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

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49705/psn-pdf
     January 01, 2020 - Limited data exist to suggest how often patients with neurologic conditions present to their primary … will need to be referred to see a neurologist. … PCPs should have a relatively low threshold to refer to a neurologist and improved communication and … 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]?

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865373/psn-pdf
     March 27, 2024 - How do you define artificial intelligence and machine learning? … How do we balance all of these factors and put them together to optimize the care for a single person … You can see how that can lead to safety. These cameras can do this all of the time. … We talked about some case studies earlier related to that, and a lack of interpretability hurts the … Sarah Mossburg: Do you have any thoughts around how models can be validated and monitored to ensure

423. Weekend hospitalization and additional risk of death: an analysis of inpatient data. | PSNet
     psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
     September 23, 2015 - Investigators found a higher rate of 30-day deaths for weekend admissions compared to midweek ones. … December 29, 2014 A structured judgement method to enhance mortality case note review … December 4, 2013 What do hospital staff in the UK think are the causes of penicillin … January 18, 2013 How dangerous is a day in hospital? … October 16, 2012 Challenges and opportunities to prevent transfusion errors: a Qualitative

424. Safety In Dentistry | PSNet
     psnet.ahrq.gov/perspective/safety-dentistry
     August 01, 2016 - Our contributions to date include summarizing existing information sources (e.g., case reports), establishing … In our assessment of dental patient safety case reports in the professional and scientific literature … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2. … RW : Do you have a sense of how different things are in Spain versus in the US in the field of dental … And we have more work to do here in Spain on dental patient safety.

425. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
     June 01, 2005 - RW: What differences do you see with how physicians look at quality and safety vs. how quality and management … We continually try to evaluate, in a rigorous way, how we are doing things and how we can do them better … PP: Organizations need to move beyond just doing projects to having a strategic plan of how to cross … Finally, the leader and team need to evaluate what's done, to answer the question, "How do I know I actually … This is hard to do, and it often is not realistic for a single academic medical center to do it, let

426. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. | PSNet
     psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
     December 02, 2015 - literature on patient safety and quality improvement (QI) has been accompanied by controversy about how … A contrary argument notes that failure to rigorously evaluate such research could result in wasted … November 18, 2016 Building the bridge to quality: an urgent call to integrate quality … September 6, 2017 The business case for quality: case studies and an analysis. … do.

427. The power of regret. | PSNet
     psnet.ahrq.gov/issue/power-regret
     February 17, 2011 - This commentary explores how regret can influence patients' decisions regarding their care and recommends … June 1, 1989 Think twice: effects on diagnostic accuracy of returning to the case to … September 7, 2022 A primer on PDSA: executing plan–do–study–act cycles in practice, not … June 21, 2017 Do physicians clean their hands? … April 22, 2016 Encouraging patients to ask questions: how to overcome "white-coat silence

428. CVC Removal: A Procedure Like Any Other | PSNet
     psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
     October 01, 2018 - occurs and how to prevent it. … the right side of the heart, causing symptoms such as those exhibited by the patient in the current case … study. … to form a seal before elevating the head and causing a drop in CVP that might cause air to enter the … March 27, 2024 Perspective How to Identify and Manage

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39032/psn-pdf
     September 19, 2016 - natural-history-recovery-healthcare-provider-second-victim-after-adverse- patient-events Committing a … medical error can cause profound emotional distress for clinicians, to the point that clinicians have … This study examined how clinicians recover from the psychological stress of being involved in an error … A previous AHRQ WebM&M case commentary also explores how providers recover from such errors. … emotional-impact-medical-errors-practicing-physicians-united-states-and-canada https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors

430. Effectively leading for quality. | PSNet
     psnet.ahrq.gov/issue/effectively-leading-quality
     November 25, 2020 - , accreditation, high-quality care, and continuous quality improvement: what is the destination and how … do we get there? … : a quality improvement report. … June 19, 2018 How do hospital boards govern for quality improvement? … A mixed methods study of 15 organisations in England.

431. Safety culture in long-term care: a cross-sectional analysis of the Safety Attitudes Questionnaire in nursing and residential homes in the Netherlands. | PSNet
     psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
     March 05, 2010 - September 29, 2021 What do we really know about crew resource management in healthcare … July 25, 2018 Interventions to improve team effectiveness within health care: a systematic … Related Resources Managing patient safety and staff safety in nursing homes: exploring how … leaders of nursing homes negotiate their dual responsibilities- a case study. … A cross-sectional study.

432. Slow Down: Right Drug, Wrong Formulation | PSNet
     psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
     October 13, 2018 - Although EHR certification criteria include a requirement for EHR vendors to attest to using a user-centered … provide feedback to institutions and vendors so all can learn how to improve CPOE design and usability … Computerized provider order entry systems have a wide variation in how drug names are displayed, which … [go to PubMed] 3. Koppel R, Metlay JP, Cohen A, et al. … March 21, 2018 How often do prescribers include indications in drug orders?

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33728/psn-pdf
     May 01, 2012 - How do you differentiate between those two circumstances? … How do you decide where to set that bar? … So the question is: How do we enlarge the perspective here to look at mitigatibility and ameliorability … How do we know if they're actually working if our measurement systems detect less than 10% of all the … and review it, whether an electronic or a paper form—a human being has to do that.

434. Dropping the Ball Despite an Integrated EMR | PSNet
     psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
     January 07, 2015 - still left to do. … But, one could ask, how can I say it compromises patient safety? … do the trick. … do, and then designing new systems to achieve those goals, or analyzing existing or potential systems … Take-Home Points Organizational decisions can have profound impacts on how work is carried out by

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33847/psn-pdf
     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

436. May I Have Another?—Medication Error | PSNet
     psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
     March 01, 2009 - , despite federal and state mandates to do so.( 16 ) Furthermore, pharmacists may not be fully aware … How can cases like this one be prevented? … How can we create a more standard, effective, coordinated system of patient information for prescription … We know better ways to communicate instructions on a container label, as well as how to provide plain … do I take it, (iii) how will it treat my condition, and (iv) is there anything else I should know about

437. Compare and Contrast | PSNet
     psnet.ahrq.gov/web-mm/compare-and-contrast
     July 16, 2019 - In this case, we do not know the patient’s baseline serum creatinine concentration and whether her kidney … So here, too, it is not entirely clear how best to interpret the value of these prophylactic therapies … median length of stay of 6 days, compared with only 1 day without CN.( 17 ) How could this complication … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … CVC Placement: Speak Now or Do Not Use the Line February 1, 2013

438. In Conversation with…Christopher P. Landrigan, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
     April 01, 2005 - How do you prospectively think that through? What was their charge? … For example, we noticed that sleep-deprived interns would often fail to do a very thorough history and … CL: Well, I personally don't think that a shift-work mentality has much to do with the number of hours … I think it has to do with a professional sense of when it would be an appropriate time to walk out the … How did your study compare to those?

439. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. | PSNet
     psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident
     August 10, 2011 - June 21, 2016 Explaining organisational responses to a board-level quality improvement … February 20, 2019 How do hospital boards govern for quality improvement? … A mixed methods study of 15 organisations in England. … case study. … incidents: a qualitative study.

440. Microsoft PowerPoint - FINAL Dec Spotlight_Code Status vs Care Status.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
     January 01, 2020 - CARE STATUS A case describing how care inconsistent with patient goals can lead to preventable harm … — However, a diagnosis of developmental delay or mental illness alone do not speak to a patient’s … The patient must show how the information and choices relate to them personally. … Reasoning can be explored with a patient by asking open- ended questions about how they came to their … It should not determine how a patient is cared for, unless they have a cardiac arrest.