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Total Results: 1,779 records

Showing results for "discussion".

81. Fatal flaws in clinical decision making. | PSNet
    psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
    March 03, 2011 - The authors suggest that thorough discussion of complex cases in advance of surgery might mitigate CDMIs

82. Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. | PSNet
    psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
    February 10, 2015 - change and individual accountability, and medical professionalism is often at the center of this discussion

83. Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. | PSNet
    psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
    February 14, 2018 - The authors focus their discussion on the widely implemented World Health Organization surgical checklist

84. Building a Better Delivery System: A New Engineering/Health Care Partnership. | PSNet
    psnet.ahrq.gov/issue/building-better-delivery-system-new-engineeringhealth-care-partnership
    September 12, 2018 - The two-part report begins with a detailed discussion of the partnership between engineering and medicine

85. Development of the ICU safety reporting system. | PSNet
    psnet.ahrq.gov/issue/development-icu-safety-reporting-system
    May 27, 2011 - Discussion includes details of the design features, a table of the system-based factors contributing

86. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet
    psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
    February 10, 2015 - Their discussion, including the limitations of applying the VA system learnings more broadly, is timely

87. Improving the bar-coded medication administration system at the Department of Veterans Affairs. | PSNet
    psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
    November 18, 2009 - After reviewing the background to BCMA, discussion of a collaborative breakthrough series (BTS) is

88. Patient Safety Leadership WalkRounds. | PSNet
    psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
    January 02, 2017 - They provide a series of sample questions used by executives to foster discussion and also an example

89. Leadership Role in Improving Safety | PSNet
    psnet.ahrq.gov/primer/leadership-role-improving-safety
    September 15, 2024 - have board members who were more skilled in quality and safety issues and who devoted more time to discussion … Leadership walkrounds —visits by management to clinical units in order to engage in frank discussion

90. Handoffs | PSNet
    psnet.ahrq.gov/primer/handoffs
    October 18, 2023 - and 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

91. Don't Use That Port: Insert a PICC | PSNet
    psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
    December 22, 2018 - 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

92. Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. | PSNet
    psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
    March 04, 2015 - Some studies report that discussion of errors with colleagues is generally beneficial, and institutions

93. Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. | PSNet
    psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
    July 03, 2016 - After multiple rounds of discussion and evidence review, investigators produced a list of 51 triggers

94. To Err Is Human: Building a Safer Health System. | PSNet
    psnet.ahrq.gov/issue/err-human-building-safer-health-system
    July 08, 2016 - and computerized order entry (to the exclusion of other safety concerns) and the relatively limited discussion

95. Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet
    psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
    November 23, 2016 - The investigators begin with a detailed discussion of the contextual factors involved in their hospital

96. How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet
    psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
    May 20, 2009 - process, and outcome measures used to evaluate health care quality, the authors present a detailed discussion

97. Errors in the EMR: under-recognized hazard for AI in healthcare. | PSNet
    psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
    November 06, 2024 - July 26, 2023 A risk science perspective on the discussion concerning Safety I, Safety

98. The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure. | PSNet
    psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
    October 14, 2020 - The authors suggest that these findings should prompt discussion of whether the investment (in cost and

99. Stem the Tide: Addressing the Opioid Epidemic. | PSNet
    psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
    April 15, 2021 - May 29, 2024 Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers

100. World Patient Safety Day. | PSNet
     psnet.ahrq.gov/issue/world-patient-safety-day
     September 30, 2020 - 24, 2019 Transformational leadership in nursing and medication safety education: a discussion