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Showing results for "discussions".

21. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
    psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
    January 12, 2022 - Our PSO also hosted Safe Table discussions, where members of the PSO share COVID-19-related safety issues … So, the Safe Table discussions were only open to staff of our PSO members who came together to have discussions … They could have discussions about events that occurred and discussions around situations that they faced … And so, rather than an event analysis, we held Safe Table discussions and invited providers to come with

22. Trainee perceptions of resident duty hour restrictions: a qualitative study of online discussion forums. | PSNet
    psnet.ahrq.gov/issue/trainee-perceptions-resident-duty-hour-restrictions-qualitative-study-online-discussion
    August 10, 2022 - Themes included its impact on residents’ education and clinician well-being, and, worryingly, discussions

23. Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods study. | PSNet
    psnet.ahrq.gov/issue/perspectives-perioperative-team-based-morbidity-and-mortality-conferences-mixed-methods-study
    October 11, 2023 - morbidity and mortality conferences (TBMMs) involve multidisciplinary or interdisciplinary teams in discussions

24. 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

25. 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

26. Parent participation in morbidity and mortality review: parent and physician perspectives. | PSNet
    psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
    May 18, 2022 - Parents have reported the importance of being involved in discussions with clinicians following adverse

27. 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

28. 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

29. Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. | PSNet
    psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic-review
    November 15, 2023 - Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions

30. Learning Not Blaming. | PSNet
    psnet.ahrq.gov/issue/learning-not-blaming
    March 28, 2018 - Common recommendations in the three reports included the need to support open discussions about what

31. Tolerating uncertainty—the next medical revolution? | PSNet
    psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
    April 24, 2018 - The authors advocate for educators to encourage transparency about uncertainty and focus discussions

32. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
    psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
    December 14, 2022 - unsuccessful outcomes, seeking to understand what worked and why, as well as what didn’t work. 3 Recent discussions … The discussions are always stimulating and the meetings, discussions, and work to create presentations … Some people conduct hot debriefings, which are quick meetings and discussions after a patient care event … I think that earlier discussions about resilient healthcare were more about theory and concepts, and

33. Implement strategies to prevent persistent medication errors and hazards: 2024. | PSNet
    psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
    April 17, 2024 - May 1, 2024 Cultivate discussions in a psychologically safe workplace: part 1 and part

34. ISMP Medication Errors Reporting Program. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
    January 26, 2023 - August 24, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and

35. Oral Dosage Forms that Should Not Be Crushed. | PSNet
    psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
    January 26, 2023 - August 24, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and

36. ISMP Survey on IV Push Medication Practices. | PSNet
    psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
    January 26, 2023 - August 24, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and

37. We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet
    psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
    May 19, 2021 - urgent and emerging needs of surgical units by targeting important processes and encouraging critical discussions

38. The Veterans Affairs root cause analysis system in action. | PSNet
    psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
    June 22, 2022 - The case discussions illustrate how valuable RCA can be in improving quality and safety.

39. Why Things Bite Back: Technology and the Revenge of Unintended Consequences. | PSNet
    psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
    March 20, 2019 - Tenner’s discussions of medical and nonmedical examples provide an engaging introduction to the many

40. Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations. | PSNet
    psnet.ahrq.gov/issue/patient-and-health-care-professional-perspectives-stigma-integrated-behavioral-health
    January 12, 2022 - Participants identified the importance of normalizing discussions about mental health care and patient-centered