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Total Results: 1,779 records

Showing results for "discussions".

121. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error. | PSNet
     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…

122. Getting the Diagnosis Both Right and Wrong | PSNet
     psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
     May 29, 2024 - However these discussions occur, it is key to ensure that everyone involved has a chance to learn.

123. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet
     psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
     June 28, 2023 - Conduct shared (or team-based) patient rounds and discussions of management plans.

124. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - The commentary discusses the importance of preoperative discussions about post-operative care, including

125. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
     psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
     August 02, 2015 - We now have monthly patient safety discussions at residents' report.

126. The Wrongful Resuscitation | PSNet
     psnet.ahrq.gov/web-mm/wrongful-resuscitation
     October 12, 2012 - Too often, the timing of discussions to clarify patient preferences only occurs in the last days of life

127. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
     psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
     August 25, 2021 - Massachusetts Betsy Lehman Center for Patient Safety, contributes cases and commentaries from their monthly discussions

128. Signout Fallout | PSNet
     psnet.ahrq.gov/web-mm/signout-fallout
     November 16, 2022 - After discussions with her family, care was withdrawn, and she died with her family at her bedside.

129. Rescue Improvement Conference Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
     September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …

130. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
     February 01, 2010 - One of the interfaces now being stimulated by our discussions with American Board of Medical Specialties … What I can say is that both in the literature and in anecdotal discussions with residents at site visits

131. Emergence of Application-based Healthcare | PSNet
     psnet.ahrq.gov/perspective/emergence-application-based-healthcare
     August 05, 2022 - FM: For developers of health apps, it all starts with regulatory discussions with the FDA. … In our case, even as clinicians and cardiologists, we started with discussions with the FDA to understand

132. In Conversation With... Francoise Marvel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
     August 05, 2022 - FM: For developers of health apps, it all starts with regulatory discussions with the FDA. … In our case, even as clinicians and cardiologists, we started with discussions with the FDA to understand

133. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - Consequently, discussions among all involved health care providers on how to provide the safest, most

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866395/psn-pdf
     July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

135. Failure to Report | PSNet
     psnet.ahrq.gov/web-mm/failure-report
     July 01, 2008 - self-critiquing, a team activity that involves debriefing of recently completed activities.( 10,11 ) Such discussions

136. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
     psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
     September 25, 2019 - The bone pathologist then went on vacation for several days but did not document his discussions with

137. PSNet Curated Library (pdf file)
     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. This comment…

138. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
     psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
     December 23, 2020 - Further discussions of the goals of care revealed that the patient desired to focus on comfort and on

139. Organizational Learning | PSNet
     psnet.ahrq.gov/curated-library/organizational-learning
     April 17, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…

140. Rapid Response Systems | PSNet
     psnet.ahrq.gov/curated-library/rapid-response-systems
     September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…