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

81. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
    December 01, 2017 - Case Study and Program Examples Previous Page Next Page Table of Contents The Falls … Case Study and Program Examples Appendix D. … Falls Engineer Instructions On This Page Falls Management Program Case Study Discussion … Try to determine how she got out of the bed in spite of the restraint and bed rails. … If the resident is not already in the Falls Management Program, do not send a FAX Alert and enter the

82. Module 3: Best Practices in Pressure Injury Prevention (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 02, 2025 - Slide 19 SAY: Let’s assess pressure injury risk via a short case study using the Braden Scale. … DO: Pass out the Pressure Injury Risk Assessment Case Study – Mr. … Read the case study aloud, and ask participants to pair up and use the Braden Scale to score this patient … What element in the case study requires additional clinical judgment? … PRESSURE INJURY RISK ASSESSMENT CASE STUDY – Mr. K Mr.

83. Module 3: Best Practices in Pressure Injury Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
    October 01, 2017 - Case study. … K Case Study. Tool 3E: Norton Scale. Tool 3F: Care Plan. … Do: Pass out the Pressure Injury Risk Assessment Case Study—Mr. … Read the case study aloud, and ask participants to pair up and use the Braden Scale to score this patient … Pressure Injury Risk Assessment Case Study—Mr. K Mr.

84. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. | PSNet
    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-safety-stakeholder-analysis-exploring-role-trust-and
    April 21, 2015 - April 8, 2019 Do hospital boards matter for better, safer, patient care? … and how can these behaviours be reduced? … March 2, 2016 Post event debriefs: a commitment to learning how to better care for patients … November 16, 2015 Exploring the role of communications in quality improvement: a case … study of the 1000 Lives Campaign in NHS Wales.

85. Info FAQs | Agency for Healthcare Research and Quality
    www.ahrq.gov/faqs/index.html?page=22
    Quality Indicator(QI) users with the v2018 AHRQ QI software do not need to make any changes. … Does AHRQ have case studies on its research and dissemination activities? … AHRQ provides impact case studies for online access. … You can search the available case studies in the Impact Case Studies database . … case study, please contact the Agency at: casestudies@ahrq.hhs.gov .

86. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Slide 24: Case Study: Renal Transplant Say: Let’s consider a case study of a renal transplant patient … Slide 28: Case Study: Renal Transplant Say: Look at the system. … Slide 34: Case Study: Renal Transplant Note: Duplicate of Slide 29. … Say: In the case study, why did the defect occur? … Email blasts are not effective for teaching how to do a job better or to make sure patients are safer

87. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
    January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? … 53 Do Transient Working Conditions Trigger Medical Errors? … How distracted would you say you were feeling? 2. How ill would you say you were feeling? 3. … How rushed would you say you were feeling? 4. How fatigued would you say you were feeling? … to increase our understanding of how working conditions triggered medical errors.

88. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
    March 01, 2018 - notice and report change in a resident's condition, and it is everyone's responsibility to do so. … But a new instructor may prefer to keep the focus on a familiar case. Case Study Ms. … Could you give an example of what you're supposed to do when you see a change like this? … What would they do differently next time? How did it feel to say____? How did it feel to hear____? … Plan: Identify a problem and design a change to address it. Do: Implement a small change.

89. Safety leadership: managing the paradox. | PSNet
    psnet.ahrq.gov/issue/safety-leadership-managing-paradox
    November 02, 2011 - The author discusses how leaders can help manage the conflicting priorities involved in safety efforts … and uses two case histories to illustrate polarity management principles. … June 8, 2022 How do hospital inpatients conceptualise patient safety? … A qualitative interview study using constructivist grounded theory. … May 31, 2023 Positive approaches to safety: learning from what we do well.

90. Module 2. Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
    October 01, 2014 - Know how to communicate a change in a resident's condition. … Case Study Mrs. C is 85 years old; she has lived at the Manor Nursing Center for about a year. … By and to whom? How? When? Where? How do you know when the communication has worked or not? … What would they do differently next time? How did it feel to say____? How did it feel to hear____? … Plan: Identify a problem and design a change to address it. Do: Implement a small change.

91. Person-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P): Rapid Scan Report (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/human-social-service-rapid-scan-report.pdf
    May 01, 2025 - We also identified a series of case studies at GeriatricsCareOnline.org, a website of resources maintained … We downloaded files for 27 case studies, each case containing up to 5 pages of narrative, then conducted … Age-Friendly Health Systems Case Studies We reviewed 27 case studies focused on primary care projects … We supplemented these by reviewing a set of case studies of practice change focused on geriatric care … and to provide a template for how to do it.

92. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
    December 01, 2017 - Slide 6: What Is a Defect? Anything you do not want to happen again. … What might your team do to build a stronger safety culture? … Study: Renal Transplant Slide 25: Case Study: Renal Transplant Setting the stage Who : An ICU … Slide 26: Case Study: Renal Transplant Attending anesthesiologist called to an emergent neurosurgical … Slide 27: Case Study: Renal Transplant Resident used the stamp plate to order and then check the

93. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
    November 01, 2011 - * * Case: Near Miss (3) The pharmacist came to the ED to teach the patient how to do subcutaneous … near miss Near misses are unsafe acts that have the potential to injure a patient, but do not * … , but do not cause harm See Notes for references … http://www.jcrinc.com/Books-and-E-books/VNM10/2152/ * Incidence of Near Misses It is unclear how … Close calls (near misses) are errors that do not result in harm.

94. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - Slide 23 Case Study: Renal Transplant SAY: Let’s consider a case study of a renal transplant patient … Slide 25 Case Study: Renal Transplant SAY: Then the attending anesthesiologist got called away to … Slide 27 Case Study: Renal Transplant SAY: Look at the system. … Slide 33 Case Study: Renal Transplant NOTE: Duplicate of slide 29 SAY: In the case study, why did … Email blasts are not effective for teaching how to do a job better or to make sure patients are safer

95. Re-Engineered Discharge (RED) Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/index.html
    March 01, 2025 - Discharge Program Case Study: Penn Medicine Chester County Hospital Implements AHRQ Toolkit to Reduce … Readmissions Case Study: AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals Case … Study: Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management Case … Study: AHRQ's RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital Case … Degree of Patient Understanding         Review What To Do if a Problem Arises     Postdischarge Components

96. Re-Engineered Discharge (RED) Toolkit | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
    March 01, 2025 - Discharge Program Case Study: Penn Medicine Chester County Hospital Implements AHRQ Toolkit to Reduce … Readmissions Case Study: AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals Case … Study: Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management Case … Study: AHRQ's RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital Case … Degree of Patient Understanding         Review What To Do if a Problem Arises     Postdischarge Components

97. Module 3: Conversations Around Device Necessity | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3.html
    February 01, 2023 - study. … study. … I put a pad under her and instructed her on how to ring for the bedpan. … What might the manager do to mitigate this situation? … Janet: I do, too.

98. Do Not Disturb! | PSNet
    psnet.ahrq.gov/web-mm/do-not-disturb
    February 03, 2011 - Do Not Disturb!. PSNet [internet]. … Do Not Disturb!. PSNet [internet]. … How a physician responds when disturbed from sleep to help a patient is arguably the best test of how … How Can We Predict Professionalism? … Do Not Disturb!. PSNet [internet].

99. Archived: Final Research Plan: Preeclampsia: Screening | United States Preventive Services Taskforce
    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan109/preeclampsia-screening-april-2017
    August 14, 2014 - guide a systematic review of the evidence by researchers at an Evidence-based Practice Center. … How effectively do screening tests (e.g., blood pressure, proteinuria) identify women with preeclampsia … , postmarketing surveillance, and case reports Screening effectiveness (KQ 4): Editorial, narrative … review, commentary, postmarketing surveillance, and case reports Harms (KQs 3, 5) : Editorial, narrative … review, commentary, postmarketing surveillance, and case reports Publication dates

100. 1 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/ExecSummcaseplancustsvce-RAND7607.pdf
     July 01, 2007 - 1 IMPROVING PERFORMANCE FOR HEALTH PLAN CUSTOMER SERVICE A Case Study … of a Successful CAHPS Quality Improvement Intervention Excerpt: The Case Study in Brief For a copy … Farley RAND Corporation 1 THE CASE STUDY IN BRIEF Introduction This report … How? … training procedures and information systems to support the call center and a culture of “How can we