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psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care
March 01, 2011 - March 6, 2019
Informal learning from error in hospitals: what do we learn, how do we … learn and how can informal learning be enhanced? … A narrative review. … a case study with unplanned extubations. … January 23, 2019
Failure to rescue in neonatal care.
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - series of case studies from interviews and written responses from leaders at three different health systems … [4] The three case studies presented below from UC Davis Medical Center, University of Arkansas for … Case Studies To develop these case studies, the sites responded to a series of questions that gathered … But how do you work with your patients to ensure that they are comfortable with doing a telehealth visit … Conclusion All three case studies highlighted in this Perspective demonstrate innovative ways that
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/case-management_disposition-comments.pdf
January 01, 2013 - It also wasn't clear to me how the summary
statements flowed from the data e.g. … This
seems like a reasonable statement—not sure how
supported by the presented data.
Thank you. … do not have time for a very
careful reading. … Third, there could be
some recommendations on what to do and what
not to do policy-wise. … how
general conclusions could be made about the 5
studies as a whole.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-slides.pdf
January 30, 2020 - THE GAP
The Opportunity: How to Close the Gap
12
EVIDENCE-BASED
APPROACH
EVIDENCE-BASED
APPROACH … The Opportunity: How to Close the Gap
13
PARTICIPANTS • Automatic referral: EMR based referral
built … 17
PARTICIPANTSFOR PATIENTS
• Do not get referred to CR; lack of care coordination
for CR even if … Importance of CR
The Opportunity: How to Close the Gap
The Opportunity: How to Close the Gap
The Opportunity … : How to Close the Gap
The Opportunity: How to Close the Gap
Barriers to CR Participation: Why So Low
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psnet.ahrq.gov/issue/becoming-high-reliability-organization
May 04, 2015 - Special or Theme Issue
Becoming a High Reliability Organization. … High reliability attainment is a stated goal for health care organizations. … March 4, 2015
Evaluating the Patient Safety Indicators: how well do they perform on Veterans … prevent a recurrence of patient safety incidents: an observational study. … improvement: findings from six case studies.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-transcript.pdf
September 01, 2015 - 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.
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psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
December 15, 2011 - This finding corroborates a prior study in surgical patients. … Author(s)
Validating the Patient Safety Indicators in the Veterans Health Administration: do … December 15, 2014
Partnering with VA stakeholders to develop a comprehensive patient … June 20, 2011
How hospitals select their patient safety priorities: an exploratory study … February 10, 2012
How do black-serving hospitals perform on patient safety indicators
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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - The Health Insurance Portability and Accountability Act (HIPAA) regulations do not protect privacy for … the patient's recently bereaved family members in a waiting room, continues to be discussed in a variety … Our solution to this conundrum—how to take advantage of the usefulness of video without compromising … Cognitive properties of a whiteboard: A case study in a trauma center. … March 2, 2011
WebM&M Cases
How Do Providers Recover From
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - What You Can Do:
Develop a contract or commitment form for those involved in SWAT to outline expectations … What You Can Do:
Shadow pilot unit staff to ensure that tasks are completed correctly and in a timely … What You Can Do:
Conduct a process analysis of your facility’s supply dispensing system to ensure … plan and provided the following to all nurses on the pilot units:
Case study to test proper EHR … What You Can Do:
Hold a Patient Safety Fair to share information about pressure injury prevention
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psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
June 23, 2021 - May 1, 2019
A randomized trial of a multifactorial strategy to prevent serious fall injuries … December 3, 2014
Case studies of patient safety research classics to build research capacity … September 17, 2010
So many ways to be wrong: completeness and accuracy in a prospective … August 17, 2022
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 … A new documentary explores what happens when they do—and how to fix it.
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psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
June 26, 2015 - In this article, the authors report on how house officers cope with their medical mistakes and how different … RIS
Download Citation
Related Resources From the Same Author(s)
Do … to patients. … September 19, 2016
How accurately do older adult emergency department patients recall … : Why A Thorough Psychosocial History Can Improve Care.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cesarean-birth-future_research.pdf
August 09, 2012 - and understanding of the term case study. … A case study in clinical research describes a study or
report of individual patient or case. … In contrast, the unit of analysis for a case study in policy
research can be an institution, a state … In order clearly to make this distinction,
we refer to the latter as “policy case studies” in Table … In order clearly to
make this distinction, we refer to the latter as “policy case studies.”
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/case-management-future_research.pdf
June 01, 2015 - - CM Program Case Studies.
- Practice/Policy Analysis.
- Surveys.
A.2. … Program case studies.
B.3. … Program case studies.
B.4. … Program case studies.
22
Table 9. … To examine how
case management
can be implemented
successfully
Literature review
and case studies
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/healthteamworks.pdf
August 01, 2014 - As part of its work in this area, AHRQ commissioned Mathematica Policy Research to conduct case
studies … We hope that these case studies will be useful to groups and individuals who are developing or
improving … We are deeply grateful to the case study participants from the three exemplary programs for their time … This case study profiles Coach University, a training program offered by
HealthTeamWorks, a nonprofit … This case study was developed as part of a contract funded by the Agency for Healthcare Research and
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www.ahrq.gov/research/publications/search.html?page=1
September 01, 2024 - Tertiary Care Health System in Brazil: A Case Study
Diagnostic Safety Issue Brief #20. … This case study describes how we used our survey to create an initial approach to developing and implementing … a program to recognize and address diagnostic errors. … Support Primary Care Quality Improvement: A How-To Guide
This how-to guide shares guidance about … To do this, we provide an overview across AHRQ's primary care grants and contracts, highlight studies
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - From board to bedside: how the application of financial structures to safety and quality can drive
accountability … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
Jochen Profit, MD, … https://psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit … First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
Jochen Profit, MD, … From board to bedside: how the application of financial structures to safety and quality can drive
accountability
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Reilly, MD, MS, and Christopher Webster, DO | March 1, 2017
View more articles from the same authors … be disproportionately influenced by how a problem is described, by whom it is described, or even the … disease states) Promote knowledge of atypical presentations of disease Symptom-based Reading Case … reports (e.g., NEJM series) Flash card review to build clinical knowledge base Raising awareness … April 8, 2018
Teaching about how doctors think: a longitudinal curriculum in cognitive
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - what we could do to make things
better. … The goal is to have a better understanding of how and why
people react the way they do and, through … How do you identify and manage disruptive or inappropriate behaviors? … Study). … Case Study
Back to Top
(Go to case study citation in perspective)
One organization was having a particularly
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/action-planning-webcast-transcript.pdf
June 01, 2019 - For example, you could review the AHRQ Case Studies or talk with other organizations to
learn about … You might also talk to other hospital leaders,
look at the case studies on these different resources … I might provide some case studies. … Since our entire hospital was scoring low and as far as a well-used
technique and there's case studies … And any evidence from case studies or the literature could demonstrate to leadership that the initiative
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/pain-chronic_research-protocol.pdf
July 28, 2010 - How do payers impact patient access to MPPs?
2. … How do payers impact the therapy components of MPPs?
3. … How do payers impact the therapy components of MPPs?
6. … What information do patients need to know when seeking care at MPP?
4. … What do you view as the advantages/disadvantages of MPP?
5. How did you learn about MPP?