-
psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity
April 20, 2022 - October 14, 2020
A qualitative exploration of the impact of a distressed family member
-
psnet.ahrq.gov/issue/ensuring-correct-surgery
May 24, 2017 - May 4, 2015
Be an Active Member of Your Health Care Team.
-
psnet.ahrq.gov/node/39329/psn-pdf
September 30, 2015 - The meat of the volume is a
detailed chronicle of Pronovost's journey from neophyte faculty member to
-
psnet.ahrq.gov/issue/fda-101-how-use-consumer-complaint-system-and-medwatch
February 15, 2024 - July 10, 2015
Be an Active Member of Your Health Care Team.
-
psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - For the third theme, motivation to speak up, a team member may not be motivated
by patient safety to … voice a productive opinion, but rather may be motivated to criticize another team
member and may feel … psychologically safe environment for healthcare teams is desirable for optimal team performance, team
member
-
psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - He is also a senior faculty member at the Institute for Healthcare Improvement (IHI), where he has taken … At PeaceHealth, a System Board Quality Committee was created, and a respected physician board member … quality and safety have improved, we expect that it will require 1 to 2 years for the typical board member … As one highly experienced board member commented a few months ago, high quality, safe care was always … In our case, every system and regional board member has been given a copy of Internal Bleeding: The
-
psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - therapy candidate is one who can self-administer IV medications at home or with
the help of a family member … patients selected for home infusion OPAT must be taught to self-administer or asked to identify a
family member … needs to have an established support
system after discharge, which typically includes a household member
-
psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - While a member of staff might say, "It's just not possible to do that" or "I can't see how we could make … issue of patients and their ability to protect themselves, whether it's bringing a vigilant family member … Then you might rely on a family member, but what if the family member is less present, then that person
-
psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - 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/node/33744/psn-pdf
February 01, 2013 - Years ago, The Joint Commission was
quite explicit stating that patients should take a family member … This physician placed this patient as a key member of his safety
team. … Does the patient or family member
have good listening skills so they can hear the perspectives of others … use it in terms of helping her have supportive conversations with her clinical team when a family
member
-
psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - July 5, 2016
Faculty member review and feedback using a sign-out checklist: improving
-
psnet.ahrq.gov/node/33698/psn-pdf
August 01, 2010 - Then the third part is working on simulators to demonstrate your competency as a team member. … engaging people in
rapid process improvement and being able to share with them the daily results—every member … In some ways, the faculty member who is focusing his or her
career on quality and safety is placing
-
psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and-conventional-manufacturers-may
April 08, 2020 - January 13, 2016
Be an Active Member of Your Health Care Team.
-
psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - acute kidney injury were more likely to have additional pharmacy support and/or a nephrologist team member
-
psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - A front office staff member who did not have any clinical training answered the patient's phone call. … the patient called the office and stated that she had cut her wrists and taken some pills, the staff
member … individuals how to recognize
mental health issues and what to do to help.(9) In this case, the staff member … If that was not possible, the staff member taking the call
should have triaged the patient to the emergency
-
psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - teamwork, adequate staffing resources, technological resources, leadership buy-in and support, team member … The virtual team member: remote engagement of medical students in COVID-19 care.
-
psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - 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/primer/never-events
June 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/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation
December 31, 2014 - system did not reliably display completed orders) to changes in team workflow (prior to CPOE, only one member
-
psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
March 12, 2025 - principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member