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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Slide 9: Case Study: Laparoscopic Surgery Trays
Say:
We also know that this effort of reaching … Slide 10: Case Study: Antibiotic Irrigation
Say:
Here is another powerful example of the benefits … It can be difficult, and very few people are trained on how to do it. … Use a title that states the how-to. … Ask:
Do you know how to access your HSOPS aggregate report?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - How will the next patient be harmed?
2. What can you do to prevent that harm? … Slide 84
Case Study: Laparoscopic Surgery Trays
SAY:
We also know that this effort of reaching out … Slide 9
Case Study: Antibiotic Irrigation
SAY:
Here is another powerful example of the benefits of … It can be difficult, and very few people are trained on how to do it. … Use a title that states the how-to.
ASK:
Do you know how to access your HSOPS aggregate report?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - The videos are intended to teach potential users how to
and how not to perform the checklist in a real-world … identify how human factors and systems issues
contributed to the event. … AHRQ Impact Case Studies
http://www.ahrq.gov/policymakers/case-studies/patient-safety.html
The Agency … for Healthcare Research and Quality’s patient safety case study portfolio aims to
identify risks and … This subset of the Agency’s Impact Case Studies
specific to patient safety highlights these successes
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www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
January 01, 2024 - Measures included 1) how much they blame the doctor and
hospital, 2) how likely they were to seek legal … adequately simulated what they would do in a real-
world setting. … hospital administrators somewhat
untrustworthy when it had to do with an error that resulted in no discernable … Witman AB, Park DM, Hardin SB, How do Patients Want Physicians to Handle
Mistakes? … How To – and Not To - Disclose Medical Errors to Patients. Managed
Care. 2002; Oct.
15.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - The following case studies illustrate the opportunities to reduce the risk and prevent complications … The virulent organism caused a severe infection and irreversible injury to the patient. … She was found to have a fever of 102 °F, and her blood pressure dropped to 90 systolic. … Case 3
A 38-year-old man was admitted to the hospital because of a left leg infection. … How do we reduce the risk of a similar event happening?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
April 01, 2006 - How To Use This Workbook
Although this Workbook can be completed by one individual, it would be a time-consuming … Module 4 provides guidance on available measures and how to use and interpret them in a quality improvement … 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 … Is there something else you might need to do to gather more data?
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-provider-ny.pdf
June 02, 2025 - PROBE: Who do you interact with on
the staff? How do you interact with the provider(s)?
2. … If you want to make a change in this practice how does that happen? … How comfortable are you about suggesting new ways to do things in this practice? … How much
contact do you personally have with the PF?
1. … What changes do you feel the practice may not be able to maintain?
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www.ahrq.gov/sites/default/files/publications2/files/guide-to-real-world-evaluations.pdf
October 01, 2014 - How do I plan an evaluation? … and expertise,
data, time
HOW DO I PLAN AN
EVALUATION? … • How does A lead to B
lead to C? … How much time do staff have available to implement the changes? … Do I Need an Evaluation?
II. What Do I Need for an Evaluation?
III. How Do I Plan an Evaluation?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - • Analyze a case study involving decisions around the appropriateness of a urinary catheter and the … Part three is a case study that will
give you the opportunity to assess a patient, apply the principles … Finish your module by clicking on the case study. … Patient advocacy
• What are the expressed needs of the patient and how do they balance with the needs … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 51
Case Study
Now, let’s
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - • Analyze a case study involving decisions around the appropriateness of a urinary catheter and the … Part three is a case study that will
give you the opportunity to assess a patient, apply the principles … Finish your module by clicking on the case study. … Patient advocacy
• What are the expressed needs of the patient and how do they balance with the needs … AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 51
Case Study
Now, let’s
-
www.ahrq.gov/diagnostic-safety/tools/index.html
June 01, 2025 - Dx is a self-evaluation tool for clinicians to improve their diagnostic decision making. … four interventions and four case studies designed to improve patient safety by meaningfully engaging … Measure Dx : A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … These AHRQ resources demonstrate how asking questions can improve care with tips on how to communicate … what they can to do prevent diagnostic error.
-
www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
February 01, 2017 - Slide 4: Why Do I Want To Know About VACs and IVACs? … Do we see improvements?
Image: Photo of a large "start" button. … Slide 20: How Can We Evaluate the Data? … Slide 21: How Will I Use My Data To Drive Improvement? … Develop a form to help analyze individual cases.
Do we have policies and procedures in place?
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-particpant-workbook.pdf
February 04, 2022 - How do I integrate what I hear with what I already
know to ask what else it can be? … How do I ask the right questions of the right people at
the right time to achieve a safe diagnosis? … How do I integrate what I hear with what I
already know to ask what else it can be? … Studies https://psnet.ahrq.gov/webmm-case-studies
PSNET Diagnostic Errors
Examples
https://psnet.ahrq.gov … gov.ahrq.teamstepps&hl=en
https://www.ncbi.nlm.nih.gov/books/NBK338598/
https://psnet.ahrq.gov/webmm-case-studies
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - Additional Tools and Resources
Introduction
Case Study: Mr. P
Mr. … Often, when a change occurs that might signal illness in a resident, that change has nothing to do with … We need to see how things work, notice when they aren't working right, learn how to fix problems, and … learn how to recover when things do go wrong. … They have learned how to avoid those situations and, when they do happen, to fix them as well as they
-
www.ahrq.gov/sites/default/files/2024-01/vanschaik-report.pdf
January 01, 2024 - Moreover, most published guidelines do not
explicitly discuss how to debrief interprofessional teams … from research questions and has been
used in case studies to analyze complex phenomena.36,37 The goal … Modeling what we teach: an instrumental case study of interprofessional facilitation
in simulation-based … The use of qualitative content analysis in case study research. … Prologue: Why do our expectations of how work should be done never
correspond exactly to how work is
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/MOC-PIV-Field-Guide.pdf
June 01, 2015 - This is not a “what to do” manual, but rather a tool to
provide guidance and strategies about how PBRNs … Section 5 describes how to apply to a medical specialty board to have a QI activity be considered for … 4.2 How to determine if a research study is a good fit for meeting MOC
requirements
A determination … To do this, a PBRN would work with one or
more specialty boards to develop the project to meet their … See question checklist in Section 4.2, How to determine if a research study is a good
fit for meeting
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - our key findings from the case studies. … Most of the case study systems are in
highly competitive markets. … do rather than how to do it. … The Boston University study team conducted case studies of a diverse group of eight safety-net
systems … Evolution of physician-hospital alignment models: a case study of co-management.
-
www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
February 01, 2023 - The education format will be a mix of concepts and case studies. … Although you aren't required to do this, you might find that it will help you understand how to apply … But how do you know if this is an issue? … Adaptive or Cultural Changes
Say:
So, how do you know if you are facing a cultural challenge? … How can you do this?
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - The education format will be a mix of concepts and case studies. … Although you aren’t required to do this, you might find that it will help you understand how to apply … But how do you know if this is an issue? … SLIDE 12
SAY:
So, how do you know if you are facing a cultural challenge? … How can you do this?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/cahps-strategy-section-6-g.pdf
July 31, 2017 - do they learn how to partner with patients and serve as a coach
or guide. … As a result, they typically do not know how to communicate with patients in a
way that maximizes understanding … Workshops
may also use case studies to illustrate the importance of communication and suggest
approaches … Group Health
Cooperative in Seattle, for example,
offers a training curriculum on how
to write e-mails … But if they are
contemplative, then the time
required to coach them about things
they can do to adopt