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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
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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
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psnet.ahrq.gov/taxonomy/term/3440
September 01, 2025 - phrase is most often used, situational awareness includes awareness of fatigue and stress among team members
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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
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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
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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.
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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.
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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
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psnet.ahrq.gov/issue/how-communication-among-members-health-care-team-affects-maternal-morbidity-and-mortality
November 12, 2014 - Commentary
How communication among members of the health care team affects maternal … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality.
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - education and implementation process and describes the first series of RRS calls initiated by family members … November 21, 2016
Preventing sentinel events caused by family members. … Topic
General Hospitals
Health Care Providers
Quality and Safety Professionals
Family Members
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psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
August 14, 2014 - patient safety learning initiative: insights from participants, project leads and steering committee members … patient safety learning initiative: insights from participants, project leads and steering committee members … patient safety learning initiative: insights from participants, project leads and steering committee members
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - 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
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Thus, when a team hears one of its members say "I am C oncerned," "I am U ncomfortable," or "This is … 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.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - During this time, the surgeon began to yell at members of the operating room (OR) team for a variety … Critical Elements of Safety Culture
Instill core values in members of organization
Those in charge … convey to other team members their important role for early detection and communication of possible problems … quality care that teamwork provides
Recognize that safety flows from the coordinated action of team members … Outline consequences for overbearing behaviors and disrespect of team members