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psnet.ahrq.gov/node/38727/psn-pdf
November 25, 2009 - This study examined how team members' perceptions of the
FMEA process itself can improve their future
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psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and-family-centered-care
September 21, 2011 - December 4, 2016
Engaging patients and family members in patient safety—the experience … Hospitals
Health Care Providers
Health Care Executives and Administrators
Patients
Family Members
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psnet.ahrq.gov/issue/military-care-pattern-errors-not-scrutiny
November 06, 2015 - Copy Citation
Related Resources From the Same Author(s)
Service members are … May 11, 2016
Service members are left in dark on health errors.
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - The IOM report that came out in 2000 made a big splash and caught a lot of board members unaware. … To the extent that board members knew anything about quality, they were always hearing the good news. … Well, it turns out that one thing they do is promote a conversation between members of the board and … members of the medical executive committee. … Board members are invited to organizational meetings and events that focus on quality and safety.
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - 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. … The IOM report that came out in 2000 made a big splash and caught a lot of board members unaware. … To the extent that board members knew anything about quality, they were always hearing the good news. … members of the medical executive committee.
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psnet.ahrq.gov/issue/qualitative-exploration-impact-distressed-family-member-pediatric-resuscitation-teams
March 25, 2020 - March 30, 2022
Addressing mistreatment of providers by patients and family members as
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psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
July 18, 2018 - March 27, 2019
Engaging patients and family members in patient safety—the experience … Hospitals
Health Care Providers
Health Care Executives and Administrators
Patients
Family Members
-
psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - Although this physician had the advantage of medical knowledge, nonphysician patients and family members … A key determinant of patients' and family members' ability to advocate for safety is the culture of the … A second role for patients and family members is in working to improve safety and quality in health care … Residents review them aloud so all members of the care team (including the patients and family members … But other hospitals are taking steps to engage patients and family members in discussions with senior
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - When medical team members don't play well
together—sometimes because a physician engages in disruptive … The pyramid is based on a foundational concept
that the vast majority of team members never demonstrate … We believe that patients and other members of the health care
team serve an important surveillance role … The process needs to be
fair and apply to all members of the team. … The
phenomenon of disruptive conduct, however, affects all medical team members and what I refer to
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - —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 … 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 … Coordination
Team members efficiently and effectively work together and with other needed
technology
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - 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 the … effective for leading organizational change.( 6 ) It also models a learning orientation for organizational members
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - Shifting the tone of the conversation in this way has created greater engagement of our team members … Because of the experience we are creating, team members now often ask for HEAL sessions to talk about … We were not tapping into the organizational wisdom and expertise of our team members as effectively as … It's been incredible to watch the “aha” moments as frontline team members engage and learn from each … This is a proactive executive leader briefing or huddle with direct frontline team members regarding
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Shifting the tone of the conversation in this way has created greater engagement of our team members … Because of the experience we are creating, team members now often ask for HEAL sessions to talk about … We were not tapping into the organizational wisdom and expertise of our team members as effectively as … It's been incredible to watch the “aha” moments as frontline team members engage and learn from each … This is a proactive executive leader briefing or huddle with direct frontline team members regarding
-
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.
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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
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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
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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
-
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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psnet.ahrq.gov/issue/patient-safety-consumers-perspective
January 12, 2022 - November 28, 2016
Patients' and family members' views on how clinicians enact and how … Providers
Quality and Safety Professionals
Organizational Behaviorists
Patients
Family Members
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - December 4, 2016
Patients' and family members' views on how clinicians enact and how … April 19, 2011
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Physicians
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