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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysetsq-a.html
July 01, 2013 - FsQCA is set up to help the investigator make sense of observational case studies. … Question: Do you need to have an in-depth knowledge of the issue because you are biased in the selection … If you don't know your data well, it will be difficult to do that. … Question: Is it possible to use fsQCA if you do not pre-select your factors for analysis? … make a decision based on theoretical or substantive/empirical knowledge as to how meaningful the differences
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - engagement
Slide 4
Case Study
08/02/12 – Ms. … Slide 5
Case Study
08/04/12 – Ms. … Slide 8
Laying the Groundwork
Education to staff:
Who = Case Studies, Current unit data … ↓
Educate (Technical): What do we need to know?
↓
Execute (Adaptive): What do we need to do? … to do is say ‘Look, you’re not one of us’… the way to get buy-in from surgeons is you got to have a
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psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology
January 25, 2023 - This study used a trigger tool to retrospectively identify and characterize no-harm incidents affecting … August 12, 2020
How does the WHO Surgical Safety Checklist fit with existing perioperative … March 18, 2020
Closing the loop on test results to reduce communication failures: a rapid … October 28, 2020
A qualitative study of what care workers do to provide patient safety … case study as basis for theory development.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
April 01, 2011 - Case study: VA.
Who will sustain these practices?
Support needed to sustain these practices. … Team can do
What hospital
leadership can do
What Sustainability Team Can Do
•
•
•
•
Make … to measure
Plan how to assess data
21
Purpose of Measurement
Measuring pressure ulcer rates and … Case study: VA.
Who will sustain these practices?
Support needed to sustain these practices. … To Measure
Plan How To Assess Data
Reinforcing Desired Results
Celebrate Successes
Other Ways To
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/psychiatric-readmissions_research-protocol.pdf
December 31, 2014 - that have been proposed or used in clinical
practice; advantages/disadvantages of each; how do alternatives … a. How do these management strategies vary across the United States?
b. … We will use
inclusive criteria for GQs 1, 2, and 4 to capture the broad context of how these
management … Key Informants do not do analysis of any kind nor contribute to the writing of the report and
have not … Studies"[MeSH] OR "Cross-Over Studies"[MeSH])
619
#22 Search (#16 or #18 or #19 or #20 or #21) 702
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psnet.ahrq.gov/issue/do-my-feelings-fit-diagnosis-avoiding-misdiagnoses-psychosomatic-consultation-services
March 18, 2020 - RIS
Download Citation
Related Resources From the Same Author(s)
How … : a key enabler to successful implementation of audit and feedback. … April 3, 2017
When do supervising physicians decide to entrust residents with unsupervised … A study of US hospitals. … August 10, 2022
Standardized orders for titrating vasopressors: do efforts to improve
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psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
April 19, 2011 - Their survey revealed a surprisingly high rate of acknowledged serious errors, many contributing to patient … RIS
Download Citation
Related Resources From the Same Author(s)
How … June 22, 2009
A randomized trial of a multifactorial strategy to prevent serious fall … prospective observational case study of five teaching hospitals. … September 28, 2016
Beyond "see one, do one, teach one": toward a different training paradigm
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - , stating not just how many days since a worker had lost a day, but also how many days it has been since … In all honesty, I really didn't have a whole lot else to do. … number of very energetic, creative people involved in trying to figure out how we do all this. … The response of our hospitals was not at all one of resistance; it was "How do we do it?" … positive-exemplar case study of a new patient safety tool.
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psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals
January 29, 2014 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save
Save to … professional, and a broad view of responsibilities was associated with a stronger focus on patient safety … March 22, 2023
Disrupting diagnostic reasoning: do interruptions, instructions, and experience … June 21, 2016
Exploring the role of communications in quality improvement: a case study … November 16, 2011
One-stop diagnostic breast clinics: how often are breast cancers missed
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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - and conclusions in this document are those of the author(s), who are responsible for its content, and do … CDS Hooks is an HL7 specification that specifies how to embed CDS functionality within the EHR, allowing … The researchers plan to further evaluate DDInteract to better understand how the tool impacts decision … support clinical decision support: Case study with shared decision making and drug-drug interactions … Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared
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psnet.ahrq.gov/issue/harmful-errors-how-will-your-facility-respond
November 05, 2014 - Newspaper/Magazine Article
Harmful errors: how will your facility respond? … Citation Text:
Harmful errors: how will your facility respond? ISMP Medication Safety Alert! … response to codes. … case study. … March 8, 2015
Learning from mistakes in New Zealand hospitals: what else do we need besides
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psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
January 18, 2023 - January 18, 2023
Stories from the sharp end: case studies in safety improvement. … February 24, 2021
A system-based approach to managing patient safety in ambulatory care … January 10, 2018
Do HSMRs really measure patient safety? … November 13, 2019
Healthcare scandals and the failings of doctors: do official inquiries … November 6, 2015
Freedom to Speak Up: A Review of Whistleblowing in the NHS.
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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-f.pdf
June 12, 2014 - This book chapter is intended to provide a “how to” guide for biomedical informatics
evaluation research … studies. … The Web site
also provides information on when it is appropriate to use a focus group, how to record … focus group data, and how a focus group can benefit a research study. … or a case-control design) do not systematically overestimate the magnitude of the
effects of treatment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - and submit the findings in the form of a case study report. … M
J
J
A
S
Analysis
Task 7: Create Case Study
Outline of case-study … Draft Case Study to AHRQ
Receive feedback from AHRQ … Final Case Study to AHRQ
Task 8: Administration … How long have you been in this position?
3. What do you do on a day-to-day basis?
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psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
November 11, 2020 - EndNote 7 XML Endnote tagged PubMedId RIS
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Save to … PubMed citation
Free full text
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Save to your library
Print
Download PDF … prospective observational case study of five teaching hospitals. … August 27, 2009
Early experience of peer advocate program: using quality improvement to … October 11, 2023
How safe do dying people feel at home?
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www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
September 01, 2012 - How do we conduct a time-limited internal case-control study for C. difficile? … How do we conduct a time-limited internal case-control study for C. difficile? … How do we keep the ASP efforts relevant and a continued focus? … How do we conduct a
time-limited internal case-
control study for C.
difficile? … Do we have a description of
how ASP activities translate
into cost savings?
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Slide 11: Team Debrief
What can we do better next time? … Slide 19: How Do You Create a Mindful Process? … New clinical building impact; plan to teach sonographers how to use an alternate device in some cases … Slide 36: Case Study: Laparoscopic Surgery Trays
Problem
Laparoscopic gastrointestinal tray had … Slide 37: Case Study: Laparoscopic Surgery Trays
Images: "Before" photograph of laparoscopic GI Surgery
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psnet.ahrq.gov/issue/why-do-healthcare-professionals-fail-escalate-early-warning-system-ews-protocol-qualitative
August 25, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? … March 24, 2021
A qualitative study of what care workers do to provide patient safety … July 7, 2021
What do patients and their carers do to support the safety of cancer treatment … March 21, 2012
Understanding how rapid response systems may improve safety for the acutely … September 24, 2010
Committed to Safety: Ten Case Studies on Reducing Harm to Patients
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - Retrieving medications is something nurses do many times during a shift, and, most of the time, it goes … participated in a frank discussion about what had happened and how future mistakes of this type could … of no-harm or "near miss" errors is even greater.( 15 ) How to improve reporting has become a much-researched … question in recent years, with the reasons for nonreporting found to be many and varied.( 16 ) How … Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - KH : Do you think you have to understand a culture specifically to deliver culturally competent care? … The approach that the toolkit took was to create a separate tool called “ How to deliver the re-engineered … The module includes train-the-trainer resources and instructional guides that include short case studies … Accessed December 5, 2019. [25] TeamSTEPPS Case Studies. ahrq.gov. … https://www.ahrq.gov/teamstepps/case-studies/index.html .