Results

Total Results: 9,163 records

Showing results for "discussions".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37791/psn-pdf
     September 29, 2017 - overturned by OHRP (with considerable pressure from those in the safety community), but it raised several discussions

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46856/psn-pdf
     June 20, 2018 - business case for interventions, educational tools, and guides for engaging patients in health literacy discussions

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39822/psn-pdf
     February 17, 2011 - individual patients have traditionally focused on what information to share and how to share it; of course, discussions

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42177/psn-pdf
     November 23, 2016 - argues that these types of "silent misdiagnoses" should be considered medical errors, noting that discussions

165. Full disclosure of adverse events to patients and families in the ICU: wouldn't you want to know? | PSNet
     psnet.ahrq.gov/issue/full-disclosure-adverse-events-patients-and-families-icu-wouldnt-you-want-know
     May 26, 2021 - sentinel events to patients and families and describes the benefits of using such guidelines for these discussions

166. An Untimely End Despite End-of-Life Care Planning | PSNet
     psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
     February 01, 2012 - After extensive discussions, the family agreed to a DNR [do not resuscitate] order for the patient, but … location in the medical record, accessible to all members of the interdisciplinary team, to document discussions … Domains addressed in the checklist include summary of discussions with the family and their goals and

167. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. | PSNet
     psnet.ahrq.gov/issue/person-first-treatment-strategies-weight-bias-and-impact-mental-health-people-living-obesity
     August 18, 2021 - and its impact, suggestions for person-first language, and ways for clinicians to engage patients in discussions

168. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students. | PSNet
     psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
     December 07, 2022 - improve diagnosis, this article describes the use of computerized case presentations and facilitated discussions

169. 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. | PSNet
     psnet.ahrq.gov/issue/2022-updated-results-ahrq-surveys-patient-safety-culture-sops-diagnostic-safety-supplemental
     April 06, 2022 - Identified weaknesses included lack of discussions about misdiagnoses when they occurred.

170. Formalizing the hidden curriculum of performance enhancing errors. | PSNet
     psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
     February 17, 2021 - management training (EMT) encourages learners to make errors during training, and then engage in positive discussions

171. Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet
     psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
     February 02, 2022 - Blame is known to limit discussions of near-misses and failures, which negatively impacts learning

172. Debriefing in the emergency department after clinical events: a practical guide. | PSNet
     psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
     November 16, 2022 - outlines how to determine when a debrief should happen, who should be involved, methods to conduct such discussions

173. ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. | PSNet
     psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
     January 26, 2023 - August 24, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and

174. ISMP Cheers Awards. | PSNet
     psnet.ahrq.gov/issue/ismp-cheers-awards
     January 26, 2023 - August 24, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37768/psn-pdf
     April 27, 2010 - This initiative has prompted several discussions in the safety community, ranging from the business

176. How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. | PSNet
     psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
     March 11, 2009 - Topics include discussions about a checklist to assess quality activities during patient care, variation

177. Breaking the silence on medical mistakes. | PSNet
     psnet.ahrq.gov/issue/breaking-silence-medical-mistakes
     April 15, 2015 - The discussions are anchored in aptly-told stories of harm, courage, and investigation.

178. Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' | PSNet
     psnet.ahrq.gov/issue/inside-canadas-secret-world-medical-error-there-lot-lying-theres-lot-cover
     September 23, 2009 - relates how errors are being repeated across the country due to the systemic failure to have open discussions

179. Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. | PSNet
     psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
     May 20, 2015 - The material includes discussions on the role of leadership , professionalism , and high reliability

180. Building the Case for Health Literacy: Proceedings of a Workshop. | PSNet
     psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop
     September 12, 2018 - This workshop report summarizes discussions about health literacy programs and provides case studies