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

241. Action Planning for the SOPS Surveys-Introducing SOPS (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
     June 02, 2025 - administer a company-wide survey and then do nothing with the feedback” Source: https://www.tinypulse.com … What areas do you want to focus on for improvement? … success Resources  AHRQ Case studies  SOPS Webcasts  SOPS Resource lists 21 Section 2 Planning … • Identify a leader and/or champion ► Essential to identify enthusiastic, respected leader and/or champion … What areas do you want to focus on for improvement? 2. What are your goals? 3.

242. Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
     June 02, 2025 - In this study we sought to gain a deeper understanding of how physicians view the potential benefits … How do physicians think about potentially harmful clinical preventive services? 2. … Do physicians know about the harms of screening tests and consider them in relation to other factors … In Phase 2, we developed case studies from interviews with selected patients along with their physicians … From our case studies interviews with primary care physicians and their patients, we learned that:

243. Tacit Handover, Overt Mishap | PSNet
     psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
     August 01, 2006 - Confident that she knew how to manage these devices, she approached the head anesthesiologist for the … or what's going on currently that might impact what I do or how I do it?" … And providers will be trained to do it, perhaps best via simulation.( 9,10 ) The data elements of a … As cases like this one teach us, to do less no longer makes sense. … positive-exemplar case study of a new patient safety tool.

244. Cultural Competence and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
     December 27, 2019 - 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 . … 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

245. How many die from medical mistakes in US hospitals? | PSNet
     psnet.ahrq.gov/issue/how-many-die-medical-mistakes-us-hospitals
     January 23, 2013 - Citation Text: How many die from medical mistakes in US hospitals? Allen M. … January 23, 2013 How hepatitis probe led to clinic: old-fashioned legwork yielded clues … March 21, 2011 First do no harm. … January 22, 2014 Do no harm: hospital care in Las Vegas. … December 4, 2016 To make hospitals less deadly, a dose of data.

246. Does a unit shift report "blackout" period improve patient safety? | PSNet
     psnet.ahrq.gov/issue/does-unit-shift-report-blackout-period-improve-patient-safety
     August 04, 2021 - This commentary summarizes how one hospital sought to to avoid miscommunications and disruptions by … as a patient safety strategy. … to preventing the harm associated with ambulance handover delays. … March 19, 2019 Interruptions in a level one trauma center: a case study. … July 28, 2010 Do not put medication safety "on hold" with boarded patients.

247. Evidence-based Practice Center Systematic Review Protocol: Therapies for Clinically Localized Prostate Cancer (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-protocol_amended110619.pdf
     November 02, 2019 - Further, we do not know how effectiveness and safety are modified by patient characteristics (e.g., … 1) Age 2) Race/ethnicity 3) Comorbidities 4) Health status KQ 3: How do tumor characteristics modify … Technical Experts do not do analysis of any kind nor do they contribute to the writing of the report … or (letter or editorial or news or comment or case reports).pt.) (35118) 8 7 not (book/ or edited … book/ or case report/ or case reports/ or comment/ or conference abstract/ or conference paper/ or

248. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
     June 01, 2011 - : State how frequently physicians care for family or relatives Describe the risks associated with caring … I think the clerk recognized me as a physician on staff and handed it to me. … or substance abuse May try to spare a relative from a painful procedure Can become too involved in … a case and unable to step back when necessary See Notes for reference … What do you do when your loved one is ill? The line between physician and family member.

249. Cognitive biases encountered by physicians in the emergency room. | PSNet
     psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
     June 19, 2024 - reports of diagnostic errors. … June 19, 2024 Diagnostic errors in uncommon conditions: a systematic review of case reports … March 23, 2022 EMS non-conveyance: a safe practice to decrease ED crowding or a threat … April 27, 2022 What do emergency department physicians and nurses feel? … April 8, 2018 Autopsy interrogation of emergency medicine dispute cases: how often are

250. The COVID trap: pediatric diagnostic errors in a pandemic world. | PSNet
     psnet.ahrq.gov/issue/covid-trap-pediatric-diagnostic-errors-pandemic-world
     October 20, 2021 - Using case studies, this commentary describes how availability bias, diagnostic momentum, and premature … September 14, 2022 A diagnostic time-out to improve differential diagnosis in pediatric … August 19, 2020 Handshake antimicrobial stewardship as a model to recognize and prevent … August 12, 2020 Do no harm: reaffirming the value of evidence and equipoise while minimizing … July 8, 2020 COVID-19 — a reminder to reason May 20, 2020 View More

251. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. | PSNet
     psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational
     November 16, 2022 - Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational … Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational … A multisite case study. … December 18, 2017 Using a potentially aggressive/violent patient huddle to improve health … February 12, 2014 WebM&M Cases Do Not Disturb!

252. Root Cause Analysis | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/root-cause-analysis
     January 01, 2023 - Case studies. Patient safety: the PROACT root cause analysis approach. … Description Root cause analysis (RCA) is a popular technique used to determine why a problem occurred … The goal of a root cause analysis is to identify a problem’s origin by following a series of steps. … Uses To determine the cause of an error. How do I use this tool? 1. … ASSEMBLE A TEAM OF PROCESS EXPERTS to study the event. 2.

253. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
     August 18, 2011 - William Withering (1741-1799) Case Study E.G. is an 85 year-old female nursing home resident with … Case Study One evening, a covering physician is called with a report that the patient has developed … Case Study The primary care physician is notified, and vitamin K is administered for 3 days with a … Study Case Study (Cont'd.) … Case Study (cont'd.) Case Study (cont'd.) Case Study (cont'd.)

254. The Case for Patient Flow Management | PSNet
     psnet.ahrq.gov/web-mm/case-patient-flow-management
     February 23, 2019 - The patient did not call to schedule an appointment and was not prompted to do so. … Our commentary will focus on a different issue—how scheduling systems and processes can impede access … Weber DO. … Queue Fever, Parts 1 and 2: A little number crunching can show hospitals how many beds and staff members … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

255. Appendix K. Quality Improvement Study Framework - Implementation Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
     May 01, 2017 - Describe what to measure and how to use the data. … Consider using the 3 A’s to decide what to do next: A dopt – The goal was reached. … Do not continue with an obviously unsuccessful intervention just for the sake of adherence to the plan … Once again, consider using the 3 A’s to decide what to do next: A dopt – The goal was reached. … Communication/Reporting of Findings Schedule a time to share all of the data collected, how it

256. Near Miss with Bedside Medications | PSNet
     psnet.ahrq.gov/web-mm/near-miss-bedside-medications
     February 01, 2006 - The pharmacist came to the ED to teach the patient how to do the subcutaneous LMWH injections, which … Near misses are unsafe acts that have the potential to injure a patient, but do not. … capture errors and their consequences, it is not certain how common near misses are relative to errors … They are free lessons about how things go wrong and how they can be fixed before someone gets hurt. … December 3, 2014 Case studies of patient safety research classics to build research capacity

257. Presentation: Auditing Your Briefings and Debriefings
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
     December 01, 2017 - How are they actually happening? What can we do to close that gap? … How many observers do you need? … That’s really how much data you want to collect How do you determine how much data to collect? … We have a lot of work to do on just the basics. … study of one hospital team’s approach to debriefing.

258. Slide Presentation: Contact Precautions for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/016-contact-precautions-webinar-slides.pptx
     October 01, 2024 - Assess fidelity to the model of care. What do we need to do? … How can we do it with our resources and culture? Analyze the data. … How do we know if we made a difference? … Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? … Do contact precautions cause depressions? A two-year study study at a tertiary care medical centre.

259. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool7.html
     March 01, 2014 - Summary References Appendix A. Case Studies Appendix B. Shared Appointments Appendix C. … Do you have a way to securely send and receive electronic fax information?   … Are there eligibility criteria for your program and if so, how do you assess it?   … On a scale of 1 to 10... … confident would I feel sending my patients to organization—do I think they will receive high-quality

260. Final Progress Report: Safe delivery of primary care to vulnerable populations: Using simulation to assess team performance in responding to behavioral and social determinants of health (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/zabar-report.pdf
     January 01, 2024 - did the PCA actually DO in response to your statements of concern about needing a doctor's note for … Though descriptive, USP data trends showed that, when providers respond to SDoH, they do not do so uniformly … How do core outpatient safety-related competencies assessed in OSCEs transfer to clinical practice ( … How do Residents Respond to Unannounced Standardized Patients Presenting with Social Determinants of … How Do Clinical Care Providers Respond to Social Determinants of Health?