Results

Total Results: 9,163 records

Showing results for "discussions".

241. 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

242. 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.

243. Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. | PSNet
     psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
     April 17, 2024 - April 3, 2024 Cultivate discussions in a psychologically safe workplace: part 1 and part

244. 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

245. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
     psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
     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

246. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet
     psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
     March 15, 2022 - April 16, 2014 Cultivate discussions in a psychologically safe workplace: part 1 and

247. Effectively leading for quality. | PSNet
     psnet.ahrq.gov/issue/effectively-leading-quality
     November 25, 2020 - 10, 2019 Development of the Huddle Observation Tool for structured case management discussions

248. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet
     psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
     March 03, 2021 - June 14, 2023 Cultivate discussions in a psychologically safe workplace: part 1 and part

249. Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. | PSNet
     psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
     July 14, 2021 - Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841305/psn-pdf
     January 27, 2023 - 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

251. ALERT: reports of severe harm after intravenous administration of breast milk to infants. | PSNet
     psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
     May 02, 2018 - June 20, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and part

252. When doctors get the wrong patient. | PSNet
     psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
     December 14, 2016 - April 6, 2016 Giving back the pen: disclosure, apology and early compensation discussions

253. Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
     March 09, 2016 - April 26, 2012 Giving back the pen: disclosure, apology and early compensation discussions

254. Gap assessment of hospitals' adoption of the just culture principles. | PSNet
     psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
     September 21, 2005 - November 23, 2016 View More Related Resources Cultivate discussions

255. Discharge missteps can send seniors back to hospital. | PSNet
     psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
     March 28, 2012 - March 11, 2015 View More Related Resources Cultivate discussions

256. Patient Safety | PSNet
     psnet.ahrq.gov/issue/patient-safety-12
     April 26, 2012 - October 13, 2021 Giving back the pen: disclosure, apology and early compensation discussions

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47177/psn-pdf
     January 23, 2019 - supervision (faculty physician physically present for duration of morning rounds, including patient care discussions

258. Too many abandon the "second victims" of medical errors. | PSNet
     psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors
     June 10, 2018 - June 10, 2018 Cultivate discussions in a psychologically safe workplace: part 1 and part

259. Disclosing errors and adverse events in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/disclosing-errors-and-adverse-events-intensive-care-unit
     February 17, 2017 - systematic framework for disclosing errors and adverse events to guide providers and facilitate appropriate discussions

260. Written Signout: It Only Works If You Use The Right One | PSNet
     psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
     April 24, 2018 - in both a pediatric community setting and pediatric teaching unit resulted in improved collaborative discussions … Residents should be introduced early in discussions about planning and executing implementation of handoff … ongoing supervision and directed feedback, provider teams can use this framework to promote active discussions