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Total Results: 2,999 records

Showing results for "members".

101. Air on the Side of Caution | PSNet
     psnet.ahrq.gov/web-mm/air-side-caution
     April 21, 2015 - review revealed that the team was under significant time pressure to perform the procedure, and many members … All team members should make an effort to limit distractions, especially those that are within their … This small time-out can be done individually or by all team members as a mini procedural pause. … Procedural time-outs have been successful in helping team members develop a shared mental model at the … When key personnel were called away, the remaining members should have assessed whether they had the

102. Experience with family activation of rapid response teams. | PSNet
     psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
     December 17, 2008 - education and implementation process and describes the first series of RRS calls initiated by family members … November 21, 2016 Preventing sentinel events caused by family members. … Topic General Hospitals Health Care Providers Quality and Safety Professionals Family Members

103. How communication among members of the health care team affects maternal morbidity and mortality. | PSNet
     psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
     November 12, 2014 - Commentary How communication among members of the health care team affects maternal … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality.

104. Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet
     psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
     August 14, 2014 - patient safety learning initiative: insights from participants, project leads and steering committee members … patient safety learning initiative: insights from participants, project leads and steering committee members … patient safety learning initiative: insights from participants, project leads and steering committee members

105. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - Thus, when a team hears one of its members say "I am C oncerned," "I am U ncomfortable," or "This is … In summary, frank, effective communication among members of an OR team does not develop on its own. … Each member will announce any action that affects other team members. … Be explicit Team members should use clear terms and phrases that cannot be misconstrued. … A team member should never assume that other members have noticed the same thing.

106. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
     April 01, 2006 - During this time, the surgeon began to yell at members of the operating room (OR) team for a variety … Critical Elements of Safety Culture Instill core values in members of organization Those in charge … convey to other team members their important role for early detection and communication of possible problems … quality care that teamwork provides Recognize that safety flows from the coordinated action of team members … Outline consequences for overbearing behaviors and disrespect of team members

107. 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

108. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. | PSNet
     psnet.ahrq.gov/issue/trainees-voice-recognising-importance-preoperative-briefings-surgical-trainees
     October 09, 2019 - preoperative briefings as a training mechanism through strategies like increased emphasis on identifying team members … Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members

109. Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet
     psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
     December 02, 2020 - This commentary describes how one hospital built a toolkit to operationalize family members as partners … Children's Hospitals Health Care Providers Health Care Executives and Administrators Family Members

110. 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

111. 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

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. 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

114. 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

115. 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

116. 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

117. 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

118. 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

119. 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

120. 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