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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - Close working relationships between services, derived from rounding together in the hospital on mutual
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - supervising physicians should engage in open communication and frequent feedback, that is guided by mutual
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - directors, or even lower in the organization, safety managers, need to either provide a great deal of support … But to develop the decision support that enables the rules that are going to show up as alerts and so … The IT person will then take and turn them into the decision support process. … understanding of communication, situational awareness, appropriate assertion, leadership skills, and mutual … support.
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - understanding of communication, situational awareness, appropriate assertion, leadership skills, and mutual … support. … varies from institution to institution, certain elements appear to be absolutely essential: strong support … But to develop the decision support that enables the rules that are going to show up as alerts and so … The IT person will then take and turn them into the decision support process.
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - fact, the new medical team seemed to have not even
ordered BIPAP or other non-invasive respiratory support … Furthermore, if our EHR systems and
leadership support frontline staff, and we recognize the special … The mutual support emphasized in the training helps
alleviate some of the time pressure clinicians face … The patient in this case needed ICU-level care to best support his respiratory status, but the weekend … At baseline, he required a caregiver and an agency to manage his
other support services.
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - fact, the new medical team seemed to have not even ordered BIPAP or other non-invasive respiratory support … Furthermore, if our EHR systems and leadership support frontline staff, and we recognize the special … The mutual support emphasized in the training helps alleviate some of the time pressure clinicians face … The patient in this case needed ICU-level care to best support his respiratory status, but the weekend … At baseline, he required a caregiver and an agency to manage his other support services.
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - Evaluation of a decision support system for initiation and control of oral anticoagulation in a randomised … October 20, 2021
Acting wisely in complex clinical situations: 'Mutual safety' for clinicians
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Are We Getting Better at Measuring Patient Safety?
Amy K. Rosen, PhD | November 1, 2010
View more articles from the same authors.
Citation Text:
Rosen AK. Are We Getting Better at Measuring Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare R…
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - RW : Are there any other benefits to being in a PSO in terms of support that AHRQ gives these organizations … WM : Perhaps the most significant kind of support has to do with providing common definitions and reporting … on all medication errors in the institution over some time period so that the system should work to support … In addition, we are working with state regulators on how to best collaborate and achieve our mutual goals
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - It has to have full managerial and board support. … Shared beliefs and the organizational support all needs to be there. … opportunities for reinforcing compliance, providing information at the point of care, providing decision support
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - including patients and caregivers, it became apparent that the curriculum needed an update to fully support … need to be sensitive to the diversities that exist both within their teams and in the patients they support … of TeamSTEPPS to emphasize the importance of teams from multiple care settings working together to support … , the curriculum has four modules: communication , team leadership , situation monitoring , and mutual … support .
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - of TeamSTEPPS to emphasize the importance of teams from multiple care settings working together to support … the launch of TeamSTEPPS 3.0, the revision team overhauled and redesigned the TeamSTEPPS website to support … , the curriculum has four modules: communication , team leadership , situation monitoring , and mutual … support . … including patients and caregivers, it became apparent that the curriculum needed an update to fully support
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Implementing a Fall Prevention Program
Frances Healey, RN, PhD | December 1, 2011
View more articles from the same authors.
Citation Text:
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - The AHS corporate office provides multiple support services to the system hospitals. … quality, computerized provider order entry (CPOE) content development and maintenance, clinical decision support … and outcomes measurement, and direction and support for other system-wide clinical initiatives. … The OCE provides clinical support to each hospital as requested. … We could document the improvements and support achieving the safety targets we had established as a system
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - center, birthing center, and abortion facility has an advisor from our team assigned to them, who can support … Sarah Mossburg: Are there any ways that the Patient Safety Authority is able to support interorganizational … Regina Hoffman: That is our primary reason for existence—to support interorganizational learning. … like TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) can foster mutual … When paired with debriefing , simulation training can help support healthcare workers learn from patient
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - like TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) can foster mutual … When paired with debriefing , simulation training can help support healthcare workers learn from patient … center, birthing center, and abortion facility has an advisor from our team assigned to them, who can support … Sarah Mossburg: Are there any ways that the Patient Safety Authority is able to support interorganizational … Regina Hoffman: That is our primary reason for existence—to support interorganizational learning.
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - Almost all healthcare providers experience the use of
manikins during Basic Life Support training.
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - But See the Patient First
January 29, 2021
Sinigayan VR. But See the Patient First. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/see-patient-first
The Case
A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief
complaint of fever. Five days previously, he…
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psnet.ahrq.gov/primer/simulation-training
September 07, 2019 - Almost all healthcare providers experience the use of manikins during Basic Life Support training.
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - Computer decision support alerts are mostly irrelevant and annoying—with override rates as high as 97% … RW : When we look at the increasing availability of new kinds of decision support tools, every health … DB : I think we've got to go a long way before we overwhelm physicians with decision support. … But there's so very little decision support that is incorporated into most electronic health records … But the question of how to create integrated clinical decision support is a big challenge facing the