Results

Total Results: 2,386 records

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

441. In Conversation with...Richard P. Shannon, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
     August 01, 2010 - How is a catheter placed right now, and then how is it maintained and manipulated? … at the point of care as they do their work and try to figure out how to free people's time to do that … So a lot of doubters say, "How do you really know that the innovations we put in place are responsible … I mean, how often when a patient is scheduled to be in a cath lab at 10:00 AM does it actually happen … Enhancing the informal curriculum of a medical school: a case study in organizational culture change.

442. In Conversation With… Richard C. Boothman, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
     March 01, 2012 - RW : How do you figure out which bucket cases fall in? … RW : How do you think about risk management and patient safety in terms of how they've acted with each … There's a complex question about what to do next. … How do you train me to do this so that it doesn't feel like I used to feel, which is that I just sort … Secondly, how do you handle this with physicians who may not have been trained to have these difficult

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49552/psn-pdf
     January 01, 2008 - How Do Providers Recover From Errors? January 1, 2008 West CP. … How Do Providers Recover From Errors? PSNet [internet]. 2008. … https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors Case Objectives Describe the provider-specific … resident physicians; data on fully trained practitioners are scarce.(2) https://psnet.ahrq.gov/web-mm/how-do-providers-recover-errors … [go to PubMed] 4. Wu AW, Folkman S, McPhee SJ, Lo B. Do house officers learn from their mistakes?

444. Breaking the mould in patient safety. | PSNet
     psnet.ahrq.gov/issue/breaking-mould-patient-safety
     June 20, 2011 - The authors submit that a broader approach to patient safety would better improve the quality of care … June 20, 2011 Health services under pressure: a scoping review and development of a taxonomy … June 24, 2020 How to do no harm: empowering local leaders to make care safer in low-resource … June 28, 2011 Creating effective quality-improvement collaboratives: a multiple case … study.

445. After-Visit Confusion | PSNet
     psnet.ahrq.gov/web-mm/after-visit-confusion
     August 21, 2007 - How can they do so in ways that keep the provider–patient relationship front and center? … Only individual case studies exist currently to help guide the tension between informing and educating … after-visit summaries are best used to enhance—and not detract from—office visits, or how best to manage … [go to PubMed] 8. Weingart SN, Carbo A, Tess A, et al. … [go to PubMed] 12. Shachak A, Reis S.

446. Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/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

447. The Hazards of Distraction: Ticking All the EHR Boxes | PSNet
     psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
     April 09, 2014 - Understand how modern digital technology may encourage a superficial analysis of information. … risks associated with order sets and how best to balance the risks and benefits. … It failed to do so—this general reminder did not increase rates of error detection. … The case highlights the hazards of the EHR and how modern engagement with digital technology may drive … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33788/psn-pdf
     June 01, 2015 - How much energy and attention do you give to how your measures will be used? … decide how to use these measures. … How do you think about that push versus pull? … What do you think about the state of measurement and how do we as a system deal with that asymmetry … I don't think that's a reason we shouldn't pursue it and try to figure out what NQF can do to contribute

449. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
     psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
     March 27, 2024 - Framework for Integrating Equity Into Machine Learning Models: A Case Study. … 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 trust … Sarah Mossburg: Do you have any thoughts around how models can be validated and monitored to ensure

450. Patient safety and collaboration of the intensive care unit team. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
     February 17, 2010 - This article describes how patient safety and team coordination in the ICU are connected. … Delphi consensus process to identify relevant diagnosis codes. … : wouldn't you want to know? … September 26, 2016 A systematic review of teamwork in the intensive care unit: what do … November 23, 2014 Unreported errors in the intensive care unit: a case study of the way

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49440/psn-pdf
     March 01, 2004 - No matter how advanced diagnostic technology may have become, the vast majority of patients do not undergo … understand how a pathologic or radiologic misdiagnosis might have occurred, one sees that the clinicians … 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?

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60721/psn-pdf
     July 21, 2020 - series of case studies from interviews and written responses from leaders at three different health … .[4]   The three case studies presented below from UC Davis Medical Center, University of Arkansas … Case Studies To develop these case studies, the sites responded to a series of questions that gathered … But how do you work with your patients to ensure that they are comfortable with doing a telehealth visit … Conclusion   All three case studies highlighted in this Perspective demonstrate innovative ways that

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33622/psn-pdf
     November 01, 2005 - How do you balance those two? … We had extremely strong case study–level evidence out of Australia early in the Rapid Response Team … It's how you do that locally. … How does it work in a 30-bed rural hospital? … How are we going to do this? What did we just learn? What's the next step that we can take?

454. The Role of Bar Coding and Smart Pumps in Safety | PSNet
     psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
     September 01, 2008 - But I think we realize, at least locally, that while CPOE can do a lot to reduce errors, before we had … We do have fairly good evidence in terms of how well barcode technology can reduce the incidence of dispensing … possible to do that. … the best that we'll be able to do? … to do the scanning?

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49780/psn-pdf
     January 01, 2017 - Siegel, MD This case provides an opportunity to consider how changes in the typical radiology workflow … initial surgery, this patient underwent an unnecessary second surgery at least partially due to how … Even if they do have access to the EHR, it is generally impractical for radiologists to review the patient's … and patient diagnoses and risk factors; and (iv) how to communicate results directly in cases in which … Maybe an old-fashioned candy jar or a new school cappuccino machine would do the trick.

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33750/psn-pdf
     May 01, 2013 - RW: How do we explain that? It feels like a lot of effort has gone into this. … Let's say a hospital figures out how to cut its AMI mortality rate in a meaningful way or figures out … But since we cannot do that, the question is: how do you get everybody else on board? … How concerned are you about that? How good do you think the state of case-mix adjustment is? … I'm fundamentally interested in how do we create a system that lets me deliver better care.

457. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
     August 01, 2016 - 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. … 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.

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49599/psn-pdf
     February 23, 2010 - An evaluation by a gastroenterologist failed to reveal a clear cause for the symptoms, and the patient … 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?

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33685/psn-pdf
     May 01, 2009 - Which mission do we prioritize from a financial perspective to be able to use our resources most efficiently … RW: In a system that doesn't have enough money to do what it needs to do, is it feasible politically … continue to do so. … 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?

460. Placing Diagnosis Errors on the Policy Agenda. | PSNet
     psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
     October 31, 2014 - September 20, 2011 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm … Related Resources Perspective Cybersecurity and How … August 19, 2020 First Do No Harm. … December 11, 2019 How to Talk About Patient Safety. … February 11, 2015 IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards