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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - information
technology should be tempered by a recognition that human processes also play a critical role … patient or wrong medication errors, the reality is that nurses
will continue to play an important role
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
May 01, 2018 - management
Identify handoffs between providers as an important aspect of inbasket management
Understand the role … test result management and handoffs are areas of vulnerability
The case also highlights the potential role
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - Role of health literacy in health-related information-seeking behavior online: cross-sectional study. … Perspectives on Safety
Emergence of Application-based Healthcare August 5, 2022
The Role
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - Role of vasopressin in the management of septic shock. Intensive Care Med. 2004;30:1276-1291.
9. … IV pumps
Implement teamwork training for all ICU staff, physicians, nurses, and trainees
Include role-playing
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - Related Resources From the Same Author(s)
Perspective
The Role … September 25, 2008
Parents' medication administration errors: role of dosing instruments … December 19, 2017
Liquid medication dosing errors by Hispanic parents: role of health
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psnet.ahrq.gov/node/866343/psn-pdf
December 31, 2024 - mortality in heart failure, unlike carvedilol and metoprolol.8,9,10 Beta blockers have an important role … Role of high-dose intravenous nitrates in hypertensive acute heart failure. … The role of the clinical examination in patients with heart failure.
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - members of the care team confirmed that there was a miscommunication in the OR that may have played a role … It is important the widow knows who will be there and what their roles are. … The role of health care liens in litigation and recovery.
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - comfort of
those present as well as the equality of all participants regardless of organizational role … Participants new to debriefing can also quickly and
comfortably learn their role. … The role of debriefing in simulation-based learning. Simul Healthc.
2007;2(2):115-125.
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - RW : So did the shift in the patient safety field, emphasizing the role of systems, make it easier for … What is the role of the apology for the provider? … There is and will always be a very important role for personal responsibility.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - Case Objectives
Understand the role of communication failures in medical errors and preventable adverse … Describe the role of closed-loop communication in patient handoffs. … Receiving providers therefore play a key role in the process of information transfer by confirming receipt
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - flexible bronchoscopy and transbronchial biopsy, especially iatrogenic pneumothorax
To understand the role … conjunction with a verbally communicated handoff, can help assure that each team member understands their roles … Role of ultrasonography in the diagnosis and management of pneumothorax following transbronchial lung
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Case Objectives
Recognize the role of burnout in a culture of safety. … Describe the role of leaders in establishing and maintaining a culture of safety. … The Challenges to Creating Voice
Health care needs visible role models who encourage speaking up and
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - Background
Nurses play a critically important role in ensuring patient safety while providing care directly … From a patient safety perspective, a nurse’s role
includes monitoring patients for clinical deterioration … future-nursing-leading-change-advancing-health
https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
a role
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - computer–user interface that contains embedded traps leading users into
mistakes—appeared to play a role … Although poor usability undoubtedly played a role in this case, focusing only on interface issues misses … Role of computerized physician order entry systems in facilitating
medication errors.
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - We believe that patients and other members of the health care
team serve an important surveillance role … Consequently, all efforts to address high-risk colleagues,
regardless of their roles, must begin with … back to the principles of fairness and providing an opportunity for individuals, regardless of their role
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - Attending physicians and others in educational roles must be sure to model these skills and be vigilant … Revival of the art of physical diagnosis will require increased role modeling by faculty and senior residents … November 15, 2023
In the eye of the storm: the role of the pharmacist in medication safety
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Can you please tell us a little about yourself and your current role? … I have worked in a variety of healthcare settings and roles for
about 30 years. … Sarah Mossburg: Outside of the Pennsylvania Patient Safety Authority, you played a large role on the
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - In reviewing the incident, staff interviews suggested that both noise and confusion of roles among … changes in the mother’s condition, equipment failure, or suboptimal provider performance can all play a role … intimidation, failure to function as a team, and failure to follow the chain of communication) played a role
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - Understand limitations of physician self-assessment of competence and the important role for
external … The role of physicians and certification boards to improve quality. Am J Med
Qual. 2007;22:18-25. … The role of physician specialty
board certification status in the quality movement.
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - RW: Talk about the role of patients. What happens to patients when they're out of the office? … They shadow patients so they understand the
clinic flow and everyone's role. … In my role as a quality and safety liaison for the medicine clinic, I try to
think about how I can bring