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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - Absence of trust among care team members The extraordinary influx of clinicians being drawn together … De-briefings : Processes through which new team members are invited to share their insights after a care … Checklists: New team members should be empowered to follow processes and challenge any gaps observed … It stands to reason that simply ensuring that team members have breaks, food, and hydration when needed … depend upon, can thus be less than optimal, adding emotional, physical and moral stressors to team members
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - Time waiting for x-ray may have clinical consequences to the patient
Poor communication among team members … ’ attitudes about communication
40% of surgeons believed that junior team members should not question … decisions of senior team members
40% of surgical nurses rated the quality of teamwork and collaboration … System Failures Leading to Communication Breakdown
Differences between team members’ goals
Differences … between team members’ interpretation of events
Knowledge that did not make it into the team consciousness
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - Government Resource
Be an Active Member of Your Health Care Team.
Citation Text:
Be an Active Member of Your Health Care Team. US Food and Drug Administration; FDA.
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psnet.ahrq.gov/issue/disclosure-through-our-eyes
July 02, 2009 - and offers a powerful message to providers by discussing how disclosure might have influenced family members … More
See More About The Topic
Health Care Executives and Administrators
Family Members
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psnet.ahrq.gov/node/33655/psn-pdf
August 01, 2007 - down" on rising mortality rates quickly leads to a level of
complexity that is hard for many board members … Historically, PeaceHealth governing board members have been
comfortable expecting accountability in … Recently in our system, some regional board members have
expressed concern that the System Board may … Board members are invited to organizational meetings and events that focus on quality and safety. … Board members who demonstrate clear passion for improving quality and safety are encouraged to
join
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - the context of healthcare delivery, is a short meeting involving interdisciplinary healthcare team members … major shift in ambulatory surgery and inpatient units. 6 The huddle process is most efficient if team members … The advantage of tracking follow-up items on the visual management board is that team members can indicate … to share information, identify concerns, collaborate, and effectively engage interdisciplinary team members … September 28, 2022
Communication disparities between nursing home team members.
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - When these things happen to our members, they end up in the hospital. … Our members want to be with their families and friends in the community setting for as long as they can … Because of this, the plan can often determine if health plan members are on redundant medications. … As the majority of members are over age 45, our patient safety priorities are much different than, for … We provide feedback to providers on these quality measures as it relates to the care of members seen
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - When these things happen to our members, they end up in the hospital. … Our members want to be with their families and friends in the community setting for as long as they can … Because of this, the plan can often determine if health plan members are on redundant medications. … As the majority of members are over age 45, our patient safety priorities are much different than, for … We provide feedback to providers on these quality measures as it relates to the care of members seen
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psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
March 02, 2022 - Patients, family members , and caregivers have unique perspectives on safety practices in healthcare … This analysis of 68 narrative patient safety reports submitted by the family members of pediatric patients
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psnet.ahrq.gov/issue/do-patients-and-relatives-have-different-dispositions-when-challenging-healthcare
March 31, 2021 - training program (including a brief video, brochure and questionnaire) impacted the patient or family members … The researchers found that patients and family members had similar willingness to challenge, and willingness
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psnet.ahrq.gov/issue/checklist-address-implicit-bias-healthcare-settings-during-covid-19-pandemic-place-strategy
July 07, 2021 - include Pausing to Listen , working to Ally and Collaborate, and seeking to Empower patients and staff members … report event types submitted by graduate medical education trainees compared with other healthcare team members
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psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
October 20, 2021 - huddles to increase situational awareness regarding high-risk therapies among the care team and family members … May 27, 2020
Addressing mistreatment of providers by patients and family members as a
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psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining
March 18, 2020 - of psychological safety, such as absence of learning behavior, low levels of support from other team members … , and lack of familiarity among team members.
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psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
August 04, 2021 - contributing factors, and discuss approaches to improve incident reporting among perioperative care team members … August 31, 2024
Improving team members' attention during the OR briefing or time out.
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psnet.ahrq.gov/node/35807/psn-pdf
August 19, 2017 - issue/teamwork-operating-theatre-cohesion-or-confusion
The investigators interviewed surgical team members … Although team members disagreed on what characteristics constitute teamwork, they believed
the quality
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psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
November 19, 2015 - November 28, 2016
Patients' and family members' views on how clinicians enact and how … November 21, 2016
Patients' and family members' experiences of open disclosure following … About The Topic
Health Care Providers
Health Care Executives and Administrators
Family Members
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psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers
October 26, 2007 - November 28, 2016
Patients' and family members' views on how clinicians enact and how … November 23, 2016
Patients' and family members' experiences of open disclosure following … 2016
View More
See More About The Topic
Health Care Providers
Family Members
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 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 … agree 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
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - The surgeon offered the option of extracorporeal life support to allow family members to see the patient … (ECMO) and
transported to the intensive care unit (ICU), where the patient’s wife and other family members … confirmed that she understood what
happened, including the miscommunication among operating room team members … subsequent review by the patient safety committee several months later along with discussion with
members … It is also helpful for the liaison to set expectations for
surviving family members so they can prepare
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - discusses the importance of the nurse-patient relationship and engagement with patients and their family members … of AHRQ resources intended to facilitate engagement between providers and their patients and family members