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

1761. Final Progress Report: Developing Best Practices for Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/baker-report.pdf
      January 01, 2024 - Hospitals exhibited a range of responses to the data and are engaged in a number of new activities around … The answer choice that constituted a “problematic” response varies by question, depending on how the … provide safe patient care, and whether they had observed a coworker do something that appeared unsafe … This work is nearing completion and suggests that hospitals with better financial performance do better … (Included as Appendix A.) 20 Institute of Medicine, To Err Is Human: Building A Safer Health System,

1762. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
      September 28, 2016 - action to be completed as intended or the use of a wrong plan to achieve an aim • The majority of … fail to prevent them • 44,000 - 98,000 people die in US hospitals each year as a result of preventable … and Their Impact (2000) Laid out a road map of more than 100 needed activities to: • Create a national … Designing Hospitals for Safety and Quality • AHRQ released a DVD that illustrates how three hospitals … broad recognition of the magnitude of the problem, o To provide a place to discuss potential solutions

1763. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
      January 01, 2003 - In this sense, we do control for adverse events that are nonpreventable due to comorbidities. … The full EPC Report9 on how these PSIs were selected, as well as the definition of major surgery, can … While the first (index) admission had to be a major surgery, the readmission did not have to be a surgery … PSI refers to a patient safety event occurring. … The views herein do not necessarily reflect the views or policies of AHRQ, nor the U.S.

1764. AHRQ Subcommittee of the National Advisory Council on Healthcare Quality Measurement: Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/snac-executive-summary.pdf
      October 19, 2021 - and how the field can use measurement as a tool to drive improvement. … to alleviate those disparities, and how to develop the necessary measures to assess the quality and … The SNAC also highlighted a need for AHRQ to investigate how their existing tools work in this setting … Although the SNAC members do not believe AHRQ should establish a national infrastructure for quality … one another to design, develop, and implement a quality measure Do you feel any other options should

1765. AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
      April 01, 2020 - Kellogg Foundation to convene a 2-day conference designed to address three key barriers to CBPR: … Community groups often cannot do these things on their own. … Connecting community members directly with how the research is done and its results. … pilot data for a study of barriers to successful implementation of a rural hospital's community-based … This grant supports a three-part conference series to create a conceptual framework for communities as

1766. Issue Brief: Simulation To Improve Patient Safety: Getting Started (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/simulation/simulation-issue-brief.pdf
      July 01, 2024 - At the point of understanding how patient harm occurs, or how successful patient care occurs, simulations … In Situ Simulation To Reorganize Processes To Manage a Child With Airway Obstruction Presenting to … Patient … was having an anaphylactic reaction… [we] knew what to do with the epi because of that drill … Using clinical simulation to study how to improve quality and safety in healthcare. … Maa T, Scherzer DJ, Harwayne-Gidansky I, Capua T, Kessler DO, Trainor JL, Jani P, Damazo B, Abulebda

1767. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
      January 01, 2016 - • How do your hospital’s results compare with the results from the database hospitals? … What do others see in the data and how do they interpret the results? … • Should we do it here? • Can we do it here? • How can we do it here? … It involves developing a small-scale plan to test a proposed change (Plan), carrying out the plan (Do … How To Improve. 2016.

1768. AHRQ Activities Using Community-Based Participatory Research to Address Health Care Disparities (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cbprbrief.pdf
      January 01, 2014 - Kellogg Foundation to convene a 2-day conference designed to address three key barriers to CBPR: (1) … Community groups often cannot do these things on their own. … • Connecting community members directly with how the research is done and its results. … pilot data for a study of barriers to successful implementation of a rural hospital’s community-based … This grant supports a three-part conference series to create a conceptual framework for communities as

1769. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhacrate2013.html
      November 01, 2015 - further 9 percent decline in the rate of hospital-acquired conditions (HACs) from 2012 to 2013, and a … Patients and their skilled providers find themselves in systems that do not always take into account … prevent it, and how to spread and implement proven practices on a national scale—seems to be making … was established to allow tracking of a variety of other important sources of harm to patients in addition … event types, such as CLABSIs, only a fraction of patients are exposed to risk for the event.

1770. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
      December 01, 2017 - Case Study and Program Examples Appendix D. … determine how long the factor has been present. … Falls RAP but have not actually fallen in the past 180 days, do not complete the Falls Intervention Plan … Show the resident how to begin an action. Simplify clothing fasteners. … The following guidelines (refer to Table 4 ) provide suggestions for how often to monitor different

1771. Compendium of U.S. Health Systems, 2021, Nursing Home Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-nh-linkage-techdoc.pdf
      January 01, 2021 - study how healthcare systems promote evidence-based practices in delivering care.i AHRQ’s goal is to … for researchers, policymakers, and other stakeholders who want to understand how health systems can … data to records with a CCN.iii According to the OneKey documentation, a nursing home (COT 94) … care for themselves, but who do not require hospitalizations.” … More detailed information on how we use the definition to identify Compendium systems is available in

1772. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
      May 01, 2017 - Emphasize the primary focus is on how teams communicate and perform as a unit; and Share information … responses to a specific trigger. … What would you want to do differently next time? … look ahead to how the team members can generalize what they learned in the scenario to their daily practice … (e.g., time to incision, time to transfusion) Productivity: How much?

1773. Implications for Practice Improvement, Research, and Policy | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
      August 01, 2024 - In their work to create Age-Friendly Health Systems to rethink care for older adults, The John A. … Identifying changes of normal aging within each organ system and how these impact function, physiologic … diagnosis as a precursor to discussing treatment decisions. … They emphasized the need to prioritize what matters to the patient most and develop “a system that cares … Primary care visits are often time limited and do not allow sufficient time for clinicians to fully address

1774. Imbedding Research in Practice to Improve Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
      May 07, 2008 - We describe how we aligned with organizational priorities and obtained sponsors and collaborators, managed … The Intervention Champions in turn gathered informal feedback from participating pharmacists on how … Even in settings where pharmacists do not have routine access to patients’ medical records, they often … Third, alerts in our Program do not interrupt physician workflow unless first validated by a pharmacist … made, you do not need to contact the prescriber again.

1775. Variation in Health System Characteristics Across States, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief2-us-health-system-characteristics-2016.pdf
      January 01, 2016 - inclusion of systems that do not provide comprehensive care in the manner that is intended by the … lag in the data, at times, as a result of updating changes to systems, such as mergers, acquisitions … study the characteristics of high-performing health systems and to understand how health systems use … The effective adoption and use of PCOR evidence holds promise as a way to improve clinical outcomes … and characterizing health systems and is a data resource to help advance research on health systems.

1776. Snapshot of U.S. Health Systems, 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/data/chsp-brief1-snapshot-of-us-health-systems-2016.pdf
      January 01, 2016 - inclusion of systems that do not provide comprehensive care in the manner that is intended by the … lag in the data, at times, as a result of updating changes to systems, such as mergers, acquisitions … study the characteristics of high-performing health systems and to understand how health systems use … The effective adoption and use of PCOR evidence holds promise as a way to improve clinical outcomes … and characterizing health systems and is a data resource to help advance research on health systems.

1777. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - and the importance of engaging frontline employees in safety reporting, understanding why employees do … and do not report, identification of essential educational components to facilitate employee participation … How the NHS can improve safety and learning. By learning free lessons from near misses. … Employee can enter suggestions on how to prevent this close call from happening in the future. … on reports entered from their hospital and do a comparison to all reports entered.

1778. Access to Outpatient Child and Adolescent Psychiatrists, Neurodevelopmental Pediatricians, and Developmental-Behavioral Pediatricians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-fullreport.pdf
      October 01, 2018 - Section 2: Detailed Measure Specifications Provide sufficient detail to describe how a measure would … ) or a link to a URL. … Although submission of formal programming code or algorithms that demonstrate how a measure would be … well as to other types of specialty care, vary significantly by State, as do the types of providers … discretion in determining how to process the data.

1779. Prevehosp-Reports-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
      November 30, 2013 - The training will follow a similar approach to how you should present the reports to the nursing home … The report can be used to answer the following questions:  How many residents had an ED visit and …  How many residents were transferred to receive IV fluids or to gain IV access? … How many received a respiratory treatment? How many were suctioned? … How many were seen by a respiratory therapist?

1780. Final Progress Report: Workload effects on response time to life-threatening arrhythmias (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/segall-report.pdf
      January 01, 2024 - time to detection of a dysrhythmia or how often detection is delayed). … urgent calls (a button press to choose a line). … phone call to report an event than to the task of sending a copy of a rhythm strip to the patient’s … Third, our study was underpowered to detect a difference in mean response time to a life-threatening … Furthermore, we do not know whether training and experience in monitoring higher patient loads would