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  1. Psn-Pdf (pdf file)

    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
  2. psnet.ahrq.gov/issue/family-alert-implementing-direct-family-activation-pediatric-rapid-response-team
    December 16, 2009 - This study reports on a pediatric hospital's experience with allowing family members to activate the … Children's Hospitals Health Care Providers Health Care Executives and Administrators Family Members
  3. psnet.ahrq.gov/issue/family-centered-rounds-pediatric-wards-pris-network-survey-us-and-canadian-hospitalists
    April 24, 2018 - rounds—multidisciplinary rounds conducted at the bedside in the presence of the patient and family members … Health Care Providers Quality and Safety Professionals Organizational Behaviorists Family Members
  4. psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
    April 11, 2018 - This commentary describes a 10-minute team huddle exercise which involves team members rating their … In addition, two team members select "knowledge cards" that either test the person's knowledge or assign
  5. psnet.ahrq.gov/issue/teamwork-operating-theatre-cohesion-or-confusion
    July 26, 2011 - The investigators interviewed surgical team members about their perception of the core elements of teamwork … Although team members disagreed on what characteristics constitute teamwork, they believed the quality
  6. psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational
    November 17, 2014 - surgical safety checklist have been implemented in order to improve intraoperative communication between members … important clinical information took place outside of scheduled formal discussion times, and junior members
  7. psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
    April 06, 2011 - theoretical models to analyze ways in which unsafe behaviors become accepted by operating room team members … A study of patients' and operating room team members' perceptions of error definition, reporting, and
  8. psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
    February 26, 2025 - After they were aware of the problem, team members conducted an aggregate root-cause analysis on the … The innovation also requires that team members have skills and experience with aggregate root-cause analysis … Team members should be able to assess how other sites are approaching similar issues by accessing their … Individual team members gathered and synthesized the latest research findings and consulted colleagues … Team members should be able to assess how other sites are approaching similar issues by accessing their
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49423/psn-pdf
    November 01, 2003 - It is possible that the surgeon was not listening to the advice of other team members, or, although … should not question decisions made by senior team members.(7) A broader and related issue reflected … indirect comments may not have raised suspicion even in a surgeon open to questioning by other team members … ’ goals; differences between team members’ interpretation of events (nurses and physicians interpret … Moore have declared that neither they, nor any immediate members of their families, have a financial
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
    June 01, 2011 - frequently physicians care for family or relatives Describe the risks associated with caring for family members … modern American Medical Association (AMA) states “Physicians generally should not treat themselves or members … When physicians treat members of their own families: practices in a community hospital. … Available at: http://www.ncbi.nlm.nih.gov/pubmed/8427235 * Inappropriate Care for Family Members … When physicians treat members of their own families: practices in a community hospital.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41051/psn-pdf
    February 20, 2012 - what-do-patients-and-relatives-know-about-problems-and-failures-care Interviews with patients and family members … what-do-patients-and-relatives-know-about-problems-and-failures-care https://psnet.ahrq.gov/issue/patients-and-family-members-views-how-clinicians-enact-and-how-they-should-enact-incident
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42535/psn-pdf
    October 16, 2013 - 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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40275/psn-pdf
    March 23, 2011 - Discrepant perceptions of communication, teamwork and situation awareness among surgical team members … Discrepant perceptions of communication, teamwork and situation awareness among surgical team members
  14. psnet.ahrq.gov/issue/standardization-pediatric-noncardiac-operating-room-intensive-care-unit-handoffs-improves
    March 10, 2021 - 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
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50844/psn-pdf
    January 29, 2020 - 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 … workload, and the possibility of reinforcement of hierarchies if the active involvement of junior team members … to share information, identify concerns, collaborate, and effectively engage interdisciplinary team members
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47555/psn-pdf
    November 14, 2018 - This commentary describes a 10- minute team huddle exercise which involves team members rating their … In addition, two team members select "knowledge cards" that either test the person's knowledge or assign
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34839/psn-pdf
    April 06, 2011 - direct observation of 48 surgical procedures to characterize deficits in communication among team members … Problematic communication occurred in nearly one-third of all exchanges between team members, and appeared
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45031/psn-pdf
    February 18, 2017 - surgical safety checklist have been implemented in order to improve intraoperative communication between members … important clinical information took place outside of scheduled formal discussion times, and junior members
  19. psnet.ahrq.gov/issue/sepsis-smart
    May 03, 2023 - October 18, 2017 Engaging patients and family members in patient safety—the experience … November 16, 2005 View More See More About The Topic Patients Family Members
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - Communication is important with ongoing training or retraining to ensure that all team members are up … In addition, checking for understanding by having team members show that they can follow the correct … Care team members should check identification bands before providing EBM and ensure that patients and … Rather, any follow up actions taken by supervisors should reinforce the need for all team members to … Healthcare team members should also be provided support after an error occurs.

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