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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - 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 … A key part of the discussion is the separation of errors arising from a medical system from those that … Each of the questions is followed by the date of the Matrix Conference discussion.
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - Discussion with Patients
The preoperative discussion with patients is very important to allay fears … Informed consent procedures are an integral part of the pre-anesthetic evaluation and include discussion
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - 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/node/49686/psn-pdf
May 01, 2013 - position of power, his disagreement with the nurse's suggestion was sufficient to bring any
further discussion … that the vascular access nurse did not have the necessary
tools to engage the surgeon in a genuine discussion … The interventional radiologist seemed removed from the discussion and had no apparent influence over
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - To structure important areas of discussion, checklists have proven popular. … checklists remind the team of what to discuss, but they
do not necessarily promote the communication or discussion … led by a physician and was treated as a "check box" exercise rather
than an opportunity for a team discussion
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psnet.ahrq.gov/web-mm/which-end-which
February 09, 2011 - Arch Surg. 1997;132:41-44; discussion 45.[ go to PubMed ] 2. … Ann Surg. 1994;219:732-740; discussion 740-733.[ go to PubMed ] 12. … The Commentary
References
Related Resources From the Same Author(s)
Discussion
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psnet.ahrq.gov/issue/culture-resistance
September 19, 2016 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion
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psnet.ahrq.gov/issue/reducing-diagnostic-errors
August 17, 2011 - Resources From the Same Author(s)
Health Information Technology and Patient Safety: A Dynamic Discussion
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psnet.ahrq.gov/issue/mgh-faces-suit-over-drug-error-killed-woman
September 18, 2013 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion
-
psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Lingering uncertainty leaves an important gap, which must be filled with robust discussion amongst the … Failure to have this discussion would be inexcusable. … A further enhancement would have been detailed discussion of potential intraoperative events, with ‘stopping … procedure if transfusion was needed. 10
It appears the team recognized the need for multidisciplinary discussion … different teams of physicians should have followed through on their preoperative multidisciplinary discussion
-
psnet.ahrq.gov/issue/surgical-robot-examined-injuries
April 27, 2016 - 2024
Perinatal patient safety from the perspective of nurse executives: a round table discussion
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psnet.ahrq.gov/issue/wrong-site-surgeries-rise
November 08, 2006 - November 8, 2006
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare
-
psnet.ahrq.gov/issue/missed-it
September 18, 2013 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion
-
psnet.ahrq.gov/issue/quality-and-safety-education-nurses
November 26, 2014 - September 6, 2017
Transformational leadership in nursing and medication safety education: a discussion
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psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
November 26, 2008 - 2020
View More
Related Resources
Rethinking Patient Safety: A Discussion
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psnet.ahrq.gov/submit-your-toolkit-landing
Examples of types of resources in our current toolkits section include Fact Sheets, Measurement Tools, Discussion
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - Ann Intern Med. 1998;129:441-449
Common Features of
Code Status Discussions
Domination of discussion … She had thought the discussion was about whether she would want to be kept alive if she was “a vegetable
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psnet.ahrq.gov/issue/patients-toolkit-diagnosis
November 08, 2017 - 2022
View More
Related Resources
Rethinking Patient Safety: A Discussion
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psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
September 08, 2010 - January 3, 2018
ACOG Committee Opinion #681: disclosure and discussion of adverse events
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psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
April 24, 2007 - 2016
View More
Related Resources
Rethinking Patient Safety: A Discussion