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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - leadership of this long-term care facility should highlight it as a "great catch" to encourage similar discussions
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - authority, a point emphasized in previous Agency for Healthcare Research and Quality (AHRQ) WebM&M discussions
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - He developed multi-organ dysfunction and ultimately, after discussions with his family, care was withdrawn
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psnet.ahrq.gov/web-mm/after-visit-confusion
August 21, 2007 - They may also provide patients with tailored information relevant to the clinical discussions that occurred
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psnet.ahrq.gov/web-mm/inadvertent-castration
October 27, 2010 - In subsequent discussions with both the patient and his wife about hormonal replacement, the patient
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - After this event, subsequent discussions with the family revealed some relevant details.
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - "( 4,6 ) Open discussions about appropriate types of caregiving among colleagues in institutions is a
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - After multiple lengthy discussions with the patient, his caregiver, the agency managing his services, … established the patient’s capacity to make some, but not all, decisions during their goals of care discussions
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - see multiple providers and can re-
accumulate medications despite deprescribing efforts, so ongoing discussions
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psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
September 08, 2021 - Commentary
Transformational leadership in nursing and medication safety education: a discussion paper.
Citation Text:
Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety education: a discussion paper. J Nurs Manag. 2016;24(7):970-980…
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psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - In our experience, inclusion in these blame-free discussions helps promote clinician healing and recovery
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - and therefore may place providers at risk for public humiliation and shame.( 11,14,22 ) However, if discussions
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 17, 2025 - Last Updated: April 17, 2025
Description
This curated library focuses on explicit discussions
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - see multiple providers and can re-accumulate medications despite deprescribing efforts, so ongoing discussions
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - allow team members to adjust their knowledge
Feedback is provided during group-work exercises and discussions
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - after you have received some guidance from a more experienced clinician and participated in a few such discussions
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psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and-leaders
August 24, 2022 - Toolkit
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders.
Citation Text:
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023.
…
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Massachusetts Betsy Lehman Center for Patient Safety, contributes cases and commentaries from their monthly discussions
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - For example, faculty can facilitate conversations about safety events in post-clinical group discussions … But entry-level students can also have these opportunities to engage in initiatives, policy discussions
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - But entry-level students can also have these opportunities to engage in initiatives, policy discussions … For example, faculty can facilitate conversations about safety events in post-clinical group discussions