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psnet.ahrq.gov/node/837600/psn-pdf
June 29, 2022 - handoff communication, integrating three theoretical frameworks addressing relevant inputs (i.e.,
individual
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - This is the very bright, compulsive, hard-working individual who
lives in a very stressful world, who … the error truthfully and
ethically to the patient, you have discharged your responsibility to that individual … egregious and terrible that it would be ethically irresponsible for the institution not to punish the individual … The challenge for institutions is to look at the conduct of the individual and decide whether or not … people have come down in drawing the line
that discriminates blamable from non-blamable is, did the individual
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections … AH : The difference is that some of the examples that you're giving impact only that individual at that … Every time you use antibiotics, you have to think about not only the treatment of that individual and … The tension is between the individual and public health implications. … You need to be able to provide individual level feedback and data.
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - AH : The difference is that some of the examples that you're giving impact only that individual at that … Every time you use antibiotics, you have to think about not only the treatment of that individual and … infection but also the impact it will have on that individual, treating subsequent infections, and the … The tension is between the individual and public health implications. … You need to be able to provide individual level feedback and data.
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - 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 … and patient populations, indicating that care transitions interventions must be tailored carefully to individual
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psnet.ahrq.gov/node/47336/psn-pdf
March 04, 2019 - highlights the importance of expressing empathy, considering legal implications, and
demonstrating individual
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psnet.ahrq.gov/node/41780/psn-pdf
April 10, 2019 - adverse events, this review explores the
prevalence of second victims, the impact of the error, and individual
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psnet.ahrq.gov/node/838639/psn-pdf
October 19, 2022 - publication
provides clinicians with tools to assess and calibrate diagnostic performance in support of individual
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psnet.ahrq.gov/node/849606/psn-pdf
May 31, 2023 - https://psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap
Individual
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psnet.ahrq.gov/node/849130/psn-pdf
May 17, 2023 - https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
Individual
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psnet.ahrq.gov/node/849327/psn-pdf
May 24, 2023 - Both
individual education and system-level solutions are described.
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psnet.ahrq.gov/node/47842/psn-pdf
April 10, 2019 - toward-improving-patient-safety-through-voluntary-peer-peer-assessment
https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
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psnet.ahrq.gov/node/36357/psn-pdf
December 19, 2009 - https://psnet.ahrq.gov/issue/error-reporting-organizations
The authors provide a framework for individual
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psnet.ahrq.gov/node/38827/psn-pdf
January 23, 2019 - /psnet.ahrq.gov/issue/making-hospitals-accountable
The author explains how shifting liability from individual
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - In the current case study, role clarity, safe systems, and individual responsibility are all at issue … Building safe systems does not negate individual accountability. … Although clearly there is individual accountability here, there is also great opportunity to reflect … Leaders should be well versed in assessing system issues and individual accountabilities with the
capabilities
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - human impulse to hide mistakes so potential problems can be avoided
Professional attitudinal barriers
Individual … concede a mistake has been made, it often goes unreported, impeding organizational learning and often individual … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=10720336
Missed Learning Opportunity
Individual … Incident Reporting
Promote and sustain a culture of learning from mistakes
Make incident reporting an individual
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psnet.ahrq.gov/issue/safety-climate-and-its-association-office-type-and-team-involvement-primary-care
August 08, 2012 - August 8, 2014
Impact of individual and team features of patient safety climate: a survey … Medical errors reported by French general practitioners in training: results of a survey and individual
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psnet.ahrq.gov/node/42315/psn-pdf
June 05, 2013 - ://psnet.ahrq.gov/issue/special-issue-simulation
https://psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
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psnet.ahrq.gov/node/34997/psn-pdf
June 22, 2009 - effective teamwork in health care settings, including
benefits for the organization, team, patient, and individual
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psnet.ahrq.gov/node/40501/psn-pdf
June 01, 2011 - clinical-care-checklists-salvations-or-frustrations
Presenting a hypothetical example of organizational and individual