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Total Results: 7,488 records

Showing results for "involved".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840174/psn-pdf
     August 28, 2024 - Hospital staff then offered confidential peer-to-peer support to the surgeon and others involved in … At that point, peer support for the involved clinicians should have been triggered and the family should … At least her point of contact (social worker/liaison), the involved physician(s), a representative of … There should be no surprises for her or anyone else involved. … Often the meeting participants who were involved in providing health care have things they feel are

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49838/psn-pdf
     August 01, 2018 - The ICU resident, who had been involved in the prior conversations, canceled the terminal extubation … Another nurse who had been involved in the previous conversations found the canceled orders after the … Additionally, the supervising physicians were not involved with or aware of the order writing and canceling … process and were only involved after the extubation was complete. … withdrawing life-saving therapies requires structured communication among the family and all staff involved

203. Quality and patient safety improvement is never finished. | PSNet
     psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
     September 18, 2024 - A comparative study measuring the difference of healthcare workers reactions among those involved … September 21, 2016 Increased risk of burnout for physicians and nurses involved in a

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867653/psn-pdf
     February 26, 2025 - I became involved in RCA2 as part of my role at Ochsner, a health system that was quickly expanding while … In RCA2, we have small working teams without the staff involved in the adverse event. … Some organizations need help with this piece because they are accustomed to having the staff involved … Some of these events can be very traumatic, and we need to support the staff who have been involved. … As an example, a traditional RCA would often feature large meetings with leadership, the staff involved

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44626/psn-pdf
     November 04, 2015 - The process begins with a preliminary investigation into what happened and who was involved, followed … by an in-person meeting with an interdisciplinary team and any staff directly involved in the event

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45652/psn-pdf
     June 29, 2017 - Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. … The types of opioids most commonly involved in overdose deaths are natural and semisynthetic opioids

207. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet
     psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
     September 21, 2016 - April 10, 2019 Supporting involved health care professionals (second victims) following … September 19, 2016 Increased risk of burnout for physicians and nurses involved in a … A comparative study measuring the difference of healthcare workers reactions among those involved

208. Right Electrocardiogram, Wrong Patient | PSNet
     psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
     April 24, 2024 - All of the cases involved the nurse or EKG technician either entering the wrong medical record number … One case involved a female infant whose treating physician received an electronic medical record (EMR … Fortunately, there were no adverse effects on any of the patients involved in the cases of mentioned … Despite this, incorrect EKG documentation can create unnecessary distress to all parties involved, while … The nine cases of misidentified EKG results comprising this WebM&M issue all involved errors in patient

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37791/psn-pdf
     September 29, 2017 - anonymously filed complaint, acted due to concerns around the need for consent from patients and clinicians involved … This commentary summarizes the project in question, discusses several ethical and regulatory issues involved

210. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/866100
     August 30, 2023 - Healthcare workers who are involved in a patient safety incident may experience adverse psychological … Becoming a high reliability organization remains challenging due to the many contributing factors involved … Medical errors and adverse events can have a devastating psychological impact on the providers involved … Conducted in 2021, this study involved 867 hospital nurses in the... … Conducted in 2021, this study involved 867 hospital nurses in the...

211. Missed CANDOR Implementation Opportunities. | PSNet
     psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
     November 11, 2020 - Hospital staff then offered confidential peer-to-peer support to the surgeon and others involved in the … At that point, peer support for the involved clinicians should have been triggered and the family should … At least her point of contact (social worker/liaison), the involved physician(s), a representative of … There should be no surprises for her or anyone else involved. … Take-Home Points When patients are harmed and particularly when a patient death is involved, healthcare

212. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/866843
     January 01, 2024 - Improving communication across the assessing nurse, care team, patient, and patient’s most involved friends … Improving communication across the assessing nurse, care team, patient, and patient’s most involved friends

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50842/psn-pdf
     January 29, 2020 - patient-identification-errors-systems-challenge The Cases The following four events involving five patients all involved … Event #1 involved a 68-year-old woman who presented to the emergency department (ED) from the ambulatory … Event #2 involved two patients whose ED visits overlapped in time. … Event #3 involved a 2-year-old patient who presented to the ED, subsequently underwent surgery, recovered … electronic records performed at New York Presbyterian Hospital revealed that only 3.2% of the errors involved

214. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-472
     February 26, 2025 - Clinicians who are involved in patient safety incidents often continue to experience psychological or … cross-sectional study, which included 78 general practitioners in Belgium, found that 87% had been involved … Over half reported being involved in an event in the prior year. … Only half of respondents were involved in an open discourse process after the incident, but participation … Barriers included concerns over simulation being punitive, for example, to justify firing staff involved

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45222/psn-pdf
     June 08, 2016 - The effort involved socioadaptive interventions (various approaches shown to improve safety culture) … An earlier article described the implementation of the program, which involved collaboration between

216. How to develop a second victim support program: a toolkit for health care organizations. | PSNet
     psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
     April 03, 2019 - April 10, 2019 Supporting involved health care professionals (second victims) following … September 19, 2016 Supporting involved health care professionals (second victims) following

217. 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 - The ICU resident, who had been involved in the prior conversations, canceled the terminal extubation … Another nurse who had been involved in the previous conversations found the canceled orders after the … Additionally, the supervising physicians were not involved with or aware of the order writing and canceling … process and were only involved after the extubation was complete. … is a multidisciplinary, multiteam meeting called by the nurse in charge of the patient, and all the involved

218. Nurse Wellbeing and Patient Safety | PSNet
     psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
     August 30, 2023 - Healthcare workers who are involved in a patient safety incident may experience adverse psychological … Becoming a high reliability organization remains challenging due to the many contributing factors involved … Medical errors and adverse events can have a devastating psychological impact on the providers involved … Conducted in 2021, this study involved 867 hospital nurses in the United States. … Healthcare workers who are involved in a patient safety incident may experience adverse psychological

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49603/psn-pdf
     June 01, 2010 - Upon discovery of the error, the nurse involved was fired by the hospital and her license was revoked … or at-risk/reckless behavior is a very difficult judgment, and the outcome depends more on who is involved … Second, determine the (clinical) knowledge of the person involved: did he or she have sufficient training … What does the person involved believe should be done? … organization's risk, but it is probably seen as very unjust by all other major stakeholders: the nurse involved

220. Changing course. | PSNet
     psnet.ahrq.gov/issue/changing-course
     March 26, 2014 - A few well-publicized cases of medical errors have led the hospitals involved to transform how they approach … A few well-publicized cases of medical errors have led the hospitals involved to transform how they approach