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

181. 8 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/methodsguide_chou_assessing_harms_when_comparing.pdf
     November 01, 2008 - studies, 30 but can refer to a broad range of study designs, including case reports, uncontrolled … Case reports and postmarketing surveillance. … A 1982 study examined 47 case reports published in 1963 in four major general medical journals and … A recent study, in fact, found that only 18 percent of case reports of suspected adverse drug reactions … Criteria for evaluating the likelihood of a causal relationship in case reports Temporal relationship

182. How Does Health Care Simulation Affect Patient Care? | PSNet
     psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
     August 01, 2018 - developed technologically where it wasn't a huge ordeal to do one study. … RW : In a field like nuclear power or aviation, how do you know when you're doing too much? … How do you calibrate that? … how that's going to play out. … malpractice studies and other case reports, such as failure to escalate therapy when the initial therapy

183. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide4.html
     October 01, 2017 - when teams follow a systematic approach to analysis and implementation, such as in the Plan, Do, Study … Slide 6 Say: You should also think about these questions: How do you get staff engaged … Slide 22 Say: There is a need to communicate about how implemented changes are working. … Options include didactic methods, such as lectures, interactive presentations, online lessons, case study … In addition, we began determining how to complete a draft Action Plan for Key Interventions 3 and 4.

184. Learning not to take it seriously: junior doctors' accounts of error. | PSNet
     psnet.ahrq.gov/issue/learning-not-take-it-seriously-junior-doctors-accounts-error
     December 16, 2015 - did not receive constructive feedback on their performance or training in how to disclose errors to … February 22, 2019 Exploring the role of communications in quality improvement: a case … study of the 1000 Lives Campaign in NHS Wales. … March 18, 2011 Teaching but not learning: how medical residency programs handle errors … October 28, 2010 WebM&M Cases Do Not Disturb!

185. Preventing CAUTI in the ICU Setting Facilitator’s Guide Transcript | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
     February 01, 2023 - The education format will be a mix of concepts and case studies. … But how do you know if this is an issue? … Slide 13 So, how do you know if you are facing a cultural challenge? … How can you do this? … Slide 2 Let’s begin with the case study.

186. Does the concept of safety culture help or hinder systems thinking in safety? | PSNet
     psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
     October 12, 2011 - One example is for an organization to establish a safety practice and implement processes to ensure the … December 1, 2010 Learning from accidents—what more do we need to know? … leaders of nursing homes negotiate their dual responsibilities- a case study. … December 4, 2024 Leading quality and safety on the frontline - a case study of department … safety: learning from what we do well.

187. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
     June 01, 2004 - Do house officers learn from their mistakes? … Reasons: Physicians believe disclosure is the right thing to do, but encounter insurmountable obstacles … ; or Physicians unclear about whether and how to disclose errors Case (cont.): The Wrong Shot … Vincent C, Young M, Phillips A. Why do people sue doctors? … administer an important vaccine to a child.

188. Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet
     psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
     January 22, 2017 - This case study evaluated Ascension Health's implementation of a full disclosure protocol during a 2- … A major barrier to widespread dissemination remains convincing liability insurers to support this type … 1,500 avoidable deaths a year—and aim to do even better. … September 15, 2010 How active resisters and organizational constipators affect health … November 25, 2020 Why do hundreds of US women die annually in childbirth?

189. OpenNotes: Giving Patients Access to Medical Notes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-2.pdf
     April 01, 2016 - OpenNotes is a tool that gives patients access to their medical records so they can read encounter notes … It’s the right thing to do—it’s the patient’s record. … How can I get started? OpenNotes has a toolkit available to help you get started. … ■ Do I have to change the way I write my notes? … For a full case study on OpenNotes, see the Agency for Healthcare Research and Quality, http://www.ahrq.gov

190. Central Venous Catheter Removal
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
     April 01, 2022 - AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Disclaimer: All case studies are hypothetical … Any similarity between a case study and actual patient or hospital experience is purely coincidental. … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI Disclaimer: All case studies are hypothetical … Any similarity between a case study and actual patient or hospital experience is purely coincidental. … Do all patients on diuretics need a CVC?

191. Preventing-Cauti-Icu-Setting-Facilitators-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
     September 01, 2015 - The education format will be a mix of concepts and case studies. … How can you do this? … Module 2: Urinary Catheter Maintenance Module 2 builds on Module 1 and presents a case study. … In the case study, a nurse and a transporter ready a patient for transport. … Module 3: Conversations Around Device Necessity Module 3 features another case study.

192. Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma
     January 01, 2023 - It also looked at how clinics redesign information workflows to incorporate patient generated data. … This project addressed three research questions: How does the use of health IT to capture and use … How does the sociotechnical context influence workflow related to the capture and use of patient-reported … How do clinics (clinic staff and providers) redesign their workflows to incorporate the capture and use … A multiple case study design with mixed methods was used for data collection.

193. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. | PSNet
     psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
     June 24, 2009 - According to this qualitative study, only half of nursing trainees had received training on how to … April 8, 2008 To do no harm - and the most good - with AI in health care. … adverse events: a collection of vignettes. … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case … studies.

194. Module-6-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-implementation-guide.pdf
     June 02, 2025 - • Case Study: Genesis HealthCare System—Group Orientation Q&A with Genesis HealthCare System, which … • Case Study: Southwest Florida Heart Group—Open Gym Model Q&A with Southwest Florida Heart Group … • Case Study: Mount Carmel Health System—Cardiac Rehab Open Gym Q&A with Mt. … • Case Study: Christiana Care Health System—Use Clinician Follow-up to Bolster Enrollment Q&A with … • Case Study: Miriam Hospital Center for Cardiac Fitness—Patient Ambassador Program Q&A with Miriam

195. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
     June 01, 2012 - Understand the frequency of errors and adverse events in the transfer of patients between hospitals Describe how … Inter-facility patient transfers in Ontario: Do you know what your local ambulance is being used for? … transport services - a case study. … transport services - a case study. … Do specialist transport personnel improve hospital outcome in critically ill patients transferred to

196. Measurement of harms in community care: a qualitative study of use of the NHS Safety Thermometer. | PSNet
     psnet.ahrq.gov/issue/measurement-harms-community-care-qualitative-study-use-nhs-safety-thermometer
     January 23, 2019 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … A multisite case study. … case study. … April 17, 2019 How to be a very safe maternity unit: an ethnographic study. … September 24, 2017 Exploring how ward staff engage with the implementation of a patient

197. Case 5. Heights Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case5.html
     November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Case 5. … Studies Introduction to the Case Studies Case 1. … For this case study, we retrospectively studied the ED value stream as a whole and prospectively examined … to move forward and what events we're going to do in the future and how we're going to approach different … as a whole, based on the projects included in the case study, as well as other information about Lean

198. Partial Breast Irradiation for Breast Cancer: Systematic Review Protocol (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/pbi-protocol.pdf
     August 09, 2021 - study" or "case series" or "clinical series" or "case studies" or "clinical study" or "clinical trial … study" or "case series" or "clinical series" or "case studies" or "clinical study" or "clinical trial … study” or “case series” or “clinical series” or “case studies” or “clinical study” or “clinical trial … study” or “case series” or “clinical series” or “case studies” or survey* or questionnaire*).mp,pt. … study" or "case series" or "clinical series" or "case studies" or "clinical study" or "clinical trial

199. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
     May 01, 2012 - Using a communication framework at handover to boost patient outcomes. … prioritize appropriately Egocentric heuristic: sender underestimates how much information receivers … need and assumes receiver has access to same information they do Importance of structured written sign-out … . http://www.ncbi.nlm.nih.gov/pubmed/15382983 Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO … elements of handoff, such as anticipatory guidance and to-do items with residents.

200. Escape Fire: Designs for the Future of Health Care. | PSNet
     psnet.ahrq.gov/issue/escape-fire-designs-future-health-care
     May 26, 2010 - August 16, 2016 To Do No Harm: Ensuring Patient Safety in Health Care Organizations. … February 7, 2019 Medical Error: What Do We Know? What Do We Do? … February 4, 2009 Error Reduction in Health Care: A Systems Approach to Improving Patient … January 2, 2017 Stories from the sharp end: case studies in safety improvement. … January 4, 2006 Sources of Power: How People Make Decisions.