phone consultations: a simulation study. | PSNet
     psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-simulation-study
     March 21, 2017 - problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial … March 21, 2017 Interruptions in a level one trauma center: a case study. … September 23, 2020 View More Related Resources How satisfied are … February 10, 2021 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician … February 29, 2012 Safety of telephone triage in general practitioner cooperatives: do

203. Sources of Power: How People Make Decisions. | PSNet
     psnet.ahrq.gov/issue/sources-power-how-people-make-decisions
     November 19, 2015 - Citation Text: Sources of Power: How People Make Decisions. Klein G. … September 26, 2012 A Crisis in Health Care: A Call to Action on Physician Burnout. … October 24, 2017 A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication … July 12, 2017 Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. … June 23, 2015 Do No Harm: Stories of Life, Death, and Brain Surgery.

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33637/psn-pdf
     August 01, 2006 - I was always interested in how to change things and make the world a better place, but I guess everybody … In all honesty, I really didn't have a whole lot else to do. … to figure out how we do all this. … to saying these are safe practices that everyone can do to make a difference. … The response of our hospitals was not at all one of resistance; it was "How do we do it?"

205. A Little Shuteye | PSNet
     psnet.ahrq.gov/web-mm/little-shuteye
     December 22, 2018 - avoid patient movement, the patient must understand, in advance, what the physician is about to do. … complications and how to deal with them, and finally, how to minimize adverse events. … To err is human: building a safer health system. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … July 24, 2019 How safe are paediatric emergency departments?

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49594/psn-pdf
     December 01, 2009 - 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.

207. Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. | PSNet
     psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
     September 11, 2019 - power for solutions, but it is unclear how well such approaches translate to health care settings. … After applying a systems thinking framework to clinicians' solution ideas, they found that most of … September 11, 2019 How to be a very safe maternity unit: an ethnographic study. … A multisite case study. … June 28, 2017 Do hospital boards matter for better, safer, patient care?

208. Palliative Care: Comfort vs. Harm | PSNet
     psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
     December 04, 2016 - They wondered how best to educate providers about the balance between providing adequate pain control … For example, by asking: "What do I need to know about you as a person to take the best possible care … critical incidents and learning how to communicate with patients, their family caregivers, and colleagues … : a qualitative case study. … November 20, 2015 View More Related Resources How safe do dying

209. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. | PSNet
     psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
     August 14, 2019 - Study Mind the overlap: how system problems contribute to cognitive failure and diagnostic … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. … October 13, 2018 How physicians think: a case-based diagnostic simulation exercise. … May 2, 2018 Why do we still page each other?

210. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. | PSNet
     psnet.ahrq.gov/issue/training-induces-cognitive-bias-case-simulation-based-emergency-airway-curriculum
     May 18, 2022 - Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. … This finding demonstrates how training may inadvertently introduce cognitive bias . … and response time in a children's hospital. … identify latent safety threats in emergency medicine: a systematic review. … May 10, 2013 WebM&M Cases CVC Placement: Speak Now or Do

211. Validation of hospital administrative dataset for adverse event screening. | PSNet
     psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
     May 21, 2009 - May 17, 2023 Do patients' disruptive behaviours influence the accuracy of a doctor's … A randomised experiment. … February 14, 2024 How would final-year medical students perform if their skill-based … January 18, 2013 Challenges and opportunities to prevent transfusion errors: a Qualitative … cross-sectional case study of puncture/laceration.

212. Challenges of Diabetes Management and Medication Reconciliation | PSNet
     psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
     March 15, 2023 - For each medication, a team member should ask how often and when the patient takes it. … For example, ask how the patient checks their blood sugars instead of “ do you check your blood sugars … It may be helpful to inquire how the patient addresses hypoglycemic episodes to understand their need … If a patient is suspected to be on sliding scale insulin, it is important to clarify and document how … There are many resources available to train staff from varied disciplines on how to perform a BPMH.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49836/psn-pdf
     July 01, 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 … 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.

214. In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. | PSNet
     psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice
     June 14, 2023 - June 14, 2023 Designing and pilot testing of a leadership intervention to improve quality … case study as basis for theory development. … of a TeamSTEPPS program in a surgical ward. … October 11, 2023 Racism in pain medicine: we can and should do more. … October 26, 2022 How gender shapes interprofessional teamwork in the operating room:

215. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. | PSNet
     psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
     July 15, 2009 - Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. … This article outlines how classifying complexity levels of adverse events may inform more effective … a taxonomy of adaptive strategies. … June 24, 2020 How to do no harm: empowering local leaders to make care safer in low-resource … January 8, 2014 A structured judgement method to enhance mortality case note review:

216. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
     June 01, 2007 - Class Mortality I—A normal healthy patient 0% II—A patient with mild systemic disease 0.2% III—A … threat to life 15.2% V—A moribund patient who is not expected to survive without the operation 70% … How Could This Error Have Been Prevented? … History More careful history with open-ended question “Do you have any other symptoms or concerns … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=11818784 How Could This Error Have Been Prevented

217. Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. | PSNet
     psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
     October 12, 2011 - Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? … Disclosing medical errors to patients and families is considered essential for maintaining a therapeutic … October 12, 2011 A randomized trial of a multifactorial strategy to prevent serious fall … September 8, 2021 Using incident reporting to improve patient safety: a conceptual model … June 15, 2011 How will we know patients are safer?

218. A Sweet Case of Hidden Hydrogen Ions | PSNet
     psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
     November 30, 2023 - Inadequate education about how to dose insulin on sick days and how to recognize early symptoms of DKA … A recent national survey showed that many hospitals do not employ order sets consistent with physiologic … Patients with type 1 diabetes should also be educated about management of their sick days, how to trouble-shoot … pump malfunction, and how to develop a backup plan with their care providers.   … Do professional interpreters improve clinical care for patients with limited English proficiency?

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61083/psn-pdf
     October 28, 2020 - Do you want to start talking about how the COVID-19 response and the work of the Initiative have intersected … The concept of social distancing is pretty foreign to staff and many don’t know how to safely have a … do that job in a pandemic. … How do you separate people from each other if one becomes ill and the other does not? … You can have huge teleconference calls where people can hear case studies, hear the expertise, and ask

220. Twelve tips on engaging learners in checking health care decisions. | PSNet
     psnet.ahrq.gov/issue/twelve-tips-engaging-learners-checking-health-care-decisions
     February 27, 2014 - Related Resources From the Same Author(s) Finding and fixing mistakes: do … April 17, 2013 Do you have to re-examine to reconsider your diagnosis? … March 18, 2013 Comparative effectiveness of a serious game and an e-module to support … April 10, 2019 Comfort with uncertainty: reframing our conceptions of how clinicians … addressing disruptive physician behavior: a composite case study.