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Total Results: 2,996 records

Showing results for "members".

101. A qualitative study of speaking out about patient safety concerns in intensive care units. | PSNet
     psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
     August 21, 2013 - Achieving a positive safety culture requires that all team members feel comfortable voicing safety concerns … Hierarchy and poor communication are well-recognized barriers that prevent team members from speaking … used data from hundreds of hours of ethnographic observation and interviews to understand how team members

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42859/psn-pdf
     March 20, 2014 - implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members … implementation of a surgical preprocedural checklist: an "attestation" format for all operating team members … In this study, formalizing the checklist process to mandate involvement of all team members improved

103. Matt's story: learning from heartbreak. | PSNet
     psnet.ahrq.gov/issue/matts-story-learning-heartbreak
     August 07, 2024 - Medical error affects the lives of patients, families, and members of the care team. … View More See More About The Topic Hospitals Physicians Family Members

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45482/psn-pdf
     September 14, 2016 - associated with managing medications in older patients, including how miscommunication between care team members … medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients … https://psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients

105. Silence, power and communication in the operating room. | PSNet
     psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
     June 08, 2011 - past Agency for Healthcare Research and Quality WebM&M commentary discussed a case of “silence” when members … A study of patients' and operating room team members' perceptions of error definition, reporting, and … September 22, 2021 Introductions during time-outs: do surgical team members know one

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862124/psn-pdf
     February 07, 2024 - /teamstepps-improving-diagnosis-team-assessment-tool-scale-development- and-psychometric All team members … Team members from nine healthcare organizations representing inpatient, surgery, and ambulatory care

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865976/psn-pdf
     May 29, 2024 - what-do-patients-and-families-observe-about-pediatric-safety-thematic- analysis-real-time Patients, family members … This analysis of 68 narrative patient safety reports submitted by the family members of pediatric patients

108. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet
     psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
     August 10, 2011 - A study of patients' and operating room team members' perceptions of error definition, reporting, and … A study of patients' and operating room team members' perceptions of error definition, reporting, and … A study of patients' and operating room team members' perceptions of error definition, reporting, and

109. Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. | PSNet
     psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe
     June 28, 2013 - Study Nurse workload and inexperienced medical staff members are associated with … Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse … Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse

110. Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet
     psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
     March 24, 2012 - with the Global Trigger Tool method for retrospective record review: focus group interviews with team members … with the Global Trigger Tool method for retrospective record review: focus group interviews with team members … with the Global Trigger Tool method for retrospective record review: focus group interviews with team members

111. A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic | PSNet
     psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
     October 30, 2024 - It is helpful when team members are adept at working together in pairs and small groups. … requires technological resources for telemedicine and communication between onsite and offsite team members … Members of the virtual team were then available 24 hours a day to lead for urgent and often changing … It is helpful when team members are adept at working together in pairs and small groups. … Lived experiences of family members of patients with severe COVID-19 who died in intensive care units

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33620/psn-pdf
     September 01, 2005 - their statement that RCAs are "performed by a team with expertise in the area of investigation whose members … involved in an error should participate in the root cause analysis (RCA), both as interviewees and as members … that such individuals should participate in the RCA process, we don't believe that they should be members … over their role in the error and can be overly defensive; (2) their presence may prevent other team members … At our institution, we do include members who are familiar with the role of the individual involved in

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47622/psn-pdf
     April 24, 2019 - beyond-dr-google-evidence-consumer-facing-digital-tools-diagnosis https://psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients … https://psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61023/psn-pdf
     October 14, 2020 - This qualitative study explored how information about ICU patients’ family members is included in handovers … structured and there is a need for user-friendly handoff tools that include information on patients’ family members

115. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet
     psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
     July 24, 2019 - December 4, 2016 Patients' and family members' views on how clinicians enact and how … November 23, 2016 Patients' and family members' experiences of open disclosure following … More About The Topic Health Care Providers Organizational Behaviorists Patients Family Members

116. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
     psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
     September 25, 2019 - the face of complexity: Practice iterative and dynamic problem representation Ensure that all team members … Ensure that all team members have a role and voice in the diagnostic process There has been increasing … As this case progressed, various members of the health care team noticed clinical phenomena that, if … For example, members of the nursing staff noted limited eye movements during the patient’s ICU admission … that health care systems identify methods to actively engage all health care team members – including

117. 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 - occurred at the end of shift, and the resident did not verbally communicate the order change to other members … Eventually, the senior ICU team members were able to intervene and speak with the daughter to explain … In a survey of bereaved family members, 13% observed that the patients received care that was not consistent … Communicating how symptoms will be managed during the process and ensuring all team members know the … Having all members of the interdisciplinary team present at The Huddle facilitates team members reaching

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33566/psn-pdf
     September 15, 2024 - The aviation industry has long recognized that safety requires crew members to receive specific training … thus focuses on developing effective communication skills and a more cohesive environment among team members … Team members are trained to cross-check each other's actions, offer assistance when needed, and address … surgery mandates a preoperative "time out," based on teamwork training principles, in which all team members

119. Patient controlled analgesia by proxy. | PSNet
     psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
     March 20, 2019 - However, serious adverse events can result when unauthorized family members, caregivers, or clinicians … Health Care Providers Health Care Executives and Administrators Risk Managers Family Members

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838244/psn-pdf
     October 05, 2022 - significant risks to the patient if essential patient information is not shared or understood by all team members … information and select patient outcomes improved, handoff time was unchanged, and attendance by all team members