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

321. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - Study Buffalo Hospital Uses TeamSTEPPS® To Improve Pediatric Patient Safety This case study demonstrates … http://www.ahrq.gov/poli cymakers/case- studies/201504.html Institute for Healthcare Improvement … http://www.vppartners.org/sites/default/files/reports/full_rpt.pdf http://www.ahrq.gov/policymakers/case-studies … /201504.html http://www.ahrq.gov/policymakers/case-studies/201504.html http://www.ahrq.gov/policymakers … /case-studies/201504.html http://www.ihi.org/knowledge/Pages/Tools/CauseandEffectDiagram.aspx http://

322. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet
     psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
     September 29, 2021 - Enacting a new role to support staff who raise concerns about quality and safety in the English National … Download Citation Related Resources From the Same Author(s) Why do … A multisite case study. … June 16, 2021 How to be a very safe maternity unit: an ethnographic study. … April 29, 2015 How not to waste a crisis: a qualitative study of problem definition and

323. Deciphering the Code | PSNet
     psnet.ahrq.gov/web-mm/deciphering-code
     November 16, 2022 - be DNR/DNI (do not resuscitate/do not intubate). … A thought-experiment of walking through the frequently nurse-driven activation of a code—including how … It would allow residents and other physicians to see how their actions fit with the actions of other … The effect of do-not-resuscitate orders on physician decision-making. … March 4, 2019 Mind the overlap: how system problems contribute to cognitive failure and

324. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet
     psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
     February 01, 2004 - Prior malpractice cases do not provide specific guidance, applicable to all circumstances, regarding … A jury can find them negligent if they do not do what a reasonable patient should do, such as respond … to obtain them, and what to do after that. … Assess how reliably individual patients are likely to be contacted and customize your approach. … of care provided, tests pending, and how to obtain the results.

325. Primary Workaround, Secondary Complication | PSNet
     psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
     January 24, 2018 - circumvent a problem to achieve a goal, or do so more easily. … In the case study, the use of a Foley catheter to maintain the patency of a stoma in the absence of a … For example, the case study described using a Foley catheter to maintain patency of a stoma in the absence … In the case study, the radiology staff did not question the disappearance of the catheter. … To Do No Harm: Ensuring Patient Safety in Health Care Organizations. Jossey-Bass; 2005.

326. Misread Label | PSNet
     psnet.ahrq.gov/web-mm/misread-label
     August 28, 2024 - On face value, it is almost impossible to imagine how this could have occurred. … understand how the error happened. … How Often do Errors of This Nature Occur? … How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and … July 29, 2020 The devil is in the detail: how a closed-loop documentation system for

327. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
     May 14, 2013 - studies Care delivery systems are social phenomena; each primary care practice is a potential “PCMH … Single Case Study fsQCA Large N Study One case A few or more cases Many cases Qualitative Qualitative … are able to get the data If qualitatively derived into a quantitative value, need to do that in advance … how systems work, how people interact; Observe and elicit insight from participants This understanding … all important – step back and look at larger picture; If no meaningful variation do not include as a

328. Webinar #1: Fuzzy Set Analysis (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
     July 01, 2013 - studies Care delivery systems are social phenomena; each primary care practice is a potential "PCMH … and the absence of A does not necessarily imply not-A Slide 8 A Middle Path Single Case Study fsQCA … If qualitatively derived into a quantitative value, need to do that in advance and separate from your … Spend time in practices/environments and get to know how systems work, how people interact; Observe and … – step back and look at larger picture; If no meaningful variation do not include as a set – still write

329. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
     January 12, 2022 - • Mini case studies are available to be customized to specialty areas. … How do we know? • Formulate a vision for the initiative. … Slide 26 Case Study: Joe Kane                                                     … study is based on a real delayed- diagnosis experience … • Improving Care Delivery Through Lean: Implementation Case Studies.

330. Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet
     psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
     June 12, 2024 - June 12, 2024 Investigating hospital supervision: a case study of regulatory inspectors … a mortality review in a department of gastrointestinal surgery. … June 1, 2022 Why even good physicians do not wash their hands. … November 20, 2015 View More Related Resources How do we learn about … May 9, 2012 Attitudes to teamwork and safety in the operating theatre.

331. Chapter 3. Linking With a Community Partner | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
     March 01, 2014 - Summary References Appendix A. Case Studies Appendix B. Shared Appointments Appendix C. … Preemptive Identification Case Study. … Hybrid Approach Case Study. … HIPPA Compliance," offers practical steps to consider. 15 Case Studies. … Note: Appendix A (Case Studies) in this toolkit describes some of the practices in the AHRQ pilot

332. A Mid-Summer Fog | PSNet
     psnet.ahrq.gov/web-mm/mid-summer-fog
     September 29, 2017 - concern, and how easily a well-intentioned protocol designed to improve glycemic control may not only … fail to do so, but may even contribute to the occurrence of hypoglycemia. … How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … How can patient safety systems be designed to be more impervious to the impact of new, inexperienced … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

333. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet
     psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
     August 01, 2007 - RW: If the CEO has a hard time figuring out how much to bite off when he or she is trying to change … to do. … getting better, and how do we compare to the theoretical ideal? … There's a third question that boards are very interested in—how do we compare to others? … The case study experience out of things like the Pursuing Perfection program offers examples like the

334. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
     February 01, 2012 - : Define e-prescribing Describe ways in which e-prescribing can reduce health care costs State how often … electronically transmit a new prescription to a pharmacy. … Although he thought it was a bit strange to receive two medications for his problem, he was willing to … do anything to reduce his anxiety. … structured format for patient instructions For example, if a provider prescribes a medication to be taken

335. MEDICATION MANAGEMENT USING HEALTH IT FOR THE CARE OF ELDERLY PATIENTS (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
     June 16, 2021 - We’d like to share with you a case study and this is a case that came up in some of our earliest work … bleed potentially like the case study that I described earlier, or the patient was at risk for a bleed … relevant to the case study we presented earlier. … own decisions about how to do that. … I actually wondered how they would do that, how they would have time to do that given _________

336. Code Status Confusion | PSNet
     psnet.ahrq.gov/web-mm/code-status-confusion
     September 01, 2006 - appreciate how effective it is likely to be in their situation. … In more usual cases, patients who suffer cardiopulmonary arrest in the hospital do not have a reversible … Teach residents how to elicit patients’ preferences and arrive at goals of care.( 8 ) Physicians rarely … Opening the black box: how do physicians communicate about advance directives. … How do medical residents discuss resuscitation with patients?

337. When Things Go Wrong: Voices of Patients and Families. | PSNet
     psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
     November 19, 2015 - Foundation Copy Citation Related Resources From the Same Author(s) First, Do … No Harm Part 1: A Case Study of Systems Failure. … November 28, 2016 Patients' and family members' views on how clinicians enact and how … November 28, 2016 A new structure of attention? … Open disclosure of adverse events to patients and their families.

338. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
     March 01, 2011 - Describe how the inability to communicate clearly can place pediatric patients at risk for medical errors … * * Case: Pediatric Patient Safety (1) A 22-month-old infant was admitted to the hospital in … 15999965 * Dosing in Adults Doses of common medications in adults are generally recognizable and do … Pediatric medication errors: what do we know? What gaps remain? … Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary

339. Disclosing errors to patients: perspectives of registered nurses. | PSNet
     psnet.ahrq.gov/issue/disclosing-errors-patients-perspectives-registered-nurses
     February 17, 2011 - team event rather than as a patient–physician conversation . … September 19, 2016 Implementing an error disclosure coaching model: a multicenter case … study. … July 28, 2014 How do we know when we have done enough? … June 24, 2020 How policy makers can smooth the way for communication-and-resolution programs

340. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet
     psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
     May 01, 2005 - How to explain to the patient how a diagnosis so widespread and worrisome could have been delayed for … how to do so? … , or what to do if she observed or felt a change in the lump? … While cognitive failures may have played a role, we can do more to ensure that systems support clinicians … and patients and make it easier for them to do the right thing.