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

1721. Development and Validation of the Medication Administration Error Reporting Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
      January 01, 2003 - purposes, and correct administration of the medication.7, 8, 10 They can also include not knowing how … Finally, the administrative response to a reported medication error may also act as a deterrent to reporting … • Nurses do not recognize an error occurred. • Medication error is not clearly defined. … How nurses perceive medication errors. Nurs Manag 1996 Jan;27(1):31–4. 22. … What should a pharmacy manager do when a serious medication error occurs? A panel discussion.

1722. The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
      March 03, 2008 - To avoid the creation of a measurement and a bureaucracy and to avoid shifting resources to administering … come b the program to improve and evolve yet maintain some stability so that physicians do not perc … program—whether in terms of eligibility or performa assessment—were provided with clear instructions on how … to appeal their incentive assignment and were invited to do so. … How common are electronic health records in the United States? A summary of the evidence.

1723. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
      July 01, 2024 - ■ Demonstrate how HIT and HIE can be used to improve reporting, conduct data analysis, and help providers … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … quality and safety interventions, understand how to align economic incentives with implementation, … They also published the results of an assessment that used discharge summaries to determine how effectively … Kevin Johnson Vanderbilt University Nashville, Tennessee R03 HS16261 [Grant] Show Your Work: Do

1724. Best Practices for Medical Technology Management: A U.S. Air Force–ECRI Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keller.pdf
      January 01, 2004 - Reporting tools generate individual to-do lists as well as hospitalwide summary reports on the status … Products that do not meet a critical safety criterion are typically rated “Unacceptable” in the evaluations … how to prepare to meet the goal, and general strategies designed to help hospitals overcome their … Clinician’s Guide to Surgical Fires: How They Occur, How to Prevent Them, How to Put Them Out,”6 to … A clinician’s guide to surgical fires: how they occur, how to prevent them, how to put them out.

1725. Establishing a Program of In Situ Simulations: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
      July 01, 2023 - Demonstrate how to execute in situ simulations. … Emphasize the primary focus is on how teams communicate and perform as a unit. … What would you want to do differently next time? … Ensure enough staff members know how to facilitate simulations. … Timeliness: How long? (e.g., time to incision, time to transfusion). Productivity: How much?

1726. Chapter 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision2.html
      October 01, 2002 - People with AMD usually do not receive medical interventions. … over, 17 percent reported a problem with vision, although it is unclear how this was defined. 34 This … measurement tools for assessing performance in people with non-vision specific disabilities are lacking, some do … be synthesized into speech, audiotapes, and reader services. 21 , 28 It is unclear how frequently these … community, and workplace. 28 Perhaps because these interventions can be quite individualized, there do

1727. I. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/intro1.html
      May 01, 2016 - “domains” that should be included in patient safety event reports, including discovery (by whom and how … These surveys do not explicitly include questions on adverse events, and they typically feature closed-ended … questions that do not allow patients to provide narrative information. … be able to report online or over a toll-free phone number with a human interface. … The prototype had to include a formal relationship with a PSO or PSOs.

1728. Timeliness of Confirmatory Testing for Sickle Cell Disease (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-132-fullreport.pdf
      January 23, 2017 - Section 2: Detailed Measure Specifications Provide sufficient detail to describe how a measure would … ) or a link to a URL. … teach lifesaving skills, such as how to detect an enlarged spleen or respond to a dangerous fever (Consensus … Socioeconomic Status Although State newborn screening data for infants do not directly capture information … Parents can learn lifesaving skills: how to detect an enlarged spleen or respond to a high fever.

1729. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
      May 01, 2011 - How can a reporting system maximize the willingness and ability of consumers to report on patient safety … feedback to consumers and it does not “do anything with this data.” … Many systems do not specify how (or whether) reported information is disseminated. … do more to correct errors than a national system, although there was not universal agreement on this … as to how the report will be used.

1730. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
      May 01, 2011 - How can a reporting system maximize the willingness and ability of consumers to report on patient safety … feedback to consumers and it does not “do anything with this data.” … Many systems do not specify how (or whether) reported information is disseminated. … do more to correct errors than a national system, although there was not universal agreement on this … as to how the report will be used.

1731. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/fenton-report.pdf
      January 01, 2025 - clinicians how to recommend and negotiate a watchful waiting strategy when patients request low-value … worsen or do not improve. … Plan should address how the patient should contact the clinician, when they should do so, and … what the clinician is likely to do in response. … a printed handout depicting the intervention model, including examples for how clinicians might effectively

1732. Tk2 T4 Common Suspected Infections Tools To Improve Communication And Decisionmaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/TK2_T4_Common_Suspected_Infections_Tools_To_Improve_Communication_and_Decisionmaking.docx
      October 01, 2016 - This graph shows how rapidly resistant strains of MRSA, vancomycin-resistant Enterococcus, and fluoroquinoloneresistant … Slide 8 Indications of Overuse ASK: Did you know that 25 to 75 percent of antibiotics do not meet … What do you think of that? … Also, society has to be prepared to pay a lot more for new antibiotics that are developed. … The scientific literature has quite a bit to say on cloudy, smelly urine.

1733. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - What each site chose to change, as well as how they implemented the change, depended on the unique systems … What do you think are the main quality of care and patient safety issues in your outpatient surgery … Minimal verbal interaction occurred between the researcher and patient, and only questions such as: “How … and “How long ago was your surgery scheduled?” were asked. … Donabedian A. The quality of care. How can it be assessed? JAMA 1988;260(12):1743–8. 3.

1734. Monitoring for Perinatal Safety: Electronic Fetal Monitoring (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.pdf
      May 01, 2017 - Slide 1 SAY: In this module, we will do the following: • Describe the role of EFM for perinatal … , and/or failure to function as a team. … how to implement elements within their unit, and consider existing facility processes or policies … Sites can also decide how often and how much information learned from debriefings or formal analysis … The patient and her family are a part of the team, and there needs to be a shared mental model with

1735. Chapter 3: Defining Categorization Needs for Race and Ethnicity Data (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3b.html
      May 01, 2018 - A "Some other race" response category should be included for questions on race for respondents who do … Paper presented at Multiraciality: How Will the New Census Data be Used? … Learning from each other: Assessing how Medicaid agencies collect racial/ethnic data . … These five categories do not correspond to the 1997 OMB standards, which split Asians and Pacific Islanders … into separate categories, nor do the instructions to "Check one only" allow multirace individuals to

1736. Section 3: Selecting and Targeting Populations for a Care Management Program (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
      October 01, 2014 - care management program, States must consider how to identify eligible members and how best to target … found to be helpful wherever a patient has a significant role to play in managing his or her health. … In working with a predictive model vendor, States should understand how the tool works and what information … consumer incentives can encourage participation, once the incentive is removed or obtained members do … Conclusion   Systematically planning which populations to cover and how to identify members for enrollment

1737. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - This taxonomy demonstrates how latent and active errors interrelate, and highlights the importance of … A process map is considered to be a visual aid for picturing work processes that show how inputs, outputs … how that process is currently performed. … d m it to s a m e p h ys ic ia n t e a m / R e a d m it to s a m e n u rs in … do if the condition worsens

1738. Final Progress Report: Encoding and Processing Patient Allergy Information in EHRs (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
      January 01, 2024 - before or after that allergen had been documented in the notes and to assess how many drug-allergy … “allergy” or “allergic” but do not have an allergy section. … To understand how the data interoperability and similarities between current adversity sensitivity … To do this, we analyzed 2,471,004 adverse reactions stored in Partners Healthcare's Enterprise-wide … do not line up with expected results.

1739. Final Progress Report: Using Health Risk Appraisal To Prioritize Primary Care Interventions (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/nagykald-mold-report.pdf
      January 01, 2024 - Clinical guidelines usually deal with one medical problem at a time, with little guidance about how … They interviewed community clinicians and their staff to receive input regarding how patient-centered … go to the doctor more often and stick to what he tells me to do” and “it shows me what areas to focus … How to Measure and Change Your Body’s AgeSeptember, 2000.: Morgan Foundation. 24. … Card, D. and Krueger, A.B., Minimum Wages and Employment: A Case Study of the Fast-Food Industry in

1740. Taxonomic Guidance for Remedial Actions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
      December 23, 2004 - However, after performing a root cause analysis, the question often remains of how to use the results … It does little good to identify the causes of events without guidance on how to address them. … taxonomy to classify them,3 and even discusses how to use the information in establishing a plan to … The human error sub-subpath (human error how/why) is based to a large extent on the SRK approach described … covered by the normal work know-how, but the operator fails to realize this), a familiar association