-
psnet.ahrq.gov/node/840173/psn-pdf
November 16, 2022 - then follows a standardized process for communicating the incidental finding to the patient or family
member
-
psnet.ahrq.gov/issue/buying-medicines-over-internet
April 08, 2020 - June 11, 2014
Be an Active Member of Your Health Care Team.
-
psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - care provider
Abduction of a patient/resident of any age
Sexual abuse/assault on a patient or staff member … within or on the grounds of a healthcare setting
Death or serious injury of a patient or staff member
-
psnet.ahrq.gov/node/45475/psn-pdf
October 11, 2017 - Investigators examined data from surveys
administered in 2009 and 2013 in 27 European Union member nations
-
psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups
August 08, 2018 - Early organizational intervention to remove or remediate the "bad apple" member can ameliorate their
-
psnet.ahrq.gov/issue/there-role-patients-and-their-relatives-escalating-clinical-deterioration-hospital-systematic
March 08, 2023 - This systematic review examined whether patient and family member activation of rapid response teams
-
psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical
November 16, 2022 - distributed, the highest mean survey score was for the item " knowing the name of an interdisciplinary team member
-
psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - start of the procedure.(6) Some groups have implemented the use of time-out
protocols when a team member … These can be initiated by any team member, at
any time, to ensure that everyone has a chance to pause … When positioning the patient and obtaining access proved
challenging, a time-out called by a team member
-
psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Such a system would require that a member of the patient's primary care team manually update the patient's … In the hospital, a family member who has access to the patient's medication administration record may … The family member might then call the nurse or doctor, prompting a bedside discussion of the patient's … Eytan has declared that neither he, nor any immediate member of his family, has a financial arrangement
-
psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
November 16, 2022 - five distractors fell into the equipment and environmental categories – (excessive heat/cold, team member
-
psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - If it is determined that the staff member ignored
the plan and performed the transfer that required … was sustained that clearly and directly can be
attributed to the fact that there was only one staff member … In all cases, the staff member or at the minimum, the facility administrator should
know the risks of
-
psnet.ahrq.gov/issue/medwatch
April 08, 2020 - October 10, 2018
Be an Active Member of Your Health Care Team.
-
psnet.ahrq.gov/issue/ismps-safe-medicine
January 26, 2023 - June 11, 2014
Be an Active Member of Your Health Care Team.
-
psnet.ahrq.gov/issue/final-report-prioritization-patient-safety-practices-new-rapid-review-or-rapid-response
December 21, 2022 - The fifteen-member Technical Expert Panel identified 27 priority patient safety practices for examination
-
psnet.ahrq.gov/node/46191/psn-pdf
July 19, 2017 - identified
through structured data that signals a potential adverse event that should be examined by a member
-
psnet.ahrq.gov/node/42211/psn-pdf
April 24, 2013 - physicians, nurses, and allied staff) reported experiencing disruptive behavior, most often from another
member
-
psnet.ahrq.gov/node/46504/psn-pdf
February 22, 2018 - Hospitals who appointed diverse guiding coalitions, promoted genuine
team member engagement, and managed
-
psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - communication among all members of the surgical/procedure team, consistently initiated by a designated member … of the team, conducted in a 'fail-safe' mode," so that the planned procedure is not started if a member … which includes all components of the Universal Protocol with the final time out signed-off on by a member … decide how the Universal Protocol and time out are documented, but care must be taken to not make one member
-
psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - One team member should be dedicated to titrating sedative medication and
monitoring the patient’s breathing … and blood flow, while the other staff member performs the procedure. … arrest have occurred when the person performing the procedure did not have the help of a second
staff member … information was not
relayed to either the pulmonologist or the anesthesiologist because the junior staff member
-
psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - Creating a central program that has the flexibility to serve each of the member organizations at a level … establishing values and a focus on safety at the highest level of the system are key to enable the member … It is critical that the executive leaders of the system, as well as the leaders of the member hospitals … Training
Those managing safety within the health systems member hospitals must have access to training … Turning Data Into Information
Assisting the network's member organizations in turning safety data into