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  1. psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - out portion of the Joint Commission Universal Protocol requires an "[a]ctive communication among all members … Lingard and colleagues point to three cultural barriers to effective time outs, including that the members … "( 11 ) Others suggest that the need for respect amongst the members of the team is a crucial determinant … , a process is being put into place that addresses the issue of respect and frustrations that cause members … Finally, it would seem appropriate for all members of the team to perform documentation of the time out
  2. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
    December 01, 2005 - Case: Low on the Totem Pole The student observed one of the team members insert a Foley catheter into … information about the catheter should not have been presented on rounds due to concerns that family members … Teamwork Survey “Junior team members should not question the decisions made by senior team members
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43670/psn-pdf
    November 12, 2014 - This survey of rapid response members, including physicians and nurses, sought to determine whether … reports of patient harm associated with attending rapid response events instead of normal duties, team members
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42882/psn-pdf
    November 23, 2016 - Although patients and family members may provide unique insights into adverse events, they are rarely … revealed that clinicians and hospital administrators generally support including patients and family members
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43072/psn-pdf
    November 21, 2016 - more timely responses to clinical deteriorations, some pediatric medical centers have enabled family members … necessary, and the belief that this responsibility could provide an undue burden and stress on family members
  6. psnet.ahrq.gov/issue/alterations-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
    April 24, 2018 - found that Spanish medical interpreters frequently altered the original speech of providers and family members … See More About The Topic Intensive Care Units Health Care Providers Family Members
  7. psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
    April 24, 2018 - discussed the safety benefits of structured communication between health care providers and family members … Children's Hospitals Health Care Providers Health Care Executives and Administrators Family Members
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60653/psn-pdf
    April 25, 2020 - ASHP Connect is an online blog platform that existed before COVID for members to engage with each other … association has created a COVID-19 Connect Community section of the website that is available for both members … and non-members to raise questions associated with COVID care and share lessons learned and best practices … professional organizations have similar professional online forums that can serve as valuable resources for members … Practice and Research Networks and the Society of Infectious Diseases Pharmacists host forums for their members
  9. psnet.ahrq.gov/issue/patient-preferences-participation-patient-care-and-safety-activities-hospitals
    July 17, 2024 - December 19, 2018 Patients' and family members' views on how clinicians enact and how … November 28, 2016 Patients' and family members' experiences of open disclosure following
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40753/psn-pdf
    September 07, 2011 - Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members … Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44827/psn-pdf
    February 14, 2017 - voluntary reporting system called Coworker Observation Reporting System (CORS) to allow health care team members … The number of reports increased during the intervention, suggesting that team members saw a benefit
  12. psnet.ahrq.gov/web-mm/missing-suction-tip
    January 01, 2006 - It is possible that the surgeon was not listening to the advice of other team members, or, although he … 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
  13. psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital
    July 11, 2017 - at a single hospital with input from inpatient providers, primary care providers, patients, family members … The authors emphasize the importance of interviewing patients and family members as well as medical providers
  14. psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
    June 27, 2018 - voluntary reporting system  called Coworker Observation Reporting System (CORS) to allow health care team members … The number of reports increased during the intervention, suggesting that team members saw a benefit to
  15. psnet.ahrq.gov/issue/nature-adverse-events-dentistry
    November 01, 2023 - Opportunities for Providing Safe Care February 23, 2022 Clinical dental faculty members … January 17, 2019 Clinical dental faculty members' perceptions of diagnostic errors and
  16. psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 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.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33755/psn-pdf
    September 01, 2013 - They describe four important elements of a culture of safety: psychological safety (members feel safe … to take interpersonal risks [1]); learning orientation (members emphasize learning from experience … and from others, especially when errors occur [2]); systems orientation (members recognize that people … Only then can they discuss the type of culture its members would prefer and how to move there given … effective for leading organizational change.(6) It also models a learning orientation for organizational members
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45402/psn-pdf
    November 01, 2017 - at a single hospital with input from inpatient providers, primary care providers, patients, family members … The authors emphasize the importance of interviewing patients and family members as well as medical
  19. psnet.ahrq.gov/web-mm/intubation-mishap
    April 26, 2023 - —In one ICU study, failures of communication between team members accounted for 37% of all errors reported … The diversity of modern teams adds to the challenge: individual team members will differ, not only in … less acute settings, situation awareness about the actions, thoughts, and intentions of other team members … Crew Resource Management training, used in the aviation industry to train members of the flight deck, … Blike have declared that neither they, nor any immediate members of their families, have a financial
  20. psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
    December 13, 2023 - Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members … December 4, 2016 Patients' and family members' views on how clinicians enact and how

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