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  1. psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
    January 22, 2016 - September 29, 2017 Patients' and family members' experiences of open disclosure following … November 21, 2016 Patients' and family members' views on how clinicians enact and how
  2. psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
    February 15, 2011 - Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members … July 19, 2023 Rural community members' perceptions of harm from medical mistakes: a High
  3. psnet.ahrq.gov/issue/creating-spaces-intensive-care-safe-communication-video-reflexive-ethnographic-study
    December 18, 2013 - September 29, 2017 Patients' and family members' experiences of open disclosure following … November 21, 2016 Patients' and family members' views on how clinicians enact and how
  4. psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
    March 05, 2010 - Discrepant perceptions of communication, teamwork and situation awareness among surgical team members … November 30, 2022 Communication disparities between nursing home team members.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866538/psn-pdf
    August 14, 2024 - improving-departmental-psychological-safety-through-medical-school-wide- initiative Psychological safety is when team members
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866645/psn-pdf
    September 04, 2024 - perspective/technology-tool-improving-patient-safety https://psnet.ahrq.gov/issue/clinical-informatics-team-members-perspectives-health-information-technology-safety-after
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - important aim was to improve teamwork and assertive communication between operating room (OR) team members
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859352/psn-pdf
    December 20, 2023 - This podcast features family members, clinicians, health system leaders, and improvement experts to
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60983/psn-pdf
    October 07, 2020 - A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. October 7, 2020 Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;10(9):758-766. doi:10.1542/hpeds.…
  10. psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - The patient was discharged home with family members, with instructions to follow up “as needed,” as his … After subsequent discussion among the care team members, it was apparent the fellow and attending each … They can prompt team members to remind each other of delegated tasks and action items to ensure follow-through … the successful use of checklists depends on the continued, timely input of clinicians and care team members … Checklists and clear communication among team members — involving explanation of the procedure performed
  11. psnet.ahrq.gov/web-mm/ecg-not-normal
    November 10, 2015 - Describe the risks associated with caring for family members or relatives. … The ban on caring for family members is longstanding. … endures in the AMA code's most recent iteration ("Physicians generally should not treat themselves or members … Opinion 8.19: Self-Treatment or Treatment of Immediate Family Members. … When physicians treat members of their own families: practices in a community hospital.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73543/psn-pdf
    July 28, 2021 - amc-pso-resource-center Patient Safety organizations (PSO) are in a unique position to educate their members
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836971/psn-pdf
    April 20, 2022 - instances of overlapping surgeries) and the value of transparency about the role of surgical team members
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47821/psn-pdf
    May 22, 2019 - website for independent community pharmacy owners across the United Kingdom features both free and members-only
  15. psnet.ahrq.gov/web-mm/challenging-case-multiple-suicide-attempts-complex-patient-psychiatric-comorbidities
    September 27, 2023 - Describe effective communication and teamwork between psychiatric consultants and other medical team members … ., lack of inpatient psychiatric beds, adverse effects on patient flow in the ED, appeals by family members … attempt, even though patients who later deny suicidal ideation are often discharged to the care of family members … Although recruitment of family members to assist in clinical disposition and to “supervise” the patient … Such arrangements are burdensome to the recruited family members, who may be torn between a sincere wish
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33594/psn-pdf
    November 18, 2021 - Staff members may vocalize distress or may note emotional reactions in others. … During this phase, the facilitator needs to elicit perspectives from team members about how events unfolded … team members sharing what they were thinking and how they were affected by the actions of others. … Explicitly summarizing lessons learned from the scenario or clinical event may help team members to … the nature of the events to be debriefed; the time pressures of the clinical environment; and team members
  17. psnet.ahrq.gov/primer/debriefing-clinical-learning
    September 15, 2024 - Staff members may vocalize distress or may note emotional reactions in others. … During this phase, the facilitator needs to elicit perspectives from team members about how events unfolded … team members sharing what they were thinking and how they were affected by the actions of others. … Explicitly summarizing lessons learned from the scenario or clinical event may help team members to recall … the nature of the events to be debriefed; the time pressures of the clinical environment; and team members
  18. psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Readmissions often occur because hospitalized patients and their family members are not adequately prepared … Patients and family members may also have difficulty in accessing providers for their followup needs … communicate:  The Transitions Coach uses role playing and other tools to educate patients and family members … to 40 percent lower overall hospital readmission rates (i.e., readmissions for any reason) than did members … :  Transitions Coaches are a dedicated role, to allow coaches time to work with patients and family members
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837660/psn-pdf
    July 08, 2022 - Whenever a procedure is performed under sedation, at least two staff members must be present to optimize … It is very important that all members of the health care team, regardless of their level of experience … issues that may affect patient safety without having to fear criticism or ridicule from senior staff members … Family members should therefore be present when the issue is discussed after the procedure, and a written … All team members need to feel empowered to bring up issues without fear of reprisal.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73549/psn-pdf
    July 28, 2021 - Improving Safety This case highlights a lack of communication between the operating room (OR) team members … in addition to surgeon-performed wound infiltration must advise the surgeon and other surgical team members … This case highlights the importance of communication between team members to improve patient safety. … Communication between the OR team members must occur to minimize the risk of overdose.

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