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

2361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867985/psn-pdf
      January 01, 2025 - three days after discharge to seven days.5 This essay will discuss how suicide screening can be successfully … Similar to the PHQ-9, the EPDS can be paired with a suicide-specific screener to improve risk detection … individuals experiencing suicidal ideation who might otherwise go undetected since many at-risk individuals do … Providers should be properly trained in how to administer screening tools with consistency and fidelity … How can we work together to keep you safe?

2362. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
      psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
      December 15, 2024 - follow-up items on the visual management board is that team members can indicate and share, in real time, how … An efficient way to record and track these discussions is to use a visual management board that has a … to foster a culture of patient safety.  … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … Safety Events March 30, 2022 WebM&M Cases Do

2363. Equity in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/equity-patient-safety
      September 24, 2024 - Gandhi, MD, MPH, described how systems-level and data-driven patient safety can drive greater equity. … of potential bias in algorithms, even in algorithms that do not explicitly include race. … A key initiative to improve equity in patient safety starts at data gathering, as a key commentary … These efforts model how organizations may address the systemic factors that continue to perpetuate inequities … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838197/psn-pdf
      September 28, 2022 - ,3–5 and (iv) carry fewer risks (or at least are believed to do so) than other CVCs.4,5 Safety of PICCs … Still, among hospitalized patients, the risk of developing a CLABSI from a PICC line was similar to … Patients who do not receive enough information at discharge tend to adhere poorly to their treatment … that the patient knows how to change the dressing if it becomes soiled or loose and the importance … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2365. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
      psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
      July 23, 2024 - If leadership and frontline staff do not support the innovation, then it will struggle to get off the … Champions provide feedback to organization leadership on how the initial rollout of the innovation is … Sustaining This Innovation To sustain this innovation, Ascension found it essential to measure how … Both groups must assess how the innovation is progressing in terms of reliability measures, like near … Retained surgical items: how do we get to zero? Jt Comm J Qual Patient Saf . 2023;49(1):1-2.

2366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33856/psn-pdf
      April 01, 2018 - The discharge summary is a cornerstone of inpatient-to-outpatient provider communication. … can reduce hospital length of stay and readmission (9), there is currently no consensus regarding how … visuals, and practicing the teach-back method.(13-15) Simple interventions like a leaflet to explain … Do hospitalist physicians improve the quality of inpatient care delivery? … A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

2367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72834/psn-pdf
      March 10, 2021 - do if a condition gets worse or doesn’t improve. … profound impact on how patients and caregivers perceive their care. … challenge of potential conflicts in perspectives between providers and families and questions about how … and providers, but also to use that communication as a means to include patients in the identification … Poor provider communication is a common contributor to errors of omission related to medication safety

2368. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
      psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
      May 31, 2023 - Summary Trauma staff at The Alfred Hospital use a computerized decision support system to guide the … The prompts serve as guides and do not replace the medical staff's expertise. … Video and screen capture: The system interfaces with a video camera to produce a recording of the entire … How to turn a team of experts into an expert medical team: guidance from the aviation and military communities … to prevent prescribing errors in a pediatric emergency department.

2369. Misconnection Leading to Arterial Thrombosis | PSNet
      psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
      January 29, 2021 - While a small air bubble is not a serious problem in an intravenous line unless there is a right to left … Infusion systems in the intensive care unit are often complex and an explanation of how the lines are … to determine if the problem is due to the arterial catheter or to a shock state with impaired perfusion … Urgent consultation with a vascular surgeon, a radiologist and an anesthesiologist may help to avert … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49821/psn-pdf
      February 01, 2018 - admitted to a hospital burn unit for a 10% total body surface area burn on her face, upper chest, and … A profiled ADC setup releases only drugs that have been ordered and verified to the cabinet patient … scan the barcodes on a patient's identification band and on the medication to be administered. … How informatics nurses use bar code technology to reduce medication errors. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2371. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851099/psn-pdf
      June 28, 2023 - While a small air bubble is not a serious problem in an intravenous line unless there is a right to … Infusion systems in the intensive care unit are often complex and an explanation of how the lines are … to determine if the problem is due to the arterial catheter or to a shock state with impaired perfusion … Urgent consultation with a vascular surgeon, a radiologist and an anesthesiologist may help to avert … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2372. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72811/psn-pdf
      September 01, 2022 - Displayed on a large overhead monitor, these prompts are used by clinicians to direct the care of trauma … The prompts serve as guides and do not replace the medical staff's expertise. … For example, prompts might remind staff working with a patient with abnormally low blood pressure to … Video and screen capture: The system interfaces with a video camera to produce a recording of the entire … How to turn a team of experts into an expert medical team: guidance from the aviation and military communities

2373. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33661/psn-pdf
      December 01, 2007 - Moreover, most physicians have not received specific training or feedback on how to best discharge a … It is more challenging for a physician to discharge a patient who was admitted and managed primarily … for following the medication regimen, recommendations on what to do if the condition worsens, follow-up … Patients should be given a copy of the summary when possible and should be asked to bring it to their … to ensuring a high-quality discharge and care transition.

2374. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73335/psn-pdf
      May 26, 2021 - Hyponatremia Secondary to Home Parenteral Nutrition Error May 26, 2021 Haas K, Lee A. … Changes are typically made to the PN components every few weeks to months depending on a patient’s laboratory … Families are taught proper PN administration, central line care, troubleshooting, signs of illness, and how … Go to PubMed 3. Chandra R, Kesavan A. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2375. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836941/psn-pdf
      April 27, 2022 - 1. be under a provider’s care, 2. have a face-to-face patient and care provider encounter within the … to have a positive impact on medication safety. … So many options, where do we start? An overview of the care transitions literature. … Home-based primary care: how the modern day “house call” improves outcomes, reduces costs, and provides … https://www.healthaffairs.org/do/10.1377/hblog20191003.276602/full/ Accessed November 8, 2021. 40.

2376. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73102/psn-pdf
      July 01, 2022 - Many community-dwelling seniors who take multiple medications do not benefit from the routine medication … problem serious enough for the pharmacist to recommend a change in medication or a reevaluation by the … The Visiting Nurse Association hired a staff clinical pharmacist to work as a consultant available to … As a result, care managers, social workers and nurses need to understand that their job is to collect … managers, social workers, nurses or clerical staff), whether all clients/patients will be screened, and how

2377. Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
      June 15, 2024 - As the histogram shows, several discharge summaries took more than a week to be sent to primary care … axis, to look for a relationship. … Control Charts A control chart is a graph that can be used to visualize how a patient safety-related … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … Safety Events March 30, 2022 WebM&M Cases Do

2378. The University of Texas System Clinical Safety and Effectiveness Course | PSNet
      psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
      February 01, 2011 - for practicing physicians and other caregivers to teach them how to improve quality ( Table ). … physicians the skills they need to do what they have always wanted: to provide high-quality care. … This often leads to a renewed commitment to, and enjoyment of, their profession. … Another challenge is how to encourage each site to develop its unique strengths and resources without … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

2379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - To ease the burden on a strained system, organizations paused elective procedures, reduced in-person … While responding to COVID-19 remains a public health priority, there is a renewed focus on patient safety … With an unprecedented surge of critically ill patients to care for and a shortage of personal protective … Safer Together: A National Action Plan to Advance Patient Safety was released in fall 2020. … A key component of total systems safety is the shift toward a proactive strategy to anticipate, mitigate

2380. Pharmacist Role in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
      June 29, 2020 - broad term used to describe a number of more specific events that may cause, or lead to, inappropriate … Ensuring the safe prescribing and dispensing of medication to patients is a core function of a pharmacist … Another way pharmacist responsibilities are evolving is with regards to how, and at what point, in the … implementation to ensure a safe and efficient system.   … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not