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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Examples include a one-on-one discussion with a healthcare professional who made a medical error or discussing … 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.
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - We'll provide a brief discussion of the most commonly used anesthesia options and their tradeoffs in … Counseling Preoperatively, anesthesia providers must obtain informed consent, which includes explicit discussion … of anesthetic options and their risks and benefits.( 4 ) The discussion should not be limited to the … Traditionally, the consent process for hospital-based interventions focuses on discussion of potential … For example, in cases involving regional anesthesia techniques, the discussion should include the implications
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - A common but by no means universal ( 15 ) coping mechanism is discussion with colleagues and family members … can represent a powerful opportunity for professional role modeling of error acknowledgment and open discussion … Finally, these programs should promote open discussion of errors in a manner designed to foster personal … Coping strategies are necessary and range from personal approaches to formal organized forums for discussion
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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
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - 2) Providing explicit instructions, (3) Offering only the information patients need by limiting the discussion … A National Academy of Medicine discussion paper 9 identifies and describes essential attributes of a … Discussion Paper.
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psnet.ahrq.gov/issue/malpractice-mess
November 14, 2018 - Gawande shares several stories of malpractice lawsuits, giving context to a balanced discussion on problems
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - distractions, allowing for the clinician receiving the handoff to listen actively and engage in a discussion … that requires “the
organization's process for hand-off communication provides for the opportunity for discussion
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - AG: That was the central part of the discussion in Complications , which I wrote from the perspective … During the discussion of the case, the moderator does what many moderators do not dohe moderates! … It takes neither coursework nor great experience to recognize when a discussion is getting off message … The discussion is channeled and refined as the moderator focuses on the patient-safety aspects of the … Each of the questions is followed by the date of the Matrix Conference discussion.
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psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world
March 20, 2019 - This book shares the history anchoring the mindsets driving ineffective care for women and a discussion
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psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
November 13, 2024 - This case discussion reviews an incident that occurred due to an NPO status order for a patient prior
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psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
January 16, 2019 - This discussion paper reviews evidence-based characteristics of high-functioning teams and barriers to
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psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
November 13, 2024 - program where volunteer case solvers—only 58% of whom worked in medicine in any capacity—engaged in discussion
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psnet.ahrq.gov/issue/pediatric-safety
March 08, 2015 - This condensed discussion shares information on safety issues that affect care for children.
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psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
December 13, 2023 - This article describes an initiative built on the CUSP model to engage nursing staff in transparent discussion
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psnet.ahrq.gov/node/37412/psn-pdf
December 12, 2007 - It goes on to a broader
discussion of how checklists and decision support have reduced errors and transformed
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psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
March 17, 2021 - Despite the emphasis on open discussion of errors as a component of transparency , clinicians remain
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psnet.ahrq.gov/issue/two-words-can-soothe-patients-who-have-been-harmed-were-sorry
July 26, 2017 - the other building on transparency and open disclosure —to illustrate the value of honest apology , discussion
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - It goes on to a broader discussion of how checklists and decision support have reduced errors and transformed
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - They host webinars discussion various facets of CRP implementation and success.
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psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
July 07, 2021 - This discussion examines how, while minimizing nuisance alarms is important , those efforts need to