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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41456/psn-pdf
    September 26, 2016 - patients responded to nurses wearing a medication managing garment by decreasing interrpuptions, staff members
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46317/psn-pdf
    October 11, 2017 - communication-training-program-encourage-speaking-behavior-surgical- oncology Reluctance of health care team members
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43138/psn-pdf
    April 23, 2014 - The author describes the importance of individual team members' responsibility toward adopting behaviors
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44547/psn-pdf
    November 25, 2015 - reviews insights from interviews of primary care physicians, practice nurses, practice managers, and members
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46181/psn-pdf
    January 01, 2019 - increasing-patient-clinician-concordance-about-medical-error-disclosure- through-patient-tips Including members
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36926/psn-pdf
    September 09, 2011 - distracting-communications-operating-theatre Prior research has implicated poor communication between team members
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42386/psn-pdf
    December 29, 2014 - In particular, time-outs frequently occurred without all team members present.

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