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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - This behavior is an example of a Safety-II activity . … Safety-II behaviors are a component of resilient systems , characterized by teamwork, focused communication
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - clinical care settings, but they are not necessarily labeling them as Safety-I or Safety-II, or resilient behaviors … standardize and adjust a linear process to remove variability, including the variation caused by human behavior … Safety-II recognizes that healthcare delivery systems are complex and adaptive, and views human behavior
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - looked at what the safety culture is within dental practices and how that correlates with prescribing behavior … about any past opioid prescriptions the patient may have received and perhaps indicate a pattern of behavior
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - standardize and adjust a linear process to remove variability, including the variation caused by human behavior … Safety-II recognizes that healthcare delivery systems are complex and adaptive, and views human behavior … clinical care settings, but they are not necessarily labeling them as Safety-I or Safety-II, or resilient behaviors
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - were unwilling to speak up and say, "For the sake of patient safety, we will
no longer accept this behavior
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - Teamwork Training
Citation Text:
Teamwork Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Dow…
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Human Factors Engineering
September 15, 2024
Human Factors Engineering. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/human-factors-engineering
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safe…
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psnet.ahrq.gov/node/49840/psn-pdf
September 01, 2018 - short-term
therapy with corticosteroids can induce fluid retention, hyperglycemia, agitated and psychotic behavior … Take-Home Points
Fluid retention, hyperglycemia, agitated and psychotic behavior, hypertension, and
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Weak, but slightly stronger : Retrain the phlebotomist and nurse and monitor their behavior. … Intermediate : Retrain all phlebotomists and nurses and monitor their behavior.
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - This behavior is unprofessional at best, and dangerous at worst. … documentation guidelines from CMS in 2021/202312 were intended to decrease this burden,
but provider behavior
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - The challenge for
outpatient safety is it's very much related to patient behavior, self-management support … I'm really passionate about taking these approaches from the fields of
health literacy and health behavior
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - Historically, subjective patient data such
as nonverbal behavior and self-reported pain scores, coupled
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - • Historically, subjective patient data such as nonverbal behavior and
self-reported pain scores,
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Weak, but slightly stronger: Retrain the phlebotomist and nurse and monitor their behavior. … Intermediate: Retrain all phlebotomists and nurses and monitor their behavior.
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - Wrong-Time Error With High-Alert Medication
September 1, 2016
Why studying human behavior
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - with the development of
delirium.(18,19) Second, restraints may exacerbate underlying hyperactive behavior
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - patients with neutropenic fever, relying only on sign-out instructions instead, which heavily influences
behavior … unfortunately, it is
not uncommon on the wards to see a written or oral handoff, which are known to influence behavior
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - much around needing to understand safety in a complex system and understand that although individual behavior … How do we change behavior? How do we change systems on the basis of these measures?
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psnet.ahrq.gov/curated-library/organizational-learning
November 03, 2025 - This review includes 49 studies that describe post-failure learning or non-learning behavior within healthcare
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - The Differences Between Human Error, At-Risk Behavior, and Reckless Behavior Are Key to a Just Culture