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

221. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
     September 01, 2004 - cognitive steps to determine prognosis in elderly patients Case: Poor Prognosis A 91-year-old woman … A CT scan revealed a thyroid mass. … A repeat FNA was performed. … “How long do I have to live?” … the patient had stated previously that she did not want to be intubated for a long period.

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49411/psn-pdf
     July 01, 2003 - a health care proxy or completed a living will prior to admission. … appreciate how effective it is likely to be in their situation. … 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?

223. The Wrong Shot: Error Disclosure | PSNet
     psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
     May 01, 2011 - Clinicians may appreciate that error disclosure is "the right thing to do" but experience insurmountable … 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. … June 21, 2013 How surgeons disclose medical errors to patients: a study using standardized

224. The role of racism as a core patient safety issue. | PSNet
     psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
     March 18, 2020 - when transferred from hospital to home health care-a systematic review. … February 3, 2021 How and when organization identification promotes safety voice among … July 5, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023 Why do so many Black women die in pregnancy? … It happened to me, as a pregnant OB-GYN. April 26, 2023 Saving Moms.

225. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - How strategic were you in the beginning? Did you say we need to do this, this, and this? … How can we do a better job getting our patients access to care? … How can we do a better job making sure all the lab tests reach the right people who need to know? … We could start in medical school to ask students, how well do you think you're going to do on this test … You get so much more information from watching how a clinician analyzes a case than you do from how they

226. Insert Omission | PSNet
     psnet.ahrq.gov/web-mm/insert-omission
     May 09, 2014 - The gynecologist placed the IUC without difficulty and showed the patient how to palpate the IUC strings … the strings cannot be found, removal is more difficult and could disrupt the pregnancy, but there are case … reports of successful pregnancies after sonographically guided removals.( 3 ) Removal of the IUC substantially … This case describes how the clinic now requires urine HCG testing prior to intrauterine procedures in … do not threaten future fertility unless inserted through a cervix infected with organisms that can ascend

227. Surgical Patient Safety: A Case-Based Approach. | PSNet
     psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
     February 14, 2018 - Surgical residency can be a stressful learning experience. … This textbook provides an introduction to nontechnical aspects of safe surgical practice, a collection … of case studies that illustrate technical challenges in the operating room, and insights regarding other … January 9, 2018 Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. … July 31, 2019 First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety

228. Unwell Women: Misdiagnosis and Myth in a Man-Made World. | PSNet
     psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world
     March 20, 2019 - November 28, 2018 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help … March 6, 2024 Fragmented: A Doctor's Quest to Piece Together American Health Care. … January 27, 2021 View More Related Resources Why do so many Black … May 31, 2023 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … It happened to me, as a pregnant OB-GYN.

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33863/psn-pdf
     August 01, 2018 - developed technologically where it wasn't a huge ordeal to do one study. … RW: In a field like nuclear power or aviation, how do you know when you're doing too much? … How do you calibrate that? … how that's going to play out. … malpractice studies and other case reports, such as failure to escalate therapy when the initial therapy

230. Medicare payment for selected adverse events: building the business case for investing in patient safety. | PSNet
     psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
     September 18, 2009 - Citation Text: Zhan C, Friedman B, Mosso A, et al. … Twitter Linkedin Copy URL October 25, 2010 Zhan C, Friedman B, Mosso A, … Contrary to a prior study , these data revealed that hospitals generally do not receive additional compensation … January 2, 2017 How useful are voluntary medication error reports? … August 4, 2021 Do patient safety events increase readmissions?

231. Board quality scorecards: measuring improvement. | PSNet
     psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
     June 16, 2011 - June 16, 2011 Eliminating central line-associated bloodstream infections: a national … January 20, 2010 Using the opportunity estimator tool to improve engagement in a quality … April 24, 2018 How often are potential patient safety events present on admission? … performance: a VA case study. … January 31, 2011 How do black-serving hospitals perform on patient safety indicators?

232. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. | PSNet
     psnet.ahrq.gov/issue/nurses-perceptions-how-rapid-response-teams-affect-nurse-team-and-system
     May 20, 2019 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … PubMed citation Available at Save Save to your library Print Download PDF … Management of Sepsis May 31, 2023 Rapid response systems: from implementation to … February 23, 2011 Literature review: do rapid response systems reduce the incidence of … December 17, 2010 How RNs rescue patients: a qualitative study of RNs' perceived involvement

233. A systematic review of failures in handoff communication during intrahospital transfers. | PSNet
     psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
     November 03, 2015 - January 7, 2015 Using FDA reports to inform a classification for health information technology … March 4, 2015 Safety through redundancy: a case study of in-hospital patient transfers … December 6, 2023 View More Related Resources Hospital do-not-resuscitate … orders: why they have failed and how to fix them. … November 28, 2012 Improving teamwork on general medical units: when teams do not work

234. Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet
     psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
     April 22, 2016 - August 4, 2015 How strong is the evidence for the use of perioperative beta blockers … How well do we know our patients' allergies? … October 11, 2023 How physicians think: a case-based diagnostic simulation exercise. … January 17, 2024 Neonatal near-miss audits: a systematic review and a call to action. … March 10, 2021 First do no harm: practitioners' ability to 'diagnose' system weaknesses

235. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
     July 01, 2003 - nor completed a living will prior to admission. … Advanced Directives 75% of patients who present to the ER do not have advanced directives Even fewer … The patient stated that she “would not want to be on a tube to breathe.” … Opening the black box: how do physicians communicate about advance directives. … How do medical residents discuss resuscitation with patients?

236. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet
     psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
     November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system … Root cause analysis is a fundamental approach to understanding how failures occur, but some have questioned … September 5, 2018 How well do incident reporting systems work on inpatient psychiatric … conflicts: review of case reports from a national Veterans Affairs database. … conceptual framework and a call to action.

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33654/psn-pdf
     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 the … to do. … we 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

238. Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet
     psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
     August 18, 2021 - to practices promoting safety . … to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter … June 9, 2021 Do No Harm: Are We Preventing Medication Errors in Children with Medical … April 7, 2021 - April 7, 2021 How physicians think: a case-based diagnostic simulation … July 15, 2020 Do professionalism lapses in medical school predict problems in residency

239. Thin Air | PSNet
     psnet.ahrq.gov/web-mm/thin-air
     March 01, 2006 - How frequently such swaps occur is not known, but they do so often enough that on March 5, 2002 a Patient … However, frequent users sometimes click this by habit even when they do not mean to approve the action … Other sites have found this hard to do, because they argue that it requires more storage space and more … positive-exemplar case study of a new patient safety tool. … Department of Veterans Affairs case study.

240. Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet
     psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
     November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale … Adopting high reliability organization principles to lead a large scale clinical transformation. … health system in Canada and provides examples of how high-reliability principles informed activities … A multisite case study. … September 28, 2022 Positive approaches to safety: learning from what we do well.