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Showing results for "members".

81. "It is not the fault of the health care team - it is the way the system works": a mixed-methods quality improvement study of patients with advanced cancer and family members reveals challenges navigating a fragmented healthcare system and the administrative and financial burdens of care. | PSNet
    psnet.ahrq.gov/issue/it-not-fault-health-care-team-it-way-system-works-mixed-methods-quality-improvement-study
    March 24, 2019 - system works": a mixed-methods quality improvement study of patients with advanced cancer and family members … system works”: a mixed-methods quality improvement study of patients with advanced cancer and family members … system works”: a mixed-methods quality improvement study of patients with advanced cancer and family members

82. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. | PSNet
    psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular
    March 02, 2022 - Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members … Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members … Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866217/psn-pdf
    July 10, 2024 - When these things happen to our members, they end up in the hospital. … Our members want to be with their families and friends in the community setting for as long as they … Because of this, the plan can often determine if health plan members are on redundant medications. … As the majority of members are over age 45, our patient safety priorities are much different than, for … We provide feedback to providers on these quality measures as it relates to the care of members seen

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46724/psn-pdf
    April 12, 2019 - Association of household opioid availability and prescription opioid initiation among household members … Association of Household Opioid Availability and Prescription Opioid Initiation Among Household Members … a prescription opioid user may increase the risk of prescription opioid use among other household members

85. Matt's story: learning from heartbreak. | PSNet
    psnet.ahrq.gov/issue/matts-story-learning-heartbreak
    August 07, 2024 - Medical error affects the lives of patients, families, and members of the care team. … View More See More About The Topic Hospitals Physicians Family Members

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49826/psn-pdf
    April 01, 2018 - review revealed that the team was under significant time pressure to perform the procedure, and many members … All team members should make an effort to limit distractions, especially those that are within their … This small time- out can be done individually or by all team members as a mini procedural pause. … Procedural time-outs have been successful in helping team members develop a shared mental model at the … When key personnel were called away, the remaining members should have assessed whether they had the

87. Situational Awareness | PSNet
    psnet.ahrq.gov/taxonomy/term/3440
    April 10, 2025 - phrase is most often used, situational awareness includes awareness of fatigue and stress among team members

88. Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet
    psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
    September 01, 2018 - Although patients and family members may provide unique insights into adverse events , they are rarely … revealed that clinicians and hospital administrators generally support including patients and family members … Hospitals Health Care Executives and Administrators Organizational Behaviorists Patients Family Members

89. How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. | PSNet
    psnet.ahrq.gov/issue/how-when-and-why-bad-apples-spoil-barrel-negative-group-members-and-dysfunctional-groups
    August 08, 2018 - Classic How, when, and why bad apples spoil the barrel: negative group members … How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups. … How, when, and why bad apples spoil the barrel: negative group members and dysfunctional groups.

90. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. | PSNet
    psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
    January 10, 2011 - Commentary Mentoring staff members as patient safety leaders: the Clarian Safe Passage … Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. … Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.

91. Missed CANDOR Implementation Opportunities. | PSNet
    psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
    November 11, 2020 - The surgeon offered the option of extracorporeal life support to allow family members to see the patient … (ECMO) and transported to the intensive care unit (ICU), where the patient’s wife and other family members … confirmed that she understood what happened, including the miscommunication among operating room team members … A subsequent review by the patient safety committee several months later along with discussion with members … It is also helpful for the liaison to set expectations for surviving family members so they can prepare

92. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. | PSNet
    psnet.ahrq.gov/issue/teamstepps-improving-diagnosis-team-assessment-tool-scale-development-and-psychometric
    January 22, 2025 - All team members have a role in ensuring diagnostic excellence. … Team members from nine healthcare organizations representing inpatient , surgery, and ambulatory care

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865884/psn-pdf
    May 29, 2024 - Ensure that all team members have a role and voice in the diagnostic process There has been increasing … As this case progressed, various members of the health care team noticed clinical phenomena that, if … For example, members of the nursing staff noted limited eye movements during the patient’s ICU admission … in the differential diagnosis and how all these professionals should more actively participate as members … that health care systems identify methods to actively engage all health care team members – including

94. Physician attitudes toward family-activated medical emergency teams for hospitalized children. | PSNet
    psnet.ahrq.gov/issue/physician-attitudes-toward-family-activated-medical-emergency-teams-hospitalized-children
    April 06, 2012 - more timely responses to clinical deteriorations, some pediatric medical centers have enabled family members … necessary, and the belief that this responsibility could provide an undue burden and stress on family members … About The Topic Hospitals Physicians Health Care Executives and Administrators Family Members

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44108/psn-pdf
    November 06, 2015 - Service members are left in dark on health errors. November 6, 2015 LaFraniere S. New York Times. … https://psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors Reporting on a case involving … https://psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors https://psnet.ahrq.gov/issue

96. The Canadian Quality and Patient Safety Framework for Health and Social Services. | PSNet
    psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
    December 09, 2020 - with health leaders, policy makers, health teams, organization leaders , patients, families and other members … Care Providers Health Care Executives and Administrators Policy Makers Patients Family Members

97. Teamwork Training | PSNet
    psnet.ahrq.gov/primer/teamwork-training
    September 15, 2024 - The aviation industry has long recognized that safety requires crew members to receive specific training … thus focuses on developing effective communication skills and a more cohesive environment among team members … Team members are trained to cross-check each other's actions, offer assistance when needed, and address … surgery mandates a preoperative "time out," based on teamwork training principles, in which all team members … and Meeting Workforce Challenges August 30, 2023 How communication among members

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50405/psn-pdf
    October 02, 2019 - discusses the importance of the nurse-patient relationship and engagement with patients and their family members … AHRQ resources intended to facilitate engagement between providers and their patients and family members

99. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet
    psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
    February 24, 2021 - During this period, the surgeon began to yell at the members of the operating room (OR) team for a variety … Crew members are rotated through the different assignments of the flight deck, so all workers possess … First, there is the inculcation of core values in members of an organization or profession. … Second, those in charge communicate to other team members how important they are for early detection … reformulated so that heroic action that creates safety is seen to flow from the coordinated action of team members

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866622/psn-pdf
     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 … 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