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

41. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. | PSNet
    psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
    September 11, 2019 - hospital and compared the data to a similar study performed in 1988. … This represented a nearly 50% increase in the volume of pages compared to 1988. … September 11, 2019 Effectiveness of a 'Do not interrupt' bundled intervention to reduce … March 2, 2022 How do hospital inpatients conceptualise patient safety? … September 26, 2016 Interruptions in a level one trauma center: a case study.

42. Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? | PSNet
    psnet.ahrq.gov/issue/do-malpractice-claim-clinical-case-vignettes-enhance-diagnostic-accuracy-and-acceptance
    October 04, 2023 - Study Do malpractice claim clinical case vignettes enhance diagnostic accuracy and … February 2, 2022 Do patients' disruptive behaviours influence the accuracy of a doctor's … February 14, 2017 How would final-year medical students perform if their skill-based … May 3, 2023 Use of a structured approach and virtual simulation practice to improve diagnostic … to check cognitive errors in clinical setting.

43. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet
    psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
    August 10, 2022 - The concept of preventability can be difficult to apply to avoidable hospital mortality. … , this commentary outlines the weaknesses of this measure, such as how resource constraints can limit … January 7, 2015 Doing 'detective work' to find a cancer: how are non-specific symptom … March 12, 2025 The good, the bad and the ugly: what do we really do when we identify … November 18, 2016 What would you ideally do if there were no targets?

44. How to Identify and Manage Problem Behaviors | PSNet
    psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - The goal is to have a better understanding of how and why people react the way they do and, through this … resulting in either termination of employment or suspension of staff privileges (see Case Study ). … Case Study Back to Top (Go to case study citation in perspective) One organization was having a … RW: How do you do this across disciplines? … August 25, 2011 Understanding safety culture in long-term care: a case study.

45. Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet
    psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate
    February 29, 2012 - Study Do nurse and patient injuries share common antecedents? … Do nurse and patient injuries share common antecedents? … Do nurse and patient injuries share common antecedents? … cross-sectional case study of puncture/laceration. … May 20, 2009 How will we know patients are safer?

46. Decision support tools, systems, and artificial intelligence in cardiac imaging. | PSNet
    psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
    October 19, 2022 - Discussing how artificial intelligence can be utilized to inform diagnostic decision making and improve … February 10, 2021 To tell the truth, the whole truth, may do patients harm: the problem … A case study from a large metropolitan healthcare trust. … April 13, 2017 Do telephone call interruptions have an impact on radiology resident diagnostic … August 3, 2016 Clinically missed cancer: how effectively can radiologists use computer-aided

47. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
    March 01, 2007 - Note for speaker: examples of how to minimize interruptions in drug delivery zone: This can be done by … either moving medication storage to a quieter location or creating some type of “Do Not Disturb” signage … of disciplinary action Perception that management would take no notice and was not likely to do anything … How to Improve Reporting: Create a Culture of Safety Caregivers must feel safe from undeserved disciplinary … Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

48. Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. | PSNet
    psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
    January 13, 2016 - The authors provide a case study involving patient-controlled analgesia (PCA) pump errors that contributed … They discuss how the case illustrates that small mistakes can combine to create major problems. … August 5, 2008 A Guide to Patient Safety in the Medical Practice. … February 20, 2008 To Do No Harm: Ensuring Patient Safety in Health Care Organizations … April 29, 2018 New technology, new errors: how to prime an upgrade of an insulin infusion

49. Positive deviance: a different approach to achieving patient safety. | PSNet
    psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
    May 15, 2024 - Positive deviance: a different approach to achieving patient safety. … Highlighting how positive deviance has demonstrated an encouraging effect on hand hygiene compliance … Positive deviance: a different approach to achieving patient safety. … case study of department leaders in nursing homes. … April 21, 2015 From harm to hope and purposeful action: what could we do after Francis

50. Anatomy of an incident disclosure: the importance of dialogue. | PSNet
    psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
    February 20, 2012 - This detailed case study discusses a unique incident disclosure process that involved prolonged dialogue … Download Citation Related Resources From the Same Author(s) What do … October 21, 2011 Patients' and family members' views on how clinicians enact and how … November 17, 2014 The contribution of nurses to incident disclosure: a narrative review … March 23, 2011 Reengineering hospital discharge: a protocol to improve patient safety

51. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet
    psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent
    October 19, 2022 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent … sentinel event: a qualitative case study. … November 29, 2023 Psychosocial processes in healthcare workers: how individuals' perceptions … conflicts: review of case reports from a national Veterans Affairs database. … April 20, 2011 WebM&M Cases Do Not Disturb!

52. The Case of Mistaken Intubation | PSNet
    psnet.ahrq.gov/web-mm/case-mistaken-intubation
    July 01, 2016 - This case provides an opportunity to discuss how to optimally transmit wishes for life-sustaining treatments … the data-sharing agreements that first must be forged to do so safely. … State registries do not cross state lines, while patients often do. … health care preferences and how to ensure those wishes can easily be transmitted across health care … Ideally, the original hospital team would have been aware of how to upload his POLST, and this would

53. Do No Harm: Jess's Story. | PSNet
    psnet.ahrq.gov/issue/project-jessica
    September 16, 2020 - Audiovisual Do No Harm: Jess's Story. … This video chronicles how an undiagnosed heart condition led to a teenager's death and offers tips … coronavirus 2019: a checklist to facilitate disclosure. … September 28, 2016 Mortality review as a tool to assess the contribution of healthcare-associated … infections to death: results of a multicentre validity and reproducibility study, 11 European Union

54. Learning from failure: the need for independent safety investigation in healthcare. | PSNet
    psnet.ahrq.gov/issue/learning-failure-need-independent-safety-investigation-healthcare
    September 24, 2018 - leaders of nursing homes negotiate their dual responsibilities- a case study. … February 28, 2024 Leading quality and safety on the frontline - a case study of department … May 15, 2024 Investigating hospital supervision: a case study of regulatory inspectors … and requirements for complying with quality and safety regulation in nursing homes - a case study. … June 9, 2021 First do no harm: practitioners' ability to 'diagnose' system weaknesses

55. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. | PSNet
    psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
    June 19, 2024 - Insulin is known to be a high-risk medication. … This study demonstrates how standardization can support patient safety. … reports of diagnostic errors. … June 19, 2024 Diagnostic errors in uncommon conditions: a systematic review of case reports … February 14, 2018 Effectiveness of a 'Do not interrupt' bundled intervention to reduce

56. Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. | PSNet
    psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
    January 08, 2020 - Yet, how patients perceive the responsibility for achieving safety remains poorly understood. … better understand how they attribute responsibility for their safety in the health care setting. … to care home transitions: a retrospective content analysis. … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case … studies.

57. Am I right when I am sure? Data consistency influences the relationship between diagnostic accuracy and certainty. | PSNet
    psnet.ahrq.gov/issue/am-i-right-when-i-am-sure-data-consistency-influences-relationship-between-diagnostic
    March 18, 2013 - their diagnosis was and how certain they felt. … prospective observational case study of five teaching hospitals. … September 1, 2019 A patient safety approach to setting pass/fail standards for basic … January 9, 2014 Teaching about how doctors think: a longitudinal curriculum in cognitive … September 18, 2013 Do you have to re-examine to reconsider your diagnosis?

58. How organisations contribute to improving the quality of healthcare. | PSNet
    psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
    June 25, 2014 - Commentary How organisations contribute to improving the quality of healthcare. … How organisations contribute to improving the quality of healthcare. … How organisations contribute to improving the quality of healthcare. … February 20, 2019 How do hospital boards govern for quality improvement? … December 1, 2010 Case study: getting boards on board at Allen Memorial Hospital, Iowa

59. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - It's a matter of how do you get people to understand this? … leaders of nursing homes negotiate their dual responsibilities- a case study. … February 28, 2024 Leading quality and safety on the frontline - a case study of department … May 15, 2024 Investigating hospital supervision: a case study of regulatory inspectors … and requirements for complying with quality and safety regulation in nursing homes - a case study.

60. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. | PSNet
    psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
    October 27, 2021 - As many hospital boards still do not prioritize patient safety, these results help identify management … 1,500 avoidable deaths a year—and aim to do even better. … March 2, 2016 Post event debriefs: a commitment to learning how to better care for patients … January 13, 2016 Exploring the role of communications in quality improvement: a case … study of the 1000 Lives Campaign in NHS Wales.