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Showing results for "individual".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865454/psn-pdf
     March 27, 2024 - safe cultures focus more on learning and how system failures lead to safety events rather than on individual … However, a culture focused on system failures does not preclude individual accountability where appropriate … Individual Factors At the most basic level, an individual’s personality traits could make it more likely … This finding suggests that high psychological safety can not only impact individual behavior but also … This high HCW burnout rate has a compounding effect: It negatively affects individual HCWs and it also

142. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
     December 01, 2015 - Many factors result in excessive cardiac monitor alarms including: Alarm settings not tailored for the individual … simultaneous drop in blood pressure would be re-defined as false and would not trigger alarm 20 20 Individual … Strategies to Reduce Alarm Fatigue Individual nurses and providers can take steps at the bedside to … improve the usefulness of alarms Nurses can tailor alarms to an individual patient Default settings may … Therefore, they generate many false positive alarms Clinicians should learn to tailor alarm thresholds to individual

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33691/psn-pdf
     December 01, 2009 - Once inappropriate behavior is identified, it must then be reported to an individual or committee with … In some cases, merely discussing the particular event with an individual would raise their awareness … In other cases, the individual involved would be required to take a special class in anger management … In a few cases, more intensive individual counseling was recommended. … In the more extreme cases, the individual was either terminated or (in the case of physicians) had his

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73303/psn-pdf
     May 26, 2021 - environment, but rather one that focuses on what is to blame at the system level instead of focusing on the individual … , culture in EMS systems has been traditionally focused on errors and mistakes as the fault of the individual … and for many EMS systems, a great deal of focus is still placed on identifying and addressing the individual … implemented, emphasizing the role of leadership within each EMS system in dictating the priorities of the individual

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33569/psn-pdf
     June 15, 2024 - Finally, the fragmented nature of the health care system may limit individual hospitals' incentive to … comprehensive, multi-modal interventions may be more effective at preventing rehospitalization than targeting individual … patient populations, indicating that care transitions interventions must be tailored carefully to individual

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33563/psn-pdf
     September 16, 2024 - The culture of individual blame is still a pervasive problem in health care and undoubtedly impairs the … and addressing systems issues that lead individuals to engage in unsafe behaviors, while maintaining individual … Research also shows that individual provider burnout negatively affects safety culture perception.

147. Patient Safety 101 | PSNet
     psnet.ahrq.gov/primer/patient-safety-101
     January 16, 2025 - Traditionally, medicine treated errors as failings on the part of individual providers, reflecting inadequate … Cheese Model of Medical Errors It is important to note that the Swiss cheese model does not absolve individual … Rather, it puts individual actions in the appropriate context and recognizes that the vast majority of … Nevertheless, there is a role for individual accountability in patient safety, particularly when clinicians … disciplines to design safer systems of care, rather than implementing targeted programs to prevent individual

148. Interruptions and miscommunications in surgery: an observational study. | PSNet
     psnet.ahrq.gov/issue/interruptions-and-miscommunications-surgery-observational-study
     August 11, 2021 - December 22, 2010 The impact of organisational and individual factors on team communication … May 26, 2010 The impact of organisational and individual factors on team communication

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33778/psn-pdf
     March 01, 2015 - This focus on individual diagnostic acumen and the psychology of cognition may not attract those interested … something about diagnostic errors strikes many clinicians and even patient safety advocates as reflecting individual … might expect clinicians to preferentially attribute diagnostic errors to system problems rather than individual … us in a position in which we may soon be able to measure the frequency of diagnostic errors in an individual … such as comparative performance review, differential payment, and accreditation to prompt greater individual

150. The Nurse's Role in Medication Safety, Second Edition. | PSNet
     psnet.ahrq.gov/issue/nurses-role-medication-safety-second-edition
     February 25, 2013 - May 19, 2021 Effects of individual nurse and hospital characteristics on patient adverse … March 23, 2011 A literature review of the individual and systems factors that contribute

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867676/psn-pdf
     February 26, 2025 - the error occurred, ways the error's effects will be minimized, and steps that the organization or individual … safety events are usually a product of system failures at healthcare organizations, rather than solely individual … Addressing professional suffering by developing an infrastructure for robust and rapid individual and

152. Disruptive and Unprofessional Behavior | PSNet
     psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
     September 15, 2024 - safety problems are attributable to underlying systems issues, disruptive behaviors are primarily due to individual … collaboration between hospital accreditation organizations, federal and state medical licensing boards, and individual … Context Related Patient Safety Primers Culture of Safety September 15, 2024 Individual

153. Culture of Safety | PSNet
     psnet.ahrq.gov/primer/culture-safety
     September 15, 2024 - The culture of individual blame is still a pervasive problem in health care and undoubtedly impairs … and addressing systems issues that lead individuals to engage in unsafe behaviors, while maintaining individual … Research also shows that individual provider  burnout  negatively affects safety culture perception.

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60376/psn-pdf
     July 30, 2020 - of care in the broader context of patient safety can raise awareness of how human weaknesses impact individual … environments where unprecedented loss of life is occurring; this grave situation creates difficult individual … uncomfortable, which decreases the reliability of their output and trust in both the team and the individual … psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and Establishing a culture of safety: Encouraging every individual … HFE are increasingly applied across healthcare settings to reduce the potential negative impacts of individual

155. Patient Safety in Public Hospitals. | PSNet
     psnet.ahrq.gov/issue/patient-safety-public-hospitals
     November 20, 2013 - Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual … Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual

156. Primers | PSNet
     psnet.ahrq.gov/primers-0
     March 15, 2025 - Read More Individual Clinician Performance Issues UC Davis PSNet Editorial … Team | March 15, 2025 A clinician's individual skill level is an important component … Individual Clinician Performance Issues UC Davis PSNet Editorial Team | March 15, 2025 … Share Facebook Twitter Linkedin Copy URL A clinician's individual

157. APSF Stoelting Conference 2024 | PSNet
     psnet.ahrq.gov/training-catalog/apsf-stoelting-conference-2024
     January 01, 2024 - Anasthesia Patient Safety Foundation (APSF) Event Description: Watch he individual

158. In Conversation With... Barbara Drew, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
     May 01, 2016 - But everybody knows one size doesn't fit all, and clinical staff need to tailor the alarms for their individual … RW : It strikes me that the incentive for manufacturers, and maybe even for the individual hospital, … These decisions should be based on the workflow and patient population for each individual unit. … unit-based defaulting does reduce alarms, it is not as effective as adding in some consideration of individual … electrode placement and preparation, default alarm limits and delays, and basing alarm settings on individual

159. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
     psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
     May 01, 2016 - waveform Alarm settings, limits, and delays Setting alarms based on clinical population instead of individual … These decisions should be based on the workflow and patient population for each individual unit. … unit-based defaulting does reduce alarms, it is not as effective as adding in some consideration of individual … electrode placement and preparation, default alarm limits and delays, and basing alarm settings on individual … RW : It strikes me that the incentive for manufacturers, and maybe even for the individual hospital,

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49747/psn-pdf
     December 01, 2015 - The key contributing factors are (i) alarm settings that are not tailored for the individual patient … In addition, individual nurses and providers at the bedside can take steps to improve the usefulness … Furthermore, nurses can tailor alarm settings for individual patients because hospital default settings … may not make sense for the individual patient. … Clinicians should learn how to tailor alarm thresholds to an individual patient to avoid an excessive