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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Another study of hospital intensive care unit (ICU) team members reported that psychological safety was … positively associated with inclusive team leader behavior (e.g., encouraging input from team members … The third suggestion was to promote awareness that all team members play valuable roles and focus on … eliciting input from team members at risk for low psychological safety (e.g., junior team members). … , (2) dealing with complex and/or sensitive issues, and (3) ensuring all team members feel valued.
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psnet.ahrq.gov/node/38136/psn-pdf
November 21, 2016 - Patients' and family members' experiences of open
disclosure following adverse events. … Patients' and family members' experiences of open disclosure
following adverse events. … https://psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse … -
events
Interviews with patients and family members revealed that the disclosure process often did … https://psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
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psnet.ahrq.gov/node/73427/psn-pdf
June 23, 2021 - Operating room (OR) team members, including surgeons,
anesthesiologists, and nurses, were surveyed regarding … While nearly all team members reported experiencing at least one RSS or NMS in the past
year, responses … Surgeons were less likely to perceive
that a sharp had been lost as compared to other OR team members … Improved communication between team members may increase identification, and therefore reporting
, of
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psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-advancing-patient
June 01, 2023 - The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. … The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. … The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety.
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psnet.ahrq.gov/issue/surgical-teams-attitudes-about-surgical-safety-and-surgical-safety-checklist-10-years
March 17, 2021 - Survey responses from 2,032 surgical team members from high-income countries suggest that most respondents … perceive the checklist as enhancing patient safety, but that not all team members are engaging with … July 27, 2022
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Related Resources
Improving team members
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psnet.ahrq.gov/node/47032/psn-pdf
May 23, 2018 - Clinical dental faculty members' perceptions of diagnostic
errors and how to avoid them. … Clinical Dental Faculty Members' Perceptions of Diagnostic
Errors and How to Avoid Them. … https://psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid … -
them
This interview study examined 10 dental faculty members' perceptions of diagnostic error. … https://psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid-them
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psnet.ahrq.gov/node/39798/psn-pdf
January 19, 2011 - Clinical handover in the trauma setting: a qualitative
study of paramedics and trauma team members. … Clinical handover in the trauma setting: a qualitative study of
paramedics and trauma team members. … psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-
team-members … /psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members … /psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Another study of hospital intensive care unit (ICU) team members reported
that psychological safety … was positively associated with inclusive team leader behavior (e.g., encouraging
input from team members … The third suggestion was to promote awareness that all team members play valuable roles
and focus on … eliciting input from team members at risk for low psychological safety (e.g., junior team
members). … , (2) dealing
with complex and/or sensitive issues, and (3) ensuring all team members feel valued.
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psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
April 06, 2011 - used 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 … A study of patients' and operating room team members' perceptions of error definition, reporting, and … A study of patients' and operating room team members' perceptions of error definition, reporting, and
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psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
August 12, 2020 - Discrepant perceptions of communication, teamwork and situation awareness among surgical team members … Discrepant perceptions of communication, teamwork and situation awareness among surgical team members … Discrepant perceptions of communication, teamwork and situation awareness among surgical team members
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psnet.ahrq.gov/node/40380/psn-pdf
November 21, 2016 - Preventing sentinel events caused by family members.
November 21, 2016
Wall Y, Kautz DD. … Preventing sentinel events caused by family members. … https://psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
This commentary discusses … errors in patient care caused by family members and suggests that involving
patients and families in … https://psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/37161/psn-pdf
January 20, 2010 - Attitudes of health sciences faculty members towards
interprofessional teamwork and education. … Attitudes of health sciences faculty members towards interprofessional
teamwork and education. … https://psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-
teamwork-and-education … https://psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education … https://psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education
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psnet.ahrq.gov/issue/information-concerning-icu-patients-families-handover-clinicians-game-whispers-qualitative
March 24, 2021 - This qualitative study explored how information about ICU patients’ family members is included in handovers … structured and there is a need for user-friendly handoff tools that include information on patients’ family members … report event types submitted by graduate medical education trainees compared with other healthcare team members
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psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
January 08, 2020 - Teamwork Shared Mental Models (SMM) reflect the teams’ understanding of its members’ roles and interactions … characterized by divergent opinions regarding patient care plans, delays or gaps in communication, and team members … October 1, 2009
How, when, and why bad apples spoil the barrel: negative group members
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psnet.ahrq.gov/issue/clinical-informatics-team-members-perspectives-health-information-technology-safety-after
September 04, 2024 - Study
Clinical informatics team members' perspectives on health information technology … Clinical informatics team members' perspectives on health information technology safety after experiential … Clinical informatics team members' perspectives on health information technology safety after experiential
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psnet.ahrq.gov/node/34897/psn-pdf
November 23, 2016 - Engaging patients and family members in patient
safety—the experience of the New York City Health and … Engaging patients and family members in patient safety--the experience of the New
York City Health and … https://psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york- … https://psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and … https://psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
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psnet.ahrq.gov/node/36739/psn-pdf
August 09, 2011 - Rural community members' perceptions of harm from
medical mistakes: a High Plains Research Network … Rural community members' perceptions of harm from
medical mistakes: a High Plains Research Network ( … https://psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains- … https://psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn … https://psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - have a role and voice in the diagnostic process
26
Ensure that all team members have a role/voice … As this case progressed, various members of the health care team noticed clinical phenomena that, if … have a role/voice in the diagnostic process (2)
For example, members of the nursing staff noted limited … of the healthcare team in the diagnostic process.15,16
29
29
Ensure that all team members have … that health care systems identify methods to actively engage all health care team members – including
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psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
July 01, 2020 - isolation by patients from their clinicians when they need them the most, and feelings of guilt by family members … May 22, 2019
Patients' and family members' views on how clinicians enact and how they … November 23, 2016
Patients' and family members' experiences of open disclosure following
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - Thus, when a team hears one of its members say
"I am Concerned," "I am Uncomfortable," or "This is a … In summary,
frank, effective communication among members of an OR team does not develop on its own. … Each member will announce any action that
affects other team members. … Be explicit
Team members should use clear terms and phrases that cannot be misconstrued. … A team member should never
assume that other members have noticed the same thing.