-
psnet.ahrq.gov/node/46520/psn-pdf
December 19, 2017 - recounts a mistake that led to an infant patient's death, critical statements
made by senior faculty members
-
psnet.ahrq.gov/node/46895/psn-pdf
March 14, 2018 - This commentary
discusses key features of a rapid response team, nurse responsibilities as team members
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psnet.ahrq.gov/node/41456/psn-pdf
September 26, 2016 - patients responded to nurses wearing a medication managing garment by decreasing
interrpuptions, staff members
-
psnet.ahrq.gov/node/46639/psn-pdf
November 29, 2017 - safe
care in this patient population, including risk assessment, reviewing skills of clinical team members
-
psnet.ahrq.gov/node/47128/psn-pdf
October 13, 2018 - psnet.ahrq.gov/issue/matts-story-learning-heartbreak
Medical error affects the lives of patients, families, and members
-
psnet.ahrq.gov/node/44291/psn-pdf
September 13, 2016 - patient harm, steps taken to report the error, how the incident was used as a teaching point for
team members
-
psnet.ahrq.gov/node/42605/psn-pdf
December 16, 2013 - response to medical errors and were less likely to feel comfortable openly discussing errors with team
members
-
psnet.ahrq.gov/node/46409/psn-pdf
November 08, 2017 - psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
-
psnet.ahrq.gov/node/38274/psn-pdf
March 31, 2009 - was
associated with a reduction in the time nurses spent discussing patient care with other staff members
-
psnet.ahrq.gov/node/46317/psn-pdf
October 11, 2017 - communication-training-program-encourage-speaking-behavior-surgical-
oncology
Reluctance of health care team members
-
psnet.ahrq.gov/node/43777/psn-pdf
January 01, 2015 - emergency-surgical-teams
This observational study examined the use of a commercial mobile application among members
-
psnet.ahrq.gov/node/43138/psn-pdf
April 23, 2014 - The author describes the importance of individual team
members' responsibility toward adopting behaviors
-
psnet.ahrq.gov/node/44547/psn-pdf
November 25, 2015 - reviews insights from interviews of primary care physicians, practice nurses, practice managers,
and members
-
psnet.ahrq.gov/node/44591/psn-pdf
March 15, 2016 - describes injuries related to epinephrine autoinjector use by health care workers, patients, or
family members
-
psnet.ahrq.gov/node/46181/psn-pdf
January 01, 2019 - increasing-patient-clinician-concordance-about-medical-error-disclosure-
through-patient-tips
Including members
-
psnet.ahrq.gov/node/46978/psn-pdf
April 04, 2018 - using-patient-safety-huddle-tool-high-reliability
Huddles increase clinical team awareness of activities and enable members
-
psnet.ahrq.gov/node/36926/psn-pdf
September 09, 2011 - distracting-communications-operating-theatre
Prior research has implicated poor communication between team members
-
psnet.ahrq.gov/web-mm/undetected-foreign-object
April 24, 2018 - On subsequent investigation, hospital staff members were puzzled by the failure to detect the object. … They are used by many members of the operating team and, unlike instruments, frequently leave the hands … of the team members for (temporary) insertion into the patient's body. … against RSIs is following standardized counting policies, attention to detail by all operating room team members … standardized counting policies blending with heightened attention to detail by all operating room team members
-
psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - All of the orchestra members must be clear on their roles and ready to play at the appropriate times. … the expected improvement, unit culture must support an inquiry process that engages all relevant team members … concerns of everyone who may have critical information, including junior residents, nurses, and family members … At a minimum, such cohorting would allow the members of the ad-hoc team that necessarily coalesce around … Effective communication must insure that all team members share a common mental model and openly discuss
-
psnet.ahrq.gov/node/42386/psn-pdf
December 29, 2014 - In particular, time-outs frequently occurred without all team
members present.