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

181. A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
     December 01, 2017 - outcomes and patient and clinician experiences. 4 Pilot Site Case Study Problem Addressed Ambulatory … settings and submit the findings in the form of a case study report. … “How do you find the space to do something this important?” … How long have you been in this position? 3. What do you do on a day-to-day basis? … Do you have recommendations on how we could improve implementation?

182. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - The most common publication type excluded was case study/case re- ports (n = 258 [48.1%]) followed by … studies, case series, or case reports • Books, book chapters, news articles • Conference articles … despite a clear need to do so. … Evidence of omission (failure to do the right thing) or commission (doing something wrong) exists at … Additional work is needed to study how factors related to infor- mation, timing, method, and behaviors

183. Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
     July 31, 2015 - Costs grantees used a case study method to describe key setting characteristics and practice changes … Elbert Huang, MD, MPH; Case Studies on the Cost of Medical Home Transformation and Maintenance in … In-depth case studies were conducted. … The study used an in-depth, mixed methods, case study approach. … Practices were then ranked and three from each region (12 in total) were selected for case studies,

184. Preventing-Cauti-Icu-Setting-Module 2-Speaker-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_2-speaker-notes.docx
     September 01, 2015 - In this module, we will use a case scenario to examine ways to prevent CAUTI when a catheter is already … Well, how we handle the catheter tubing and bag can make a big difference.” … Nurse: “Another thing we can do to help prevent a CAUTI from developing is to find a safe place to hang … Ramirez, I can show you how I apply a securement device on the tubing and secure it to her leg. … The nurse places the securement device on the patient’s leg, making sure to show the transporter how

185. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
     June 01, 2015 - How to do a Walk-Through: 1. Identify the process one wants to walk-through. … Interviews and case studies helped identify several factors import to and limiting success of projects … It also has slides and a link to a presentation on how to do stepped wedge studies, including setting … HHSA290200600019 This AHRQ-funded report includes six in-depth case studies that explain how Lean … This presentation utilizes DARTNet as a case study to describe how big data can be linked to patient

186. Asthma Care Quality Improvement: A Workbook for State Action (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
     April 01, 2006 - How To Use This Workbook Although this Workbook can be completed by one individual, it would be a … Use your State data to fill in the blanks to develop a “ballpark” estimate of how much might be saved … This framework adapts the Plan-Do-Study-Act model into a Plan-Do-Assess improvement process comprising … Define “benchmark” as a measurement tool and understand how to identify appropriate benchmarks when … Define “benchmark” as a measurement tool and understand how to identify appropriate benchmarks when

187. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
     March 01, 2014 - Preemptive Identification Case Study. … Point-of-Care Identification Case Study. … Hybrid Approach Case Study. … Case Studies. … Point-of-Care Identification Case Study.

188. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - Recommendations for Staff Training 43 Appendix B: Bringing It To Life - Case Study 46 Appendix … They do not receive training on what constitutes an error or a near miss, or on how to report these … These are described in more detail in Appendix B, Bringing It To Life – A Case Study, which is adapted … Life: Case Study The following case study is adapted from our TeamSTEPPS® LEP Module: Enhancing Safety … What can you expect from such a service? And how do you choose a good one?

189. Improving Communication and Teamwork in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
     May 01, 2017 - Further, understanding how a team is structured and how multiple teams interact in a center is critical … a problem, because the surgeon or physician invites team members to do so. … They can facilitate a discussion of how to solve problems so they do not reoccur. … to train everyone how to use it before they try it with a patient. … Ask: How do we change this?

190. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
     April 01, 2011 - The Commonwealth Fund developed case studies of four hospitals with 30-day readmission rates in the … These case studies identified the following best practices, among others:3 • A focus on improving … For more information, see the case study at the end of this handbook. … :: 22 Case Study on IDEAL Discharge Planning: Advocate Trinity Hospital Advocate Trinity Hospital … This case study highlights key elements of Trinity’s experiences with implementation on a 29-bed medical-surgical

191. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
     www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
     January 01, 2025 - We strove to examine a) whether error had occurred, b) how it had occurred, and c) ways it might have … How much certainty do we have, even now, about what is the correct diagnosis? … 12) How can we do better the next time we encounter a similar patient or situation? … Determining medical error: Three case reports. Effective Clinical Practice 2002;5:23-8. … Assessing the quality of published case reports of look-alike and sound-alike medication errors.

192. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
     September 21, 2010 - in their educational programs can incorporate the case studies provided in this document and reference … This is usually in the form of case studies for students to review, student assignments, and questions … To aid educators in selecting the appropriate case study for use, the chart below maps teaching environment … to specific case studies. … Educational Setting Suggested Case Study Classroom/didactic 1, 2, 3 Pre-clinical 1, 2, 3 Clinical

193. Create a Safe Medicine List Together: Scripts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/multiple/Calibrate-Dx-Quick-Start-Clinicians.pdf
     September 01, 2022 - How Do I Use Calibrate Dx? … How Much Time Do I Need? … “I think it’s a way to empower clinicians to study their own cases in a safe way and learn from their … And so I think that’s helpful as a clinician to be able to take pause and do the self-reflection and … say, is there something different that I need to do in this approach?”

194. Section 5: Determining Where To Focus Efforts To Improve Patient Experience (Page 2 of 2) | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
     January 01, 2020 - Process Mapping To figure out how to improve a process, it helps to map it. … The people drawing the map do not really know how the process works. … How do they feel at this moment? … A case study evaluation of the program found strong evidence that engaging patients directly in the quality … Available at https://www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/cgcahps-webcast-brief

195. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
     January 01, 2024 - involved in a harmful error and therefore needed to meet to discuss the event and how it happened, plan … under their care; planning how to disclose the error to the patient; and conducting a disclosure to … Do you think would have been a little bit more helpful if you had acknowledged how she was feeling and … Trying to anticipate a little bit more from their perspective how they’re going to respond.” … And I do think it makes you more forthright.

196. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 2010 - Study on Nurse Bedside Shift Report: Emory Healthcare 12 Case Study on Nurse Bedside Shift Report: Advocate … For more information, see the case study at the end of this handbook. … Case Study on Nurse Bedside Shift Report: Emory Healthcare Emory Healthcare has attained 100 percent … This case study highlights key elements of the experiences at each hospital. … Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study.

197. Session 1 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
     October 01, 2014 - Study: Ms. … chair; and how they do with activities of daily living. … The registered nurse may then decide to do a full assessment by reviewing the resident's condition to … Recognizing Changes Do a shift-to-shift comparison. … However, briefly, the registered nurse will do the following: Ask the resident how he or she feels

198. 124-Cusp-Science-Safety-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
     April 01, 2025 - Slide 4 How Can Safety Be Such a Big Problem? … This approach makes it easier to do the right thing and harder to make mistakes. … Remember that the healthcare team involves a group of people with a vast body of knowledge on how to … Slide 19 Case Example SAY: The next section of the presentation will delve into a case study involving … If someone doesn’t do this, you need to speak up.”

199. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/024-assessing-evc-webinar-slides.pptx
     October 01, 2024 - How Should They Be Selected?5 The time and resources for FG monitoring is often cited as a barrier. … How do we reduce the likelihood of this defect from happening again? … How do we know the risk is reduced? Access the AHRQ Learning From Defects Tool. … Do We Know the Risk Is Reduced? … which and how many rooms and HTSs to assess.

200. Information to Help Hospitals Get Started
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
     July 23, 2010 - What do we want to do? … , including giving patients a clearer understanding of how to ask questions, who to go to for information … or help, and how to participate in their care. … Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: a case study. … Guide to Patient and Family Engagement 16 What do we need from you?