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

2321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60241/psn-pdf
      February 24, 2022 - the painful feelings and psychological disequilibrium precipitated when nurses know what they should do … how NHs responded to the COVID-19 pandemic. … use of PPE, Create better guidelines on how to cohort residents and manage visitation, balancing resident … add a requirement for NHs to vaccinate staff as a condition to participate in the Medicare and Medicaid … Maggots, rape and yet five stars: how U.S. ratings of nursing homes mislead the public.

2322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845473/psn-pdf
      March 15, 2023 - for patients to travel for in- person visits.2 A 2017 study by the GAO3 (U.S. … Organizations must understand the volume of data that will be transferred to systems and decide how … Education should include setting clear expectations with patients about how abnormal values will be … , there are still barriers to implementing and expanding its use to a broader audience. … Do not let a good crisis go to waste: health care’s path forward with virtual care.

2323. Simulation Training | PSNet
      psnet.ahrq.gov/primer/simulation-training
      September 15, 2024 - In fact, medicine has had a history of promoting “see one, do one, teach one” that has persisted for … Classrooms and skills or task labs: Many organizations do not have a simulation center but can use a … respond to a simulated patient safety crisis. … Twelve tips to organise a mock OSCE. … Using clinical simulation to study how to improve quality and safety in healthcare. 

2324. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
      psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
      July 20, 2010 - How could such a terrible mistake happen to a team of highly qualified and dedicated individuals in an … need to promote a culture of safety throughout the health system. … openly identified, reviewed, and responded to in a manner that allows us to share lessons learned. … Although many of these efforts are in their early stages and we still have much to do and to learn, we … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - Sarah Mossburg: Do you think any of these trends had a larger impact on patient safety compared with … What are your thoughts on how organizations can do so? … Regaining lost ground is going to require us to do something radically different from what we have been … in which they work, and people are just told to do something without playing a role in codesign and … We are partnering with other academic programs to do the same. 

2326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33608/psn-pdf
      February 01, 2024 - Patient Safety Threats and Challenges As research evolves and begins to recognize nationally how historic … hear the stories and threats to safety and understand how to provide consistently safe access and equitable … https://psnet.ahrq.gov/issue/what-we-can-do-about-maternal-mortality-and-how-do-it-quickly https://www.ncbi.nlm.nih.gov … The cycle to respectful care: a qualitative approach to the creation of an actionable framework to address … Lyndon A. Failure to rescue, communication, and safety Culture.

2327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49553/psn-pdf
      January 01, 2008 - Uncertain of how to interpret the result (as this bacteria may represent contaminated blood cultures … Corynebacterium species are part of the normal human skin flora, so they typically do not cause true … hurry, do not understand the importance of antiseptic contact time, and are unlikely to wait up to 2 … [go to PubMed] 9. Mimoz O, Karim A, Mercat A, et al. … [go to PubMed] 21. Schifman RB, Pindur A.

2328. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - how to effectively guide an individual to choose a behavior or action is an ongoing question for patient … Social networks and norms influence how individuals eat and exercise. … complete understanding of what measurement would be needed and how that would impact provider burden. … Those types of projects are very easy to maintain as they do not require active sustainment efforts. … Dubner SJ, How to Save $32 Million in One Hour (Ep. 397).

2329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836878/psn-pdf
      April 27, 2022 - that a systemic response to reduce error was needed. … produce attention-grabbing material and to do so with less space and/or in a smaller amount of time. … Pushing the profession: how the news media turned patient safety into a priority. … To err is human: Building a safer health system. … Save a life: how student leadership is shaking up health care and driving a revolution in patient safety

2330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33779/psn-pdf
      March 01, 2015 - However, in the absence of research identifying the best approaches to do so, delivery organizations … that linked the use of I-PASS to a reduction in errors. … However, the year's literature did shed light on how to best identify patients at highest risk for readmission … A second randomized trial by Dhalla and colleagues developed a virtual ward model of care to provide … it remained unclear how best to risk adjust for the key variables.

2331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49402/psn-pdf
      June 01, 2003 - cultures, urinalysis, a chest x-ray, and a careful physical exam with special attention to the skin … Colonization is often a precursor to infection. … How can overuse of antibiotics be prevented? … A challenge to hospital leadership. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2332. Ambulatory Care Safety | PSNet
      psnet.ahrq.gov/primer/ambulatory-care-safety
      December 15, 2024 - However, a body of research dedicated to patient safety in ambulatory care has emerged over the past … Patients must also understand how and when to contact their providers outside of routine appointments … Because the likelihood of a medication error is linked to a patient's understanding of the indication … Coordinating care between different providers remains a significant challenge, especially if they do … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2333. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
      December 23, 2020 - Although no major complications occurred in this case, it is an example of how mistakes are made, despite … In analyzing how this error occurred, there were three missed opportunities for intervention: 1) critical … It is also uncommon for a dispensing pharmacy to have access to a patient’s medical records, making it … difficult for a pharmacist to determine the reason for and appropriateness of a prescription.  … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60977/psn-pdf
      January 08, 2020 - Although no major complications occurred in this case, it is an example of how mistakes are made, despite … In analyzing how this error occurred, there were three missed opportunities for intervention: 1) critical … It is also uncommon for a dispensing pharmacy to have access to a patient’s medical records, making it … difficult for a pharmacist to determine the reason for and appropriateness of a prescription.  … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2335. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
      September 01, 2014 - of patients on opioids in the hospital Describe the Prescription Drug Monitoring Program (PDMP) and how … it may improve prescribing 3 3 Case: A Lot of Pain A 58-year-old man was admitted to the hospital … After a surgical amputation to treat the ulcer, his pain worsened to 10/10. 4 4 Background Rates … He was found to have new acute renal insufficiency, which likely had contributed to a build-up of opioids … If changing to a different opioid, use a dose 25%–50% lower than the calculated equianalgesic dose Most

2336. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
      psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
      February 28, 2024 - may treat patients as who you do things to rather than who you do things with . … and tools, and includes a diagram to show how everything fits together. … We do not want TeamSTEPPS to be implemented only after a patient has been harmed. … The way to do that is not to start off with a tragic story of a patient who was harmed. … huge impact on how they do their job in the future and how TeamSTEPPS can impact patient safety.

2337. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
      psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
      February 28, 2024 - may treat patients as who you do things to rather than who you do things with . … and tools, and includes a diagram to show how everything fits together. … We do not want TeamSTEPPS to be implemented only after a patient has been harmed. … The way to do that is not to start off with a tragic story of a patient who was harmed. … huge impact on how they do their job in the future and how TeamSTEPPS can impact patient safety.

2338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - This case and commentary highlight the continual need for improvement, and how serious medication errors … A medication label that is not attached to a medication is like writing a blank check, forcing a BCMA … Healthcare workers should be educated on frequent deviations from medication administration rights and how … 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

2339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49725/psn-pdf
      January 01, 2015 - a complete report to the resident (including a review of the current hemodynamic data on the monitor … [go to PubMed] 6. Degani A, Wiener L. … Gawande A. The Checklist Manifesto: How to Get Things Right. … A surgical safety checklist to reduce morbidity and mortality in a global population. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2340. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet
      psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
      March 27, 2024 - Education on how to communicate:  The Transitions Coach uses role playing and other tools to educate … patients and family members on how to communicate care needs effectively during subsequent encounters … condition and educates patients and family members on how to respond to these red flags, should they … how to respond in these situations. … Please do not accept training offers from other entities.