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

341. Case-control analysis of the financial cost of medication errors in hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/case-control-analysis-financial-cost-medication-errors-hospitalized-patients
     January 15, 2025 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … PubMed citation Available at Save Save to your library Print Download PDF … January 15, 2025 How long and how much are nurses now working? … August 9, 2023 How safe do dying people feel at home? … August 3, 2017 From a reactive to a proactive safety approach.

342. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - Case studies are included to document how transparency is practiced in each of the domains. … There is also a case study of 45 hospitals that ran the same campaign and increased their near-miss … definition of Just Culture, presentations on Just Culture, a case study, and videos. … AHRQ Impact Case Studies http://www.ahrq.gov/policymakers/case-studies/index.html? … Case studies and tools are linked to performance measures for particular conditions or areas of care

343. Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
     January 15, 2025 - • Practice case study in Appendix 12C. 5. … ) versus teaching the practice how to do it. … /meeting-needs-diverse-patient-population-through-patient-portals https://www.healthit.gov/case-study … /meeting-needs-diverse-patient-population-through-patient-portals https://www.healthit.gov/case-study … /meeting-needs-diverse-patient-population-through-patient-portals https://www.healthit.gov/case-study

344. Modeling and Analysis of Clinical Care for Health Information Technology Improvement | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/modeling-and-analysis-clinical-care-health-information-technology-improvement
     January 01, 2023 - and conclusions in this document are those of the author(s), who are responsible for its content, and do … The project also aimed to demonstrate how these techniques can be applied to design systems that are … Citation: Butler KA, Mercer E, Bahrami A, et al. … for Health Information Technology Improvement Document Type: Journal Publication Research Method: Case … Study , Qualitative Technology: Informatics × Disclaimer Disclaimer details

345. Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet
     psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
     September 28, 2017 - Women patients experience medical gaslighting wherein clinicians, policy makers, or the public do … How is he still practicing? … July 26, 2023 Why do so many Black women die in pregnancy? … May 31, 2023 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … July 8, 2020 Assessment of the implementation of a national patient safety alert to reduce

346. Primary Care Practice Facilitation Curriculum Module 29: Implementing Care Teams (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-29-implementing-care-teams.pdf
     September 01, 2015 - Building Teams in Primary Care: 15 Case Studies. … The California HealthCare Foundation compiled case studies from a range of primary care practices on … Building Teams in Primary Care: Lessons From 15 Case Studies. … • What changes would you need to make to how you are currently practicing to do this? … Why Change to Care Teams? How Do Care Teams Function?

347. Pharmacologic Management of Acute Pain by EMS in the Prehospital Setting Protocol Amendment (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/acute-pain-ems-protocol-amendment.pdf
     January 28, 2019 - How do harms vary by patient characteristics? KQ2b. … How do harms vary by routes of administration, dosing, and timing? KQ2c. … How do harms vary by patient characteristics? KQ4b. … How do harms vary by routes of administration, dosing, and timing? … department and battlefield settings to present a narrative summary of how the specific pain

348. Lost, mislabeled, and mishandled surgical and clinical pathology specimens: a systematic review of published literature. | PSNet
     psnet.ahrq.gov/issue/lost-mislabeled-and-mishandled-surgical-and-clinical-pathology-specimens-systematic-review
     September 23, 2020 - December 2, 2015 A cycle of redemption in a medical error disclosure and apology program … : a multicenter study. … 2018 Improving quality and safety of care using "technovigilance": an ethnographic case … study of secondary use of data from an electronic prescribing and decision support system. … March 20, 2019 How well do health professionals interpret diagnostic information?

349. Caution, Interrupted | PSNet
     psnet.ahrq.gov/web-mm/caution-interrupted
     October 01, 2016 - do before the interruption and simply hung the medication, connecting the bottle of Diprivan to the … Research on how to make technological aids more cooperative and less intrusive would be valuable before … hanging an IV medication) hard; how vulnerabilities are detected; how workers negotiate these tasks ( … Organizational silence: a barrier to change and development in a pluralistic world. … April 10, 2019 Interruptions in a level one trauma center: a case study.

350. In Conversation With… Lorri Zipperer, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
     February 26, 2025 - The case study for that had to do with a Johns Hopkins study participant . … In the writing and teaching that I do, I try to help not only librarians see how their skills fit in … Whereas when individuals use PubMed occasionally to try to do a paper and need to find a couple of review … Considering how to quantify the value of what librarians do is a huge challenge. … I don't know how to do that.

351. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
     April 01, 2023 - definition of Just Culture, presentations on Just Culture, a case study, and videos. … AHRQ Impact Case Studies https://www.ahrq.gov/news/newsroom/case- studies/index.html? … This subset of the Agency’s Impact Case Studies specific to patient safety highlights these successes … https://www.ahrq.gov/news/newsroom/case-studies/index.html? … Case studies are included to document how transparency is practiced in each of the domains. 15.

352. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
     December 01, 2024 - Case studies are included to document how transparency is practiced in each domain. … definition of Just Culture, presentations on Just Culture, a case study, and videos. 4. … AHRQ Impact Case Studies https://www.ahrq.gov/news/newsroom/case-studies/index.html AHRQ’s evidence-based … This subset of the Agency’s Impact Case Studies specific to patient safety highlights these successes … AHRQ Impact Case Studies 3. AHRQ Patient Safety Education and Training Catalog 4.

353. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
     November 01, 2022 - Identifying Areas To Improve: a. What areas do you want to focus on for improvement? b. … Compare your survey scores to other facilities or to your prior scores How do your scores compare … You can also find ideas in the AHRQ Impact Case Studies on the SOPS Surveys, SOPS Bibliography, and … You can use a Plan-Do-Study-Act (PDSA) cycle, which is a cyclical model for improvement, to test initiatives … • Do – Carry out the plan on a small scale.

354. Central Venous Catheter Insertion
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
     April 01, 2022 - CLABSI Disclaimer: All case studies are hypothetical and not based on any actual patient or hospital … Any similarity between a case study and actual patient or hospital experience is purely coincidental. … safe care Reduces communication failures Makes it easy for clinicians to do the right practice Greater … Safety Program for ICUs: Preventing CLABSI and CAUTI CVC Insertion ׀ 7 7 CVC Kit, Cart, or Box3 How … CVC Designate someone to maintain supplies and access Use a central line insertion checklist to ensure

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - Describe how variability in processes of care can increase the risk to patients undergoing emergency … , and Plan-Do-Study-Act cycles. … Decisions about how, when, and whether to operate emergently are complex and based largely on experience … be undertaken and, in the case study above, may have increased awareness of the risk of sudden deterioration … Senior physicians are likely to be able to do this more reliably than those with less experience.

356. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
     September 01, 2012 - management of peripheral IVs in the hospital State how frequently peripheral IVs should be changed in … and congestive heart failure (CHF) was admitted to the hospital with a CHF exacerbation. … At this medical center, there was a standard protocol that called for all peripheral IV catheters to … extremities, placing a new peripheral IV was going to be difficult. … inflammation should prompt removal of the IV catheter If peripheral IV catheter–related infections do

357. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
     January 01, 2015 - Five days earlier, the patient’s mom noted a rash on her daughter for which she was advised to administer … “What concerns do you have today?” “How can I help you?” “Anything else?” … seconds Without interruption, it takes a mere 6 additional seconds for patient to completely share … How Would You Feel as a Parent? Angry: “The incompetent doctor should have listened to me.” … Patient- and family-centered care and the role of the emergency physician providing care to a child in

358. Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. | PSNet
     psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
     October 04, 2017 - A set of case studies accompanies the report, which illustrate the professional duty of candor in various … September 10, 2014 Covid-19: Assessing the Risk to Public Protection Posed by a Doctor … August 31, 2016 Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients … November 1, 2024 How do hospital inpatients conceptualise patient safety? … November 15, 2017 Building a Culture of Candour: a Review of the Threshold for the Duty

359. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
     January 01, 2017 - a higher mortality rate than do mechanically ventilated patients without a VAE. … an additional understanding of how to diffuse the message to others. … These are a few suggestions for how to handle certain issues. … SAY: The first thing to do is to look at your cases. Use a line list like this. … Ask five staff members the questions, “How do we do this? What is the policy?”

360. Appendix B29: Engineer Inspection List | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb9txt.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B29: … Case Study and Program Examples Appendix D. … This is the list of things they have found that you need to inspect and repair. … Please do all the tasks that have a √ beside them for each room and bed number. … Refer to the Falls Engineer Instructions for details about how to do each task.