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Total Results: 2,386 records

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

261. Thinking about our thinking as physicians. | PSNet
     psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
     August 24, 2016 - How doctors think. … January 14, 2011 Do some surgical implants do more harm than good? … July 14, 2010 A model patient: how simulators are changing the way doctors are trained … February 8, 2011 Do HSMRs really measure patient safety?  … October 13, 2018 Use of a novel, modified fishbone diagram to analyze diagnostic errors

262. Human and organizational biases affecting the management of safety. | PSNet
     psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
     May 29, 2014 - December 1, 2010 Learning from accidents—what more do we need to know? … May 12, 2010 Managing patient safety and staff safety in nursing homes: exploring how … leaders of nursing homes negotiate their dual responsibilities- a case study. … January 31, 2024 Adaption of a trigger tool to identify harmful incidents, no harm incidents … December 4, 2024 Leading quality and safety on the frontline - a case study of department

263. Making health care safer: what is the contribution of health psychology? | PSNet
     psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology
     November 26, 2008 - Citation Text: Vincent CA, Wearden A, French DP. … care unit (PICU): a case notes review study. … August 5, 2020 How to do no harm: empowering local leaders to make care safer in low-resource … need to know about psychiatric patient safety. … suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national

264. An alternative strategy for studying adverse events in medical care. | PSNet
     psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
     June 03, 2020 - feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter … September 27, 2017 Interruptions in a level one trauma center: a case study. … September 24, 2016 Do clinicians know which of their patients have central venous catheters … August 4, 2015 "Did I do as best as the system would let me?" … June 26, 2013 How nurses and physicians judge their own quality of care for deteriorating

265. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.33_slideshow.ppt
     October 01, 2003 - him and redirected him to the right side. … He wondered if there had been a labeling error. … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … Shortly thereafter, the patient underwent a second hemivulvectomy to treat her vulvar cancer. … Why do people sue doctors? A study of patients and relatives taking legal action.

266. Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. | PSNet
     psnet.ahrq.gov/issue/unrealized-potential-and-residual-consequences-electronic-prescribing-pharmacy-workflow
     December 31, 2014 - A past AHRQ WebM&M commentary describes how a nurse entered an outpatient prescription for the wrong … March 13, 2019 Overcoming barriers to the implementation of a pharmacy bar code scanning … system for medication dispensing: a case study. … January 7, 2015 How do community pharmacies recover from e-prescription errors? … December 31, 2014 E-prescribing: a focused review and new approach to addressing safety

267. Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet
     psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
     March 15, 2016 - April 10, 2024 How hospitals select their patient safety priorities: an exploratory study … 2014 Validating the Patient Safety Indicators in the Veterans Health Administration: do … January 16, 2025 Partnership as a pathway to diagnostic excellence: the challenges and … A multisite case study. … of implementation through a Canadian learning collaborative.

268. In Conversation With… Linda Aiken, PhD, RN | PSNet
     psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
     March 01, 2018 - We decided to study hospital patient outcomes and make it our primary interest to analyze how much of … RW : So 10 years from now how is all of this going to look? … of equipment, but it's more difficult to do that with human resources. … Nurses who have too many patients to care for do not have time to complete all necessary care, and this … How necessary steps in a task get omitted: revising old ideas to combat a persistent problem.

269. Long-Term Care and the Response to COVID-19 | PSNet
     psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
     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

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33736/psn-pdf
     September 01, 2012 - The staff nurse that comes onto a med–surg unit has 4 to 8 patients assigned, each of whom has a to-do … list at the start of the shift, and has to figure out how to integrate those to-do lists, how to keep … Think about your to-do list as a stack of things to get done. … We need to do those simultaneously. … That's not a productive way to do it.

271. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. | PSNet
     psnet.ahrq.gov/issue/navigating-complex-terrain-patient-safety-challenges-strategies-and-importance-ongoing
     July 01, 2017 - , accreditation, high-quality care, and continuous quality improvement: what is the destination and how … do we get there? … case study. … August 28, 2024 Sailing too close to the wind? … How harnessing patient voice can identify drift towards boundaries of acceptable performance.

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72589/psn-pdf
     December 23, 2020 - How to explain to the patient how a diagnosis so widespread and worrisome could have been delayed for … how to do so? … , or what to do if she observed or felt a change in the lump? … While cognitive failures may have played a role, we can do more to ensure that systems support clinicians … and patients and make it easier for them to do the right thing.

273. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
     February 15, 2011 - December 15, 2011 What do family physicians consider an error? … A comparison of definitions and physician perception. … primary care practices: a collaborative approach to learning from our mistakes. … Improving Diagnostic Safety and Quality April 26, 2023 How … safe do dying people feel at home?

274. Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. | PSNet
     psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical
     September 20, 2023 - RIS Download Citation Related Resources From the Same Author(s) Do … September 14, 2022 Do patients' disruptive behaviours influence the accuracy of a doctor's … July 3, 2014 Exposure to media information about a disease can cause doctors to misdiagnose … March 12, 2014 How would final-year medical students perform if their skill-based prescription … May 22, 2024 Do malpractice claim clinical case vignettes enhance diagnostic accuracy

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49502/psn-pdf
     February 01, 2006 - be DNR/DNI (do not resuscitate/do not intubate). … A thought-experiment of walking through the frequently nurse-driven activation of a code—including how … It would allow residents and other physicians to see how their actions fit with the actions of other … The effect of do-not-resuscitate orders on physician decision-making. … The quality of care plans for patients with do-not-resuscitate orders.

276. Intubation Mishap | PSNet
     psnet.ahrq.gov/web-mm/intubation-mishap
     April 26, 2023 - interpersonal communication To appreciate how to design effective interventions (including simulation … (eg, "Get an IV in this guy") without any direction as to who should do it. … In the complex care environment, one also needs to know when and how to apply knowledge, solve problems … to do something incorrectly. … (or not do) in different clinical situations.

277. Connectivity to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/connectivity-improve-patient-safety
     April 14, 2021 - This article discusses how adopting open standards for medical device interoperability can help advance … patient safety and reports on a 5-year multidisciplinary project related to this goal. … case study of regulatory inspectors' roles as potential co-creators of resilience. … August 1, 2018 Fixing a broken healthcare system. … February 27, 2008 View More Related Resources A "Do No Harm" novel

278. Roadmap to Health Care Safety for Massachusetts. | PSNet
     psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
     June 15, 2016 - May 22, 2023 The Financial and Human Cost of Medical Error... and How Massachusetts Can … June 24, 2019 How to Talk About Patient Safety. … April 3, 2019 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … May 24, 2023 FIRST Do No Harm. … model for building a center to support health care worker well-being after experiencing an adverse event

279. In Conversation with...Diane Rydrych, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
     February 26, 2025 - How do you reach out to the hospitals and to the public? DR: A lot of different ways. … Then a couple of times a year, we go to different parts of the state to do day-long in-person training … for them, focusing on how to do a thorough RCA and how to develop a stronger corrective action plan. … Some of the challenges related to how do you define these events. … They're struggling with that question of denominators and how do you know how often these events really

280. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. | PSNet
     psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
     January 04, 2019 - balance their efforts to drive broad-based improvement. … January 4, 2019 Hospital infection prevention: how much can we prevent and how hard should … May 20, 2020 The intersection of traumatic childbirth and obstetric racism: a qualitative … October 9, 2024 "What do health inequities have to do with anything?". … August 8, 2018 Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief