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psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
August 24, 2022 - Toolkit
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers … Citation Text:
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and … This document encourages discussion amongst a broad base of stakeholders to address all forms of harm … Cite
Citation
Citation Text:
Rethinking Patient Safety: A Discussion
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psnet.ahrq.gov/issue/trainee-perceptions-resident-duty-hour-restrictions-qualitative-study-online-discussion
August 10, 2022 - Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion … Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums … This study used two online discussion forums (one primarily in the United States and the other in Canada … Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums
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psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
September 08, 2021 - Commentary
Transformational leadership in nursing and medication safety education: a discussion … Transformational leadership in nursing and medication safety education: a discussion paper. … Transformational leadership in nursing and medication safety education: a discussion paper.
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - surgical faculty and staff. 1 The survey results demonstrated that RICs allowed adequate time for discussion … Needed
A quality review committee to champion the RIC A skilled moderator who prepares topics for discussion … Adequate discussion time Clear and actionable takeaways Mitigation strategies to address failure to … Additionally, the session moderator is a collaborative participant who prepares discussion points to … Adequate discussion time Clear and actionable takeaways Mitigation strategies to address failure to
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psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - Arch Surg. 2009;144(4):305-11; discussion 311. doi:10.1001/archsurg.2009.5. … Arch Surg . 2009; 144 (4) :305-11; discussion 311 . … Morbidity and mortality (M&M) conferences have traditionally been a venue for discussion of complications … Arch Surg. 2009;144(4):305-11; discussion 311. doi:10.1001/archsurg.2009.5.
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psnet.ahrq.gov/issue/risk-science-perspective-discussion-concerning-safety-i-safety-ii-and-safety-iii
August 19, 2013 - Commentary
A risk science perspective on the discussion concerning Safety I, Safety … A risk science perspective on the discussion concerning Safety I, Safety II and Safety III. … A risk science perspective on the discussion concerning Safety I, Safety II and Safety III.
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - 12 surgical faculty and staff.1 The survey results demonstrated
that RICs allowed adequate time for discussion … Additionally, the session moderator is a collaborative participant who prepares discussion points
to … practice (mean=5.58 with SD 1.06), clear conference
takeaways (mean=5.52 with SD 1.09), and adequate discussion … Needed
A quality review committee to champion the RIC
A skilled moderator who prepares topics for discussion … Adequate discussion time
Clear and actionable takeaways
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psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
March 17, 2021 - Arch Surg. 2008;143(9):847-51; discussion 851. doi:10.1001/archsurg.143.9.847. … Arch Surg . 2008; 143 (9) :847-51; discussion 851 . … Arch Surg. 2008;143(9):847-51; discussion 851. doi:10.1001/archsurg.143.9.847.
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psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
August 14, 2019 - This guidance developed from a Society of Surgical Chairs panel discussion puts forth several steps to … September 24, 2017
ACOG Committee Opinion #681: disclosure and discussion of adverse
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psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - Documentation merely acts as evidence that a discussion took place; it does not absolve the clinician … The discussion should state that it may be necessary in an emergency to change from one to another of … Discussion Informed consent is rarely an issue in anesthetic practice. … It is unusual to quote the risk of unilateral hearing loss after anesthesia during a consent discussion … A written record of any discussion concerning consent provides good documentary evidence in the event
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psnet.ahrq.gov/issue/what-happened-patient-safety
August 23, 2007 - by Institute for Healthcare Improvement leaders Don Berwick, MD and Kedar Mate, MD) features a discussion … 2021
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Rethinking Patient Safety: A Discussion
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psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - The authors provide a background discussion on the complexity of studying medical errors and the health … In this context, they offer a number of case examples to illustrate these challenges with greater discussion
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psnet.ahrq.gov/issue/what-ring-tone-should-be-used-patient-safety-early-results-blackberry-based-telementoring
February 28, 2011 - Am J Surg. 2010;199(3):336-40; discussion 340-1. doi:10.1016/j.amjsurg.2009.09.014. … Am J Surg . 2010; 199 (3) :336-40; discussion 340-1 . … Am J Surg. 2010;199(3):336-40; discussion 340-1. doi:10.1016/j.amjsurg.2009.09.014.
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psnet.ahrq.gov/issue/use-anatomic-marking-form-alternative-universal-protocol-preventing-wrong-site-wrong
March 02, 2011 - Am J Surg. 2010;200(6):803-7; discussion 807-9. doi:10.1016/j.amjsurg.2010.06.010. … Am J Surg . 2010; 200 (6) :803-7; discussion 807-9 . … Am J Surg. 2010;200(6):803-7; discussion 807-9. doi:10.1016/j.amjsurg.2010.06.010.
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psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
March 07, 2018 - J Thorac Cardiovasc Surg. 2015;149(2):496-505; discussion 505-7. doi:10.1016/j.jtcvs.2014.10.058. … J Thorac Cardiovasc Surg . 2015; 149 (2) :496-505; discussion 505-7 . … J Thorac Cardiovasc Surg. 2015;149(2):496-505; discussion 505-7. doi:10.1016/j.jtcvs.2014.10.058.
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psnet.ahrq.gov/issue/ethical-issues-patient-safety-implications-nursing-management
October 23, 2024 - 23, 2024
Transformational leadership in nursing and medication safety education: a discussion … August 4, 2021
Transformational leadership in nursing and medication safety education: a discussion
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - The authors use the 4D Question Tool to encourage authentic team discussion of what went well and what … We integrated the principles of Safety-II into that post-event review by adding a discussion of what … into our post-event discussion and stress these points before talking about what can be improved. … on the discussion, and conclude with the team’s recommendations. … discussion and learning for true improvement opportunities.
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - However, there was no discussion whether she would accept temporary dependence on mechanical ventilation … initiation of intubation was synonymous with permanent respiratory support, and stated that she thought the discussion … lesson here is that the housestaff should have acted on that intuition at the time of the original discussion … about resuscitation, by engaging the patient in further discussion to ensure her decision was truly
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - ) Providing explicit instructions, (3) Offering only the information patients need
by limiting the discussion … A National Academy of Medicine discussion paper9 identifies and describes
essential attributes of a … Discussion Paper. Washington, DC: National Academy of Medicine; 2012.
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Examples include a one-on-one discussion with a
healthcare professional who made a medical error or … Simulation (PEARLS): a framework and
accompanying tools that integrate learner self-assessment, guided discussion … the experience is further explored to enhance learning and new understanding is
generated through discussion … Priorities should be co-developed for discussion
with the participants, balancing participant priorities … JA decides to use plus-delta (see below) to help guide this discussion.