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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - • Assign responsibility to appropriate line departments to design and implement corrective
strategies … management’s determination of priorities and
resources to be committed to correction; assignment of responsibility … Key to this system is the fact that, rather than having a support department
assume the primary responsibility … Management simultaneously assigns responsibility to appropriate line departments to design and
implement … based on a network of regional PSOs that contract with local health care
organizations.4 One primary responsibility
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psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
July 10, 2024 - prescriptive and whose goal is to promote improvement; whereas, as an accrediting organization, you have a responsibility … So the dual responsibility of the training environment is to create that graded authority and responsibility … is that only when every physician and every caregiver believes that it is part of their professional responsibility … All too often we are seeing environments where safety and quality is someone else's responsibility.
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - Based on the hospital’s policy of following the
CANDOR process, the surgeon took responsibility for … While taking
responsibility and initially informing the wife of a problem was a positive and appropriate … possibly misinterpreting what happened, placing blame
where it did not belong, or feeling she held some responsibility … End the meeting with a summary of the information presented but also by taking responsibility. … particularly when a patient death is involved, healthcare
organizations must identify the harm, take responsibility
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - in their care providers and the organization.
7
Essential Components of a CANDOR Apology3
Taking responsibility … A CANDOR event apology should consist of the following components:
Taking responsibility—This is not … Apology for errors: whose responsibility? 2012. Frontiers of health services management. 28.3:3.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-the-team.pptx
May 01, 2017 - , the potential solutions are relatively explicit, and solutions usually require minimal learning;
Responsibility … Coordinates with team members to ensure that necessary structures are in place—staff, roles, authority, and responsibility … Department of Health and Human Services makes no warranties regarding errors or omissions and assumes no responsibility
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6.html
June 01, 2014 - Perspective:
Patient/Family
Care Coordination Activities
Establish accountability or negotiate responsibility … Care Professional(s)
Care Coordination Activities
Establish accountability or negotiate responsibility … System Representative(s)
Care Coordination Activities
Establish accountability or negotiate responsibility
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psnet.ahrq.gov/node/42238/psn-pdf
July 02, 2014 - many physicians choose their words carefully—failing to explicitly describe
the error, acknowledge responsibility
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psnet.ahrq.gov/node/40693/psn-pdf
January 08, 2016 - /psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety
https://psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
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psnet.ahrq.gov/node/45813/psn-pdf
January 18, 2017 - considering-chance-quality-and-safety-performance-measures-analysis-
performance-reports
Hospital boards have been urged to take responsibility
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psnet.ahrq.gov/node/46429/psn-pdf
October 04, 2017 - This qualitative study of clinicians
involved in test result management found that lack of clear responsibility
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psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - hospital, must not only support disclosure of error but
also demonstrate the importance of personal responsibility
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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - system-based changes severely limit
resident decision making, new physicians may not learn to accept ultimate responsibility … That way, the learners feel complete
personal responsibility for their patients. … are beyond their area of
competence while preserving the intense personal sense of commitment and responsibility … supervision (ie, through computerized order entry), it
will be vital to retain trainees’ personal sense of responsibility
-
psnet.ahrq.gov/node/47991/psn-pdf
July 12, 2019 - disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - The hospital governing body’s responsibility to oversee the QAPI program, resourcing and efficacy. … improvement systems to all trustees
and quality committee members and clearly articulate board fiduciary responsibility … connecting the dots between safety outcomes and financial and
human cost is a fiduciary (and moral) responsibility … • However, health system leaders have a responsibility to be transparent with and inform the board … • The Board has a fiduciary responsibility to engage in quality of care.
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psnet.ahrq.gov/issue/patient-safety-16
January 21, 2015 - Topics covered include human error , blame, and responsibility.
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digital.ahrq.gov/sites/default/files/docs/page/tool-1-1-team-roster.docx
June 16, 2021 - and Responsibilities of the Core Team
E-Prescribing or EHR Implementation Leader
· Role: Has overall responsibility … project timeline
· Identifies tasks and available resources to do the work for each task
· Assigns responsibility
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - sorry about what happened to you") versus a more formal apology that admits the error and accepts
responsibility … we're going to see over the next
few years—more and more disclosure being considered an institutional responsibility … How do we deal with that, and whose ultimate responsibility is disclosure? … Now, if disclosure is ultimately an
institutional responsibility, institutions will need to have some … And when it was an event that was due to a clear-cut
error, a formal apology that accepts responsibility
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - prescriptive and whose goal is
to promote improvement; whereas, as an accrediting organization, you have a responsibility … So the dual responsibility of the training environment is to create that
graded authority and responsibility … that only when every physician and every caregiver believes that it is part of their professional
responsibility … All too often we are seeing environments where safety and quality is someone else's responsibility.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - Provider issues included perceived professional
responsibility, fears, and training. … rather than system improvement.13 This contrasts with
the physicians’ professional responsibility to … Influential provider issues
included perceived professional responsibility, fears, and training. … Consistent with
professional codes, providers described a strong sense of duty and responsibility … The providers’ articulated responsibility for the welfare of the patient stood in
stark contrast with
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psnet.ahrq.gov/node/42055/psn-pdf
April 24, 2013 - outlines 290 proposals, including
drastic measures to improve patient safety culture, reliability, and responsibility