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

281. What Makes a Good Checklist | PSNet
     psnet.ahrq.gov/perspective/what-makes-good-checklist
     October 01, 2010 - Emergency and abnormal checklist design factors influencing flight crew response: A case study. … As we have this explosion of 18,000 clinical trials a year, how do we make sure that when I go to get … And then let hospitals innovate, let clinicians do what they do best and find out how to drive science … How do you balance that? … And we squandered a lot of resources, often with little evaluation and little learning, to say how do

282. The Need to Eat | PSNet
     psnet.ahrq.gov/web-mm/need-eat
     February 10, 2021 - This case highlights how nutrition care can be neglected when a multidisciplinary team is not included … function necessitating PEG tube placement. 16 How does HA malnutrition happen? … The question should not be: how long can we keep a patient NPO? … some practice, some imaging studies and procedures do not require fasting. 23 In general, procedures … Physician-delivered malnutrition: why do patients receive nothing by mouth or a clear liquid diet in

283. Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. | PSNet
     psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance
     November 16, 2022 - The authors implemented a set of eight laboratory practicums to develop urologic surgical skills. … low-stress environment with no threat to patient safety. … Surgical safety does not happen by accident: learning from perioperative near miss case … studies. … March 13, 2024 View More Related Resources How do we learn about

284. Patient Safety: A Perspective from Office Practice | PSNet
     psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
     May 01, 2009 - safer (for example, having a staff member call a patient tomorrow or next week to find out how things … Opening oneself to an imaginative inquiry into how things could go wrong as we do them may be a very … RW: In a system that doesn't have enough money to do what it needs to do, is it feasible politically … each other's languages, if you will, and to be able to partner a little better in considering how to … How useful are those models and where do you see them translating?

285. Association of clinical nursing work environment with quality and safety in maternity care in the United States. | PSNet
     psnet.ahrq.gov/issue/association-clinical-nursing-work-environment-quality-and-safety-maternity-care-united-states
     January 11, 2023 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … maternity units from four states found that nurses in the majority of hospitals felt that their units do … Nurses commonly reported communication challenges, fears related to challenging authority , and that … Related Resources Interdisciplinary and interprofessional communication intervention: how … July 26, 2023 Psychosocial processes in healthcare workers: how individuals' perceptions

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846564/psn-pdf
     March 29, 2023 - A case study last year Illustrated one of the technological issues, in this case a manual keystroke … Poorly designed systems that do not fit into existing workflows lead to frustrated users and increase … A study on “do not give” alerts found that clinicians modified their orders to comply with alert recommendations … For example, when a scribe encounters a CDS alert, do they alert the clinician in all cases?  … a case study using the UP-Fall detection dataset.

287. In Conversation With… Karl Bilimoria, MD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
     December 01, 2017 - How has life changed over the last 10 or 15 years in terms of systems thinking, and how do you and surgeons … thinking about how do we prevent this from ever happening again. … Birkmeyer set us up well to think about how do we get surgeons to study their own skill when they are … Like how do you get set up for the operation? What do you make sure you have in the room? … How do you talk about which experts you need on backup?

288. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet
     psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
     January 18, 2013 - Validating the Patient Safety Indicators in the Veterans Health Administration: do … EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … Available at PubMed citation Save Save to your library Print Download PDF … December 15, 2014 Partnering with VA stakeholders to develop a comprehensive patient … May 19, 2014 How hospitals select their patient safety priorities: an exploratory study

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49438/psn-pdf
     March 05, 2004 - The Health Insurance Portability and Accountability Act (HIPAA) regulations do not protect privacy for … the patient's recently bereaved family members in a waiting room, continues to be discussed in a variety … this conundrum—how to take advantage of the usefulness of video without compromising confidentiality—is … Cognitive properties of a whiteboard: A case study in a trauma center. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

290. Autopsy Revelation | PSNet
     psnet.ahrq.gov/web-mm/autopsy-revelation
     December 01, 2007 - No matter how advanced diagnostic technology may have become, the vast majority of patients do not undergo … how a pathologic or radiologic misdiagnosis might have occurred, one sees that the clinicians did not … Conversely, missed diagnoses detected at autopsy do not necessarily represent errors. … An autopsy is almost always reasonable to consider—do not confuse your (perhaps mistaken) impression … Autopsy diagnoses of malignant neoplasms: how often are clinical diagnoses incorrect?

291. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
     psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
     August 21, 2016 - It is critical that clinicians who see acutely ill and injured children understand how children with … on how to evaluate these injuries to rule out NAT. … do not require sedation. … Hospitals and clinicians should commit to ongoing education and training on how to evaluate acutely injured … Computed Tomography (CT) in Children What do we need to know?

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33837/psn-pdf
     July 01, 2017 - of reasons that have to do with the strength of the case and how easy it will be to make that case in … lot of reluctance to do so. … But we ask them to do so in the context of a system that has shifted the standard of care from just … And there are inquiries now about, how do we do this right? … Everybody is going to get there eventually, and the question is how do we prepare for that transition

293. Think Like a Surgeon | PSNet
     psnet.ahrq.gov/web-mm/think-surgeon
     December 04, 2024 - The Case A patient with a history of T6 paraplegia due to a motor vehicle accident was brought to the … abdomen in patients with spinal cord injury is particularly challenging because such patients usually do … The challenge of assessing and diagnosing acute abdomen in tetraplegics: a case study. … Calibrating how doctors think and seek information to minimise errors in diagnosis. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49604/psn-pdf
     June 01, 2010 - Confident that she knew how to manage these devices, she approached the head anesthesiologist for the … or how I do it?" … And providers will be trained to do it, perhaps best via simulation.(9,10) The data elements of a good … As cases like this one teach us, to do less no longer makes sense. … [go to PubMed] 8. Cooper JB. Do short breaks increase or decrease anesthetic risk?

295. Lethal Cap | PSNet
     psnet.ahrq.gov/web-mm/lethal-cap
     December 19, 2018 - the case at hand—a parent who misunderstood how to administer a liquid medication to an infant. … how to draw up the correct amount of liquid medication. … For example, phrasing the request as—"Can you show me how you're going to do this when you get home? … However, those physicians who employ the teach-back method do not have longer visits than those who do … stripe to alert the parent as to how high to draw up the liquid ( 13 ) could have significantly reduced

296. Chemotherapy errors: a call for a standardized approach to measurement and reporting. | PSNet
     psnet.ahrq.gov/issue/chemotherapy-errors-call-standardized-approach-measurement-and-reporting
     October 28, 2020 - Chemotherapy Errors: A Call for a Standardized Approach to Measurement and Reporting. … This commentary describes how one multidisciplinary cancer center designed and applied a taxonomy to … December 1, 2021 Do medical inpatients who report poor service quality experience more … case study. … July 1, 2017 From a reactive to a proactive safety approach.

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837748/psn-pdf
     August 05, 2022 - For each medication, a team member should ask how often and when the patient takes it. … For example, ask how the patient checks their blood sugars instead of “do you check your blood sugars … It may be helpful to inquire how the patient addresses hypoglycemic episodes to understand their need … If a patient is suspected to be on sliding scale insulin, it is important to clarify and document how … There are many resources available to train staff from varied disciplines on how to perform a BPMH.

298. A "Reflexive" Diagnosis in Primary Care | PSNet
     psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
     April 01, 2008 - Limited data exist to suggest how often patients with neurologic conditions present to their primary … will need to be referred to see a neurologist. … How common are the "common" neurologic disorders? Neurology. 2007;68:326-337. [go to PubMed] 3. … Diagnostic errors in medicine: what do doctors and umpires have in common [Perspective]? … Do neurologists and primary care physicians agree on the extent of specialty involvement of patients

299. Risk Management and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/risk-management-and-patient-safety
     December 01, 2010 - activities, including dissemination of focused educational programs, case studies, simulation-based … Not knowing how to have these types of tough conversations, I think, is a piece of it, too. … We say this is "disclosure" and "this is how to do it." … They taught me how to assist with various things. Remember I'm not a nurse, I'm a PhD counselor. … They taught me how to do various maintenance kinds of help.

300. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies
     September 02, 2009 - A past AHRQ WebM&M commentary discusses a case of a missed diagnosis that was discovered at autopsy … September 2, 2009 Developing a process to measure actual harm from medication errors … August 28, 2024 How can interventions more directly address drivers of unprofessional … October 16, 2024 Why do acute healthcare staff behave unprofessionally towards each other … and how can these behaviours be reduced?