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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - 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.
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psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - 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. … The quality of care plans for patients with do-not-resuscitate orders.
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psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
January 04, 2019 - balance their efforts to drive broad-based improvement. … January 4, 2019
Hospital infection prevention: how much can we prevent and how hard should … May 20, 2020
The intersection of traumatic childbirth and obstetric racism: a qualitative … October 9, 2024
"What do health inequities have to do with anything?". … August 8, 2018
Communicating Clearly About Medicines: Proceedings of a Workshop—in Brief
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psnet.ahrq.gov/node/846564/psn-pdf
March 29, 2023 - A case study last year Illustrated one of the technological issues, in this case a manual
keystroke … Poorly designed systems that do not fit
into existing workflows lead to frustrated users and increase … A study on “do not
give” alerts found that clinicians modified their orders to comply with alert recommendations … For example, when a scribe
encounters a CDS alert, do they alert the clinician in all cases? … a case study using the UP-Fall detection dataset.
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - How has life changed over the last 10 or 15 years in terms of systems thinking, and how do you and surgeons … thinking about how do we prevent this from ever happening again. … Birkmeyer set us up well to think about how do we get surgeons to study their own skill when they are … Like how do you get set up for the operation? What do you make sure you have in the room? … How do you talk about which experts you need on backup?
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psnet.ahrq.gov/node/49438/psn-pdf
March 05, 2004 - 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 … this conundrum—how to take advantage of the usefulness of video without compromising
confidentiality—is … Cognitive properties of a whiteboard: A case study in a trauma center. … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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digital.ahrq.gov/sites/default/files/docs/technologies-underserved-populations-qas-02282023.pdf
February 28, 2023 - how to do this. … And so I think, as we
develop how to do these things better, it can be more quickly applied to other … And to think about how that could be done would be really interesting to do. … carefully how you're going to do your recruiting. … We actually put in a grant to NIH to do exactly t...
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - of reasons that have to do with the strength of the
case and how easy it will be to make that case in … lot of reluctance to do so. … But we
ask them to do so in the context of a system that has shifted the standard of care from just … And there are inquiries now about, how do we do this right? … Everybody is going to get there eventually, and the question is how do we
prepare for that transition
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - Confident that she knew how to manage these devices, she
approached the head anesthesiologist for the … or how I do it?" … And providers will
be trained to do it, perhaps best via simulation.(9,10)
The data elements of a good … As cases like this one teach us, to do less no longer
makes sense. … [go to PubMed]
8. Cooper JB. Do short breaks increase or decrease anesthetic risk?
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - For each medication, a
team member should ask how often and when the patient takes it. … For example, ask how the patient checks their blood sugars instead of “do you
check your blood sugars … It may be helpful to inquire how the patient
addresses hypoglycemic episodes to understand their need … If a patient is
suspected to be on sliding scale insulin, it is important to clarify and document how … There are many resources available to train staff from varied disciplines on how to perform a BPMH.
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - activities, including dissemination of focused educational programs, case studies, simulation-based … Not knowing how to have these types of tough conversations, I think, is a piece of it, too. … We say this is "disclosure" and "this is how to do it." … They taught me how to assist with various things. Remember I'm not a nurse, I'm a PhD counselor. … They taught me how to do various maintenance kinds of help.
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/vision-screening-children-ages-6-months-5-years
April 24, 2025 - How do rates of completion of eye examinations and obtaining appropriate treatment for amblyopia, its … trials; controlled cohort studies; case-control studies
KQ 4: Randomized, controlled trials
Case … reports, case series, systematic reviews, and all other study designs not listed as eligible; systematic … containing potentially relevant studies will be hand-searched for eligible articles
KQ 2: Studies that do … not attempt to perform the reference standard in all participants or a random sample of participants
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Retrieving medications is something nurses do many times during a shift, and, most of the time,
it goes … participated in a frank discussion about what had happened
and how future mistakes of this type could … of no-harm or "near
miss" errors is even greater.(15) How to improve reporting has become a much-researched … management would take no notice and was not likely to do
anything about the problem);
acceptance of … Committed to Safety: Ten Case Studies on Reducing Harm to Patients.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gastric-cancers-protocol-amended.pdf
February 07, 2025 - If we are unable to reach the study authors or do not receive a response within 6
weeks, we will assess … Case study of the comparison of
data from conference abstracts and full-text articles in health technology … They do not review the report, except as given
the opportunity to do so through the peer or public review … Technical Experts do not do
analysis of any kind; neither do they contribute to the writing of the report … They do not
review the report, except as given the opportunity to do so through the peer or public review
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - on evaluating diagnostic decisions to determine how many truly represent “errors.” … It is not clear how many observers, blinded to the outcome, would miss this finding, but surely some … have suffered from AD.( 10-12 ) Certainly those reports do not include patients requiring a magnified … In addition, they do not intend to include information or discuss investigational or off-label use of … Three case reports. Eff Clin Pract. 2002;5:23-28. [ go to PubMed ] 9. Berlin L.
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Little research has examined how to get maximum value out of the nurses or how to allow them to shed … The staff nurse that comes onto a med–surg unit has 4 to 8 patients assigned, each of whom has a to-do … list at the start of the shift, and has to figure out how to integrate those to-do lists, how to keep … Think about your to-do list as a stack of things to get done. … That's not a productive way to do it.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/intimate-partner-violence-abuse-older-vulnerable-adults
April 20, 2023 - How well do interventions reduce exposure to IPV, physical or mental morbidity, or mortality among screen-detected … How well do interventions reduce exposure to caregiver abuse and neglect, physical or mental morbidity … If so, how well do they perform in distinguishing between those who are at high vs. low risk of abuse … screening; studies of other interventions that do not include a health service component (e.g., effectiveness … screening; studies of other interventions that do not include a health service component (e.g., effectiveness
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening
April 20, 2023 - How well do interventions reduce exposure to IPV, physical or mental morbidity, or mortality among screen-detected … How well do interventions reduce exposure to caregiver abuse and neglect, physical or mental morbidity … If so, how well do they perform in distinguishing between those who are at high vs. low risk of abuse … screening; studies of other interventions that do not include a health service component (e.g., effectiveness … screening; studies of other interventions that do not include a health service component (e.g., effectiveness
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020323-mollica-final-report-2014.pdf
January 01, 2014 - The proposed VP HIT innovation will train PCPs on
how to accurately identify trauma as a major medical … from providers, even though they do not understand instructions on
how to take medications. … software and instructions about how to use it. … freely in a written document
generate a problem list and a tentative “to do list” or treatment plan … How do you perceive a virtual
patient as compared to a paper case
/5
Correlations
PCPyrs & Age
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - developed technologically where it wasn't a huge ordeal to do one study. … RW : In a field like nuclear power or aviation, how do you know when you're doing too much? … How do you calibrate that? … how that's going to play out. … malpractice studies and other case reports, such as failure to escalate therapy when the initial therapy