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Total Results: 2,386 records

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

381. Quality and safety education for nurses: a nursing leadership skills exercise. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
     July 29, 2020 - and develop strategies to reduce risks. … September 6, 2017 Do patient engagement interventions work for all patients? … A systematic review and realist synthesis of interventions to enhance patient safety. … June 5, 2019 Exploring how nursing schools handle student errors and near misses. … October 1, 2013 Nursing student medication errors: a case study using root cause analysis

382. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
     December 01, 2006 - avoid future exposure to heparin in individuals with HIT Case: Hidden Heparins A patient with … Do not allow PTT to exceed 100 seconds, nor the infusion rate to exceed 10 µg/kg/min. … How I treat heparin-induced thrombocytopenia and thrombosis. Blood. 2003;101:31-37. … .): Hidden Heparins She appeared to be improving with a decrease in WBC to 10 x 109/L. … to indicate the diagnosis Identify in-hospital use of heparin that circumvents a provider’s order

383. Reducing delay in diagnosis: multistage recommendation tracking. | PSNet
     psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
     June 19, 2012 - This study demonstrates how implementation of a multistage tracking system for radiologic studies led … December 11, 2024 Implementing an error disclosure coaching model: a multicenter case … study. … October 13, 2018 Why do we still page each other? … January 23, 2017 Performance of a fail-safe system to follow up abnormal mammograms in

384. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     October 01, 2008 - NS: If you were going to look in your crystal ball, say 5 or 10 years ahead, how do you see all this … How do you plan to prepare your service and hospitalists or other physicians for the implications of … What we don't really know is how to fix that. … It's sort of nice and easy and morally pure to say that once you've defined this as a safety issue, how … We're just beginning to learn how to do this kind of prioritization.

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33732/psn-pdf
     July 01, 2012 - It's still possible to do a top-down implementation in a system of modest size; the VA is an example … How do you think that will change the nature of doctoring and nursing, the way we need to train people … How do you think about getting that balance right? … We don't know how to do this, and we don't even have a good theory about how to do it. … But the question of how to create integrated clinical decision support is a big challenge facing the

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33853/psn-pdf
     March 01, 2018 - , it was never pursued; yet, it was obvious that nurse staffing had something to do with outcomes. … We decided to study hospital patient outcomes and make it our primary interest to analyze how much of … a lot not to have enough nurses. … 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.

387. In Conversation with David W. Bates about Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
     February 26, 2025 - or different, and how do I feel about the current rate?” … When a fall occurs, the nurse has to do a report. … The Kaiser team showed in a very large study that they were able to do that. … We do not have as clear an idea about how exactly to prevent that yet, but there are a variety of strategies … adverse events and then put them into a dashboard so they can see how they are doing and how much harm

388. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet
     psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
     October 12, 2005 - If so, how?   … October 12, 2005 Do patient engagement IT functionalities influence patient safety outcomes … January 25, 2010 To err is system: a comparison of methodologies for the investigation … August 2, 2023 Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself … October 5, 2022 How will state medical boards handle cases involving disclosure and apology

389. Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections. | PSNet
     psnet.ahrq.gov/issue/influence-state-laws-mandating-reporting-healthcare-associated-infections-case-central-line
     December 21, 2017 - However, these regulations do not appear to have any effect on infection rates. … December 21, 2017 Not sick enough to worry? … August 11, 2014 CancelRx: a health IT tool to reduce medication discrepancies in the … March 10, 2021 A cluster randomized trial of two implementation strategies to deliver … September 29, 2017 Preventable Tragedies: Superbugs and How Ineffective Monitoring of

390. Defensive Medicine: "Glowing" with Pain | PSNet
     psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
     November 01, 2012 - How common is the practice of defensive medicine? … do so in the next 2 years . … How can physicians stem the tide of defensive medicine and practice medicine and surgery in a patient-centered … [go to PubMed] 6. Kessler D, McClellan M. Do doctors practice defensive medicine? … September 28, 2022 How to "DEAL" with disruptive physician behavior.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49866/psn-pdf
     June 01, 2019 - is ineffective.(8) Furthermore, a recent in-depth case study demonstrated that even organizations that … Educating junior or less powerful staff on how to speak up cannot overcome an organizational culture … [go to PubMed] 7. Lyndon A. … Improving employee voice about transgressive or disruptive behavior: a case study. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841486/psn-pdf
     January 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. … Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? … https://psnet.ahrq.gov/issue/do-words-matter-stigmatizing-language-and-transmission-bias-medical-record … This study randomized medical students and residents to read a simulated case note with either neutral … psnet.ahrq.gov/issue/physician-use-stigmatizing-language-patient-medical-records https://psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review

393. Removing Insult from Injury—Disclosing Adverse Events | PSNet
     psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
     February 01, 2006 - So, how to do it? … how a patient who received an apology dropped her plans to sue.( 9 ) We have developed a series of … This is a person who has forgotten how to listen, who is used to dominating conversations, who interrupts … How do you balance that issue, or, at the end of the day, is this really mostly about doing the right … December 3, 2014 Case studies of patient safety research classics to build research capacity

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49439/psn-pdf
     March 01, 2004 - 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? … do not.(9) From a systems standpoint, much work remains to narrow the gap between patients' capacity … stripe to alert the parent as to how high to draw up the liquid (13) could have significantly reduced

395. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet
     psnet.ahrq.gov/issue/conflict-interest-dr-charles-denham-and-journal-patient-safety
     July 07, 2021 - The authors emphasize the need to identify and address conflicts of interest and outline strategies to … September 8, 2021 How will we know patients are safer? … December 15, 2011 Case studies of patient safety research classics to build research … November 16, 2022 Healthcare scandals and the failings of doctors: do official inquiries … hold the profession to account?

396. The Evolution of Patient Safety in Surgery | PSNet
     psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
     August 01, 2017 - How has life changed over the last 10 or 15 years in terms of systems thinking, and how do you and surgeons … 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? … How do you get that nondominant hand more involved in the operation to make you more efficient and safe

397. Patient concerns about medical errors in emergency departments. | PSNet
     psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-departments
     March 21, 2017 - February 15, 2011 Lost opportunities: how physicians communicate about medical errors … December 5, 2018 The Ask Me to Explain campaign: a 90-day intervention to promote patient … September 27, 2016 Interruptions in a level one trauma center: a case study. … October 2, 2013 Airway carts: a systems-based approach to airway safety. … July 14, 2010 Medical error identification, disclosure, and reporting: do emergency medicine

398. Rolling out the rapid response team. | PSNet
     psnet.ahrq.gov/issue/rolling-out-rapid-response-team
     November 11, 2020 - This commentary explains how to use evidenced-based practice to implement a rapid response team . … April 28, 2021 A national study links nurses' physical and mental health to medical errors … August 31, 2011 Nurses' perceptions of how rapid response teams affect the nurse, team … 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

399. Effect of noise on auditory processing in the operating room. | PSNet
     psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room
     November 16, 2022 - Citation Text: Way J, Long A, Weihing J, et al. … This study used a simulation approach to quantify the effect of noise on surgeons' ability to communicate … April 12, 2023 To do no harm - and the most good - with AI in health care. … persistent problems in patient safety: a case study on retained surgical sponges after surgery. … September 25, 2013 How hospital design saves lives.

400. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     August 01, 2006 - In all honesty, I really didn't have a whole lot else to do. … number of very energetic, creative people involved in trying to figure out how we do all this. … to saying these are safe practices that everyone can do to make a difference. … The response of our hospitals was not at all one of resistance; it was "How do we do it?" … , stating not just how many days since a worker had lost a day, but also how many days it has been since