Results

Total Results: 7,590 records

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

4181. Rural Healthcare Quality Network (RHQN) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
      January 01, 2008 - These Plan-Do-Study-Act (PDSA) workshops were held regionally. … RHITC Website had been completed, each participating hospital received training via videoconference on how … Each hospital received training on how to abstract data and enter data via videoconference. … meetings to learn about how each was progressing and to listen to presentations from experts in the … the work they do every day and do not include QI as part of a balanced scorecard

4182. Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic
      October 29, 2017 - to acute care: a systematic review. … Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic … Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic … conceptual framework and a call to action. … November 20, 2015 Hospital do-not-resuscitate orders: why they have failed and how to

4183. Patient error: a preliminary taxonomy. | PSNet
      psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
      June 02, 2010 - patient fails to take medications as prescribed. … The authors suggest that further research should investigate how interactions among patients, clinicians … , and systems lead to harmful adverse events. … A scoping review of questions for patients to ask throughout the diagnostic process. … June 2, 2010 Do medication samples jeopardize patient safety?

4184. Preventing medical injury. | PSNet
      psnet.ahrq.gov/issue/preventing-medical-injury
      February 18, 2011 - The authors conclude by proposing areas to target to reduce iatrogenic injury. … February 18, 2011 The Institute of Medicine report on medical errors—could it do harm … March 16, 2022 Use of simulation to measure the effects of just-in-time information to … prevent nursing medication errors: a randomized controlled study. … View More Related Resources Fighting MRSA infections in hospital care: how

4185. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet
      psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
      August 28, 2013 - directly observe how briefings affect team communication. … August 28, 2013 Using trainee failures to enhance learning: a qualitative study of pediatric … 2015 View More Related Resources Preoperative surgical briefings do … August 11, 2010 A surgical safety checklist to reduce morbidity and mortality in a global … February 17, 2010 Implementing a pre-operative checklist to increase patient safety:

4186. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency. | PSNet
      psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
      April 13, 2022 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … The authors outline how ALARA risk standards can be adapted by training program directors to measure … PubMed citation Available at Save Save to your library Print Download PDF … robust process improvement program in the neonatal intensive care unit to reduce harm. … July 24, 2019 Do words matter?

4187. Residents' numeric inputting error in computerized physician order entry prescription. | PSNet
      psnet.ahrq.gov/issue/residents-numeric-inputting-error-computerized-physician-order-entry-prescription
      March 24, 2019 - main keyboard rather than a numeric keypad. … January 12, 2011 Autopsy interrogation of emergency medicine dispute cases: how often … March 19, 2018 View More Related Resources When order sets do not … September 1, 2016 Implementation of a custom alert to prevent medication-timing errors … responding to drug-duplication reminders.

4188. Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
      May 01, 2024 - But I’m just a little reluctant to put a lot of faith in how far we can go with that. … I think it really is incumbent on us [former] patients to help newly diagnosed people to learn how … direct approach, 2) a focus on competing medical issues, or 3) a discussion about how harms can outweigh … “Shared decision making doesn’t mean anything if doctors don’t know how to do it.” … because most people do not realize that screening is a choice.

4189. A long-term follow-up evaluation of electronic health record prescribing safety. | PSNet
      psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
      November 26, 2014 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … Many institutions are now moving from relatively unsophisticated electronic health records (EHRs) to … Prior studies have also shown that at least 1 year of use is required to obtain the safety benefits … March 13, 2024 How well do we communicate? … systems-based approach to prescribing errors in a pediatric resident clinic.

4190. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. | PSNet
      psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing
      August 28, 2024 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … Pediatric patients are particularly vulnerable to medication errors. … process to measure actual harm from medication errors in paediatric inpatients: from design to implementation … June 19, 2024 How effective are electronic medication systems in reducing medication … December 2, 2020 Effectiveness of a 'Do not interrupt' bundled intervention to reduce

4191. Treatment of Osteoarthritis of the Knee: An Update Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-knee-update-disposition-archived.pdf
      May 04, 2017 - do; to update the 2007 and 2012 SRs by the EPC. … This appears to be Table 2 and if this is not mentioned earlier, it would be useful to do so. … We are not sure how to improve the discussion of the findings. … to determine an overall level of risk (as we were asked to do). … Outside a few minor corrections, my comments relate mostly to how and what information is emphasized

4192. Treatment of Osteoarthritis of the Knee: An Update Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/osteoarthritis-knee-update-disposition.pdf
      May 04, 2017 - do; to update the 2007 and 2012 SRs by the EPC. … This appears to be Table 2 and if this is not mentioned earlier, it would be useful to do so. … We are not sure how to improve the discussion of the findings. … to determine an overall level of risk (as we were asked to do). … Outside a few minor corrections, my comments relate mostly to how and what information is emphasized

4193. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
      March 11, 2022 - ■ How many minutes are allocated to a new patient visit? … healthcare teams do not work than how they do. … unless there is a good reason not to do so. … Plesac M, Olson A. See none, do none, teach none? … How to improve the teaching of clinical reasoning: a narrative review and a proposal.

4194. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility due to … as the root cause.( 1 ) His update 15 years later revised his conclusions to focus on how defective … The clinical vignette clearly illustrates how patients are particularly susceptible to defects in care … A proactive approach to matching clinical need to level of care prior to patient arrival at the ED is … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

4195. Transcript Deliberativemethodswebinar (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/transcript_deliberativemethodswebinar.pdf
      April 19, 2012 - a great deal to do with the quality of facilitation, right? … how do you ask the question may influence a great deal what answer you get. … out ahead of time, but you kind of do need to see how these processes unfold to understand what actually … How do facilitators claim and deploy their authority and power? … Oftentimes, they very quickly want to jump to how do we solve a problem.

4196. Disposition of Comments Report for Screening, Behavioral Counseling, and Referral in Primary Care To Reduce Alcohol Misuse (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse_disposition-comments.pdf
      July 10, 2012 - I am having a hard time figuring out how to modify the diagram. … If so, then how does one account for the many reasons screened people do not end up in the trial beyond … We include in the limitations, for example: “For Key Question 2 (“How do specific screening modalities … It is not clear to us how this subgroup fits in with the defined terminology or how this is a useful … do a screening vs no screening study is not easily translatable to a study because it would likely

4197. Part Two: Removing the Obstacles to Practice Change (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/ena-slides/part2a.html
      October 01, 2015 - Practice Change Part Two: Removing the Obstacles to Practice Change (continued) Case Study Conclusion … The nurse champion is informed on all current research and knows how it is applied to practice. … Results and diagnosis: How was a diagnosis determined based on those results? … How are data being collected? Is there a handoff tool for reporting to the inpatient nurse? … How can you gather data to support your efforts?

4198. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Do emergency department patients receive a pathological diagnosis? … The cognitive imperative: thinking about how we think. Acad Emerg Med. 2000;7(11):1223-1231. … Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study … Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. … Arora VM, Johnson JK, Meltzer DO, Humphrey HJ.

4199. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - It causes us to ask, “What were the contributing factors that led to this event, and how can we prevent … Do you think that's a misunderstanding of your viewpoint? … a goal of zero harm and shares principles, practices, and case studies in applying safety science and … So why do safety culture proponents advocate the adoption of a seemingly unachievable goal? … Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare . McGraw-Hill; 2019.

4200. Appendix VII: Public Comments Submitted Between March 7 and March 21, 2008 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
      June 01, 2010 - States have limited resources for these activities and will need to know how to prioritize which are … How will this be accomplished? … How is this issue going to be addressed in relation to the recommended measures list? … Advance Planning Goal: persons with dementia who are still able to create advance directives do so, … provide and how to get help in an emergency.