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

2161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33766/psn-pdf
      May 01, 2014 - What do you think about how to do it, the role of secret shoppers versus cameras versus other strategies … How do you do the auditing in the first place? … RW: How do you decide what level of the organization to give information back and then what to do with … If a hospital is able to successfully get its hand hygiene rate from 50% to 90%, do you have any sense … If you don't have a seatbelt, you won't do it.

2162. Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet
      psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
      October 10, 2018 - March 4, 2020 A randomized trial of a multifactorial strategy to prevent serious fall … Surgical safety does not happen by accident: learning from perioperative near miss case … studies. … April 24, 2019 What we can do about maternal mortality—and how to do it quickly. … July 12, 2017 How communication among members of the health care team affects maternal

2163. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49818/psn-pdf
      January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. … a screening colonoscopy, ask your insurance company how much (if anything) you should expect to pay … Physicians may (quite reasonably) argue that they do not have the time or expertise to help patients … and determine how best to address them. … [go to PubMed] 9. Moriates C, Shah NT, Arora VM. First, do no (financial) harm.

2164. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49508/psn-pdf
      January 01, 2007 - " and needed to take a medication. … been conducted on language barriers as a cause of medical errors, so we do not know how common such … do to ensure that adequate language services are available for LEP patients and their families? … do when LEP patients need language services. … The importance of language and culture in pediatric care: case studies from the Latino community.

2165. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
      January 22, 2016 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … PubMed citation Free full text Save Save to your library Print Download PDF … Related Resources From the Same Author(s) Resident supervision and patient safety: do … October 30, 2024 A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020 How many hospital pharmacy medication dispensing errors go undetected?

2166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - RW: How has your thinking evolved in terms of this tension between the just-do-it camp and the we-need … How do you think through that issue and that fairly unique aspect of patient safety? … RW: How do we know that we're not all getting frustrated and then saying that those measures that we … RW: When you talk to your trainees and try to give them a few hints about how to keep up with the literature … Most of the trainees now know more about how to keep up with various electronic sources than I do, even

2167. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49622/psn-pdf
      March 01, 2011 - The Commentary This case provides interesting, though common, examples of how seemingly benign decisions … see what they completed and what was still left to do. … But, one could ask, how can I say it compromises patient safety? … often do the trick. … do, and then designing new systems to achieve those goals, or analyzing existing or potential systems

2168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49640/psn-pdf
      November 01, 2011 - The patient did not call to schedule an appointment and was not prompted to do so. … Our commentary will focus on a different issue—how scheduling systems and processes can impede access … Weber DO. … Queue Fever, Parts 1 and 2: A little number crunching can show hospitals how many beds and staff members … [go to PubMed] 16. Litvak E, McManus ML, Cooper A.

2169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33675/psn-pdf
      October 01, 2008 - This article will explore how well our present instruments perform in this key area. … of a diagnosis code creates financial incentives to underreport those codes. … [go to PubMed] 13. Zhan C, Elixhauser A, Friedman B, Houchens R, Chiang YP. … Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration … [go to PubMed] 17. Scanlon MC, Harris JM Jr, Levy F, Sedman A.

2170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - How can we be sure that important patient information is communicated and received? … do the same. … At a deeper level, physicians need to make sure they do not contribute to a culture in which non- physician … of the record do not require review by all clinicians. … Why do people sue doctors? A study of patients and relatives taking legal action.

2171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49538/psn-pdf
      June 01, 2007 - , and how stringently these criteria need to be met.(3) The National Heart, Lung, and Blood Institute … A less stringent timeline may be acceptable if the findings do not have immediate or severe consequences … Finally, all research protocols should identify how, by whom, and to whom unexpected findings will be … [go to PubMed] 12. Trialists should tell participants results, but how? Lancet. 2006;367:1030. … How do institutional review boards apply the federal risk and benefit standards for pediatric research

2172. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49794/psn-pdf
      May 01, 2017 - The ICU team therefore chose to place the central line in the right femoral vein and was able to do … Conversely, a rigid approach to the closed model of care acts as a barrier to communication. … If the intensivists felt that placing lines is what they do and that the surgeons have little to contribute … Rather than working together to understand how such an error could have happened, the ICU team and the … Moreover, debriefs should focus on how cultural norms of the institution might contribute to errors.

2173. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49756/psn-pdf
      April 01, 2016 - care unit (ICU) to a general ward. … PEG tube (10), some of these cases do represent complications and clinical monitoring is essential to … of how curbside consultations can improve the quality of care in this setting.(13) In summarizing this … Future research should evaluate how this process of care can be improved. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - For example, research has shown how the design of infusion pump number entry systems can be used to … [go to PubMed] 6. Gawande A. The Checklist Manifesto: How to Get Things Right. … It is imperative to figure out how to develop design safety features that make it easy for the user … to do the right thing. … Alarms are difficult to prioritize. It is unclear how to resolve alarm issues. 13.

2175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49514/psn-pdf
      July 01, 2006 - It also highlights how adherence to a few commonsense principles and the implementation of integrated … The luxury of hindsight allows us to speculate on how the tragic outcome described in this case might … an urgent intervention, and, as such, it would have been logical to defer to a physician better able … [go to PubMed] 2. Evans KJ, Greenberg A. Hyperkalemia: a review. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49387/psn-pdf
      February 01, 2003 - He was scheduled to receive a dose of IV haloperidol at 7AM. … accounts for about 15% of all inpatients at UCSF) to see how often there were identical last names over … It is also important to remember that these 'flukes' do happen, and the thousands of medication administrations … If the codes do not match, the nurse is alerted to the possibility of an error. … Do not allow patients with similar or the same names to be placed in the same room (ideally, they would

2177. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49450/psn-pdf
      June 01, 2004 - Clinicians may appreciate that error disclosure is "the right thing to do" but experience insurmountable … Patients especially value understanding how an error happened and how recurrences will be prevented, … Determining exactly how an error happened and formulating a plan for preventing recurrences can be especially … Do house officers learn from their mistakes? JAMA. 1991;265:2089-94.[ go to PubMed ] 10. … Why do people sue doctors? A study of patients and relatives taking legal action.

2178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49467/psn-pdf
      December 01, 2004 - 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. … The question should be whether the patient needs emergency evaluation, and if not, to determine how

2179. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33833/psn-pdf
      May 01, 2017 - How do you think that folds into this narrative about how things got out of hand with opioids? … But the right thing to do is to have a difficult conversation. … That's a reflection of how these can be self-perpetuating. … It was a message that we were conditioned by nature to hear because of how much we want to help people … If your goal as a doctor is to help more than harm, we need to seriously rethink how we prescribe opioids

2180. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49460/psn-pdf
      September 01, 2004 - error, is confronted with the problem of if, and how, to report it. … a decision, reasoning that "It seemed wrong, but what do I know?" … This particular case emphasizes the issue of a student not knowing what to do. … their own when deciding how to report and to whom. … a case like this one, students should be oriented to an "error ombudsman"—someone who knows how to