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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Limit discussion to 3–5 key points. … patients when they are speaking and use words the patients use to describe their health or illness in discussion
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - After discussion of goals of care with the family and patient during the second admission, the patient … the disease state management with the medications, oxygen usage, and smoking cessation as well as the discussion … Discussion of these topics with patients should be initiated by the primary care provider and revisited
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - This discussion paper reviews
evidence-based characteristics of high-functioning teams and barriers to … This discussion paper reviews
evidence-based characteristics of high-functioning teams and barriers to
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 17, 2025 - This discussion paper reviews evidence-based characteristics of high-functioning teams and barriers to … This discussion paper reviews evidence-based characteristics of high-functioning teams and barriers to
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - RW : In many ways your work has legitimized a new kind of a discussion with a patient. … In the mock trial story, everyone settled but the radiologist, so the focus was on both a discussion … got a lot of attention and I have to give credit to the RSNA for allowing and promoting this in-depth discussion … manufacturers who were concerned about the focus on these issues, but in the end the organization endorsed this discussion
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psnet.ahrq.gov/issue/strategies-improving-clinician-psychological-safety-reporting-and-discussing-diagnostic-error
October 06, 2021 - Book/Report
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error.
Citation Text:
Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. Amin D, Cosby K. Rockville, MD: Agency for Healthcare Res…
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - The remainder of the discussion focuses on interventions that target the availability of health services … For this discussion, the term “health services” includes providing a usual and ongoing source of care … We’ve had a really rich discussion around primary care and quality. … or is part of the leadership of the discussion on behalf of our patients. … SM: So, we’ve had a really great discussion on this topic, and I very much appreciate your time.
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - But the fundamental premise for most of the discussion around health care is that the resources we put … We're so far from our potential these days that to even have a discussion based on the premise that we're … this whole issue of nationalized health care, and rationed health care, disappears from the policy discussion … physician.( 13 ) Finally, when a workaround is superior to the current standard practice, a lack of discussion
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - A subsequent review by the patient safety committee several months later along with discussion with members … Disclosure—a letter expressing condolences for the patient’s death and setting expectations for further discussion
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - healthcare wishes and values with their surrogate decision maker and healthcare provider. 1 Ideally, this discussion
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - There was too little discussion between the attending physicians about a critically ill child. … The dialogue must go well beyond a discussion of who is in charge.
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - The following discussion describes types of post-discharge adverse events, their epidemiology, important … Patients who are unable to remember a discussion with their care provider about the side effects of their
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - the surgeon in this case raise important concerns, two other issues in this case also deserve greater discussion … intensive care unit (ICU) for the seriously ill.( 6 ) For the frail, older nursing home resident, the discussion
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psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - The
Patient Safety Primer Detection of Safety Hazards provides a detailed discussion of other methods
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - A goals-of-care discussion was led by the palliative care service; the patient and his designated decision-makers
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - break out of diagnostic
momentum that could be driving toward errors and harms, and instead to invite discussion
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Burnout Physician burnout (also referred to as “moral injury”) is an ongoing topic of discussion in medicine … Including physicians in the discussion and design of new patient-focused initiatives engenders feelings
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - report was not completed, the physicians and nurses in the unit could have participated in a frank discussion … reinforcement of the organization's "just culture" has contributed to an increase in reporting and discussion
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - This evolving "Elements" series provides background, evidence, and discussion on
interdisciplinary strategies … This evolving "Elements" series provides background, evidence, and discussion on
interdisciplinary strategies
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psnet.ahrq.gov/print/pdf/node/865308
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Organizational Learning
Curated Library
Foundations
Organizational learning: health care leaders need to design structures and processes that enhance
collective learning.
Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35.
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