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psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-
and
A National Patient Safety Goal (NPSG) since 2005, medication reconciliation involves
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psnet.ahrq.gov/issue/making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-insulin-errors
February 18, 2019 - Diabetes care involves the use medications that have high risk of adverse drug events .
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - Medication administration, particularly when it involves drug formulation manipulation , is a complex
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psnet.ahrq.gov/node/47437/psn-pdf
November 02, 2018 - Although medication reconciliation always involves the
patient to some extent, it creates an opportunity
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-
acquired-harm
Improving patient safety often involves
-
psnet.ahrq.gov/node/45167/psn-pdf
May 25, 2016 - Traditionally, health systems have disclosed adverse events to patients only through a lengthy process that
involves
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psnet.ahrq.gov/node/73901/psn-pdf
September 29, 2021 - The program involves physicians and pharmacists reviewing
relevant clinical electronic health record
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
September 01, 2024 - The journey toward co-production in diagnostic safety involves creating and sustaining structures that
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www.ahrq.gov/teamstepps-program/curriculum/mutual/overview/index.html
July 01, 2023 - Key Concepts
Mutual Support
Also called "backup behavior," mutual support involves team members assisting
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Generally, the CANDOR process begins with identification of an event that involves harm.
-
www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Slide 12
Say:
The response to medical injury involves more than just what to do and what … The CANDOR process is an integrated approach that involves different pieces; but for the process to work … It involves the activation of the Care for Caregiver program for the organization. … Slide 19
Say:
The CANDOR process involves a thorough investigation of the adverse event
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/coach.html
June 01, 2023 - The role of coach often involves teaching a skill or procedure to another person. … Providing Feedback – As we have discussed, feedback involves carefully observing performance and sharing … This task involves distinguishing between symptoms and root causes of problems. … Situations – Raising uncomfortable topics that are affecting task accomplishment:
Coaching often involves
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psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
September 13, 2017 - It has the unique distinction of being totally voluntary and involves input from more than 1100 consulting
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psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
September 20, 2011 - This case involves an iatrogenic reaction that occurred due to mistakenly administering methotrexate
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptx
January 10, 2022 - Commonly referred to as “watching each other’s back,” cross‐monitoring involves monitoring all actions … The STEP process involves ongoing monitoring of the:
Status of the patient: What are the patient’s … Developing an action plan involves who, what, how, and when.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdf
January 10, 2022 - Commonly referred to as “watching each
other’s back,” cross‐monitoring involves monitoring … The STEP process involves ongoing monitoring of the:
• Status of the patient: What are the patient’s … Developing an action plan involves who, what, how, and
when.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-presenters-notes.pdf
January 12, 2022 - However, the diagnostic
process involves and benefits from collaboration among multiple healthcare … Arriving at accurate and
timely diagnoses involves teamwork (National Academies of Sciences, Engineering … Teamwork in the diagnostic process involves the collaboration of a clinician with a
patient and the
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module2-team-structure.pptx
January 12, 2022 - However, the diagnostic process involves and benefits from collaboration among multiple healthcare professionals … Arriving at accurate and timely diagnoses involves teamwork (National Academies of Sciences, Engineering … Teamwork in the diagnostic process involves the collaboration of a clinician with a patient and the patient
-
psnet.ahrq.gov/issue/junior-doctors-shifts-and-sleep-deprivation
October 16, 2012 - The authors argue that the National Health Service shift system, which involves working consecutive night
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan18/drug-use-illicit-primary-care-interventions-for-children-and-adolescents-march-2014
May 15, 2013 - to primary care:
Whom targeted: Individual-level identification
Who delivered: Usually involves … Generally involves no more than eight group sessions total, and intervention time period is no longer … Usually involves 1 to 2 sessions each lasting 5 minutes to 1 hour
‡ Interventions that only include