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Showing results for "discussions".

1361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - However these discussions occur, it is key to ensure that everyone involved has a chance to learn.

1362. Breathe Easy: Safe Tracheostomy Management | PSNet
      psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
      June 07, 2023 - It's also important to recognize that goals of care discussions frequently occur contemporaneously with

1363. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - syringe labeling errors or sedation dose errors in bronchoscopy specifically, although there have been discussions

1364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73650/psn-pdf
      August 25, 2021 - Massachusetts Betsy Lehman Center for Patient Safety, contributes cases and commentaries from their monthly discussions

1365. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37269/psn-pdf
      November 30, 2016 - ACOG Committee Opinion #681: disclosure and discussion of adverse events. November 30, 2016 Improvement C on PS and Q. Committee Opinion No. 681: Disclosure and Discussion of Adverse Events. Obstet Gynecol. 2016;128(6):e257-e261. https://psnet.ahrq.gov/issue/acog-committee-opinion-681-disclosure-and-discussion-adv…

1366. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35962/psn-pdf
      April 18, 2011 - Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. April 18, 2011 Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21. https://psnet.ahrq.gov/issue/adve…

1367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45122/psn-pdf
      October 08, 2016 - Transformational leadership in nursing and medication safety education: a discussion paper. October 8, 2016 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. doi:10.1111/jonm.12387. https://psn…

1368. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44507/psn-pdf
      July 18, 2016 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. July 18, 2016 Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes. Aus…

1369. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40351/psn-pdf
      April 06, 2011 - Acute care patients discuss the patient role in patient safety. April 6, 2011 Rathert C, Huddleston N, Pak Y. Acute care patients discuss the patient role in patient safety. Health Care Manage Rev. 2011;36(2):134-144. doi:10.1097/HMR.0b013e318208cd31. https://psnet.ahrq.gov/issue/acute-care-patients-discuss-patien…

1370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42021/psn-pdf
      February 13, 2013 - Nurses discuss bedside handover and using written handover sheets. February 13, 2013 Johnson M, Cowin LS. Nurses discuss bedside handover and using written handover sheets. J Nurs Manag. 2013;21(1):121-9. doi:10.1111/j.1365-2834.2012.01438.x. https://psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-w…

1371. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46613/psn-pdf
      May 17, 2018 - Dynamics of dignity and safety: a discussion. May 17, 2018 Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion Patient engagement is predicated on re…

1372. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43240/psn-pdf
      February 21, 2015 - Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. February 21, 2015 Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000000217. https://psnet.ahrq.gov/…

1373. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43478/psn-pdf
      August 27, 2014 - Is it time to move beyond errors in clinical reasoning and discuss accuracy? August 27, 2014 Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. https://psnet.ahrq.gov/issue/it-time-move-beyond-er…

1374. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35934/psn-pdf
      February 24, 2011 - Learning from mistakes: factors that influence how students and residents learn from medical errors. February 24, 2011 Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical errors. J Gen Intern Med. 2006;21(5):419-23. https://psnet.ahrq.g…

1375. What Does Simulation Add to Teamwork Training? | PSNet
      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

1376. Autopsy Revelation | PSNet
      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

1377. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - In addition, although it is common in patient safety discussions to focus on errors of omission ( 9 )

1378. Suicidal Man With Gun | PSNet
      psnet.ahrq.gov/web-mm/suicidal-man-gun
      May 01, 2005 - Discussions with other faculty and the clinic’s risk manager ensued in an effort to delineate the resident

1379. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33767/psn-pdf
      May 01, 2014 - We have used the Five Moments during discussions with HCWs about how many opportunities there are in

1380. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39213/psn-pdf
      October 03, 2017 - Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. October 3, 2017 Szekendi MK, Barnard C, Creamer J, et al. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. Jt Comm J Qual Patient Saf. 2010;36(1):3-9. h…