Results

Total Results: 9,163 records

Showing results for "discussion".

161. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
     psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
     August 28, 2024 - 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. … We then move into open team discussion using the 4D Question Tool, provide lunch and time to reflect … on the discussion, and conclude with the team’s recommendations. … discussion and learning for true improvement opportunities.

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47378/psn-pdf
     February 22, 2019 - taking-blame-appropriate-responses-medical-error Balancing between explicit calls for accountability for error and constructive discussion

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73098/psn-pdf
     September 07, 2021 - This report summarizes a session discussion on the existing evidence base on improving diagnosis for

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850358/psn-pdf
     June 14, 2023 - hosted by Institute for Healthcare Improvement leaders Don Berwick, MD and Kedar Mate, MD) features a discussion

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861291/psn-pdf
     January 24, 2024 - This discussion of commonalities between medical error and COVID-19 shares how data and stories, appropriate

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867097/psn-pdf
     November 06, 2024 - various issues, including lack of initiative coordination and transparency, prioritization of actions, discussion

167. Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. | PSNet
     psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
     January 16, 2025 - various issues, including lack of initiative coordination and transparency, prioritization of actions, discussion

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61073/psn-pdf
     October 28, 2020 - This piece shares a story of ineffective care delivery to a patient with COVID-19 as context for the discussion

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73615/psn-pdf
     August 18, 2021 - The story is coupled with a broader discussion on the extent of diagnostic errors and reasons they occur

170. Drug shortages roundtable: minimizing the impact on patient care. | PSNet
     psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care
     April 26, 2023 - This commentary summarizes the discussion of a multidisciplinary group of experts about drug shortages

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47881/psn-pdf
     July 10, 2019 - The author suggests feedback, healthy skepticism, and open discussion as tactics to reduce errors stemming

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865980/psn-pdf
     May 29, 2024 - This report summarizes an expert panel's review and discussion of generative AI in three use cases

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867180/psn-pdf
     November 20, 2024 - three 1-hour didactic sessions featuring guided reflection following mentor storytelling, small group discussion

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50821/psn-pdf
     January 22, 2020 - Researchers presented three hypothetical vignettes for discussion.

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34750/psn-pdf
     May 21, 2019 - The ten steps of a FMEA, case studies where they have been used, and a discussion of where and when

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38652/psn-pdf
     June 17, 2014 - https://psnet.ahrq.gov/issue/pediatric-safety This condensed discussion shares information on safety

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855424/psn-pdf
     November 15, 2023 - Formal instruction and open discussion of SVS can support students' well-being and recovery.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854981/psn-pdf
     November 01, 2023 - themes emerged, including formal preparation in advance of the MMC, a balance of presentation and discussion

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860385/psn-pdf
     January 10, 2024 - //psnet.ahrq.gov/issue/trainee-perceptions-resident-duty-hour-restrictions-qualitative-study-online-discussion

180. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
     January 01, 2019 - activity, participants should be able to: • Recognize the importance of a comprehensive, personalized discussion … determination of specific treatment wishes must be prioritized • Healthcare team must provide appropriate discussion … condition deteriorates 8 Significant Error 1: Opportunities for Improvement • Admitting resident’s “discussion … ” was inadequate and lacked in depth discussion of patient preferences – Medical professional should … In the absence of a discussion, the default is to the most aggressive, invasive, potentially life-prolonging