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psnet.ahrq.gov/node/38149/psn-pdf
October 15, 2008 - Health-Care-Associated Infections in Hospitals: An
Overview of State Reporting Programs and Individual … psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-
and-individual … psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual … psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - tension between the no-blame culture espoused in the early years of the safety movement and the
need for individual … New articles
exploring the role of individual skill in safety have heightened the need for an approach … As the public and professionals call for individual
accountability for certain types of unsafe acts, … However, some adverse events result from at-risk behaviors, such as taking short cuts, or from individual … Nevertheless, the scope of behaviors that fall under individual accountability is still controversial
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psnet.ahrq.gov/issue/stressful-intensive-care-unit-medical-crises-how-individual-responses-impact-team-performance
May 26, 2010 - Study
Stressful intensive care unit medical crises: how individual responses impact … Stressful intensive care unit medical crises: How individual responses impact on team performance. … Stressful intensive care unit medical crises: How individual responses impact on team performance.
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - Error disclosure policies for events that affect individual patients have traditionally focused on what … information to share and how to share it; of course, discussions about individual disclosure occur … endoscope used on scores of patients), which harm or carry a potential to harm groups of patients, and how individual
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - level as “a
shared belief that the team is safe for interpersonal risk taking.”2 The term embodies individual … level)
Chairing meetings: appointed meeting chairs are motivated to speak up (individual level)
Four … Two independently reported studies conducted by the same research group employed individual interviews … healthcare team
members, which is captured most accurately through individual interviews. … The overall
objective is to instill psychological safety at the individual, team, and organizational
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - Pain Management and the Opioid Epidemic: Balancing
Societal and Individual Benefits and Risks of Prescription … https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual- … https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks … https://psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - New articles exploring the role of individual skill in safety have heightened the need for an approach … As the public and professionals call for individual accountability for certain types of unsafe acts, … However, some adverse events result from at-risk behaviors , such as taking short cuts, or from individual … Nevertheless, the scope of behaviors that fall under individual accountability is still controversial … Perhaps more controversially, a 2015 commentary in BMJ Quality and Safety advanced the idea that individual
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Facilitators and barriers to psychological safety are present at the organizational, team, and individual … level)
Chairing meetings: appointed meeting chairs are motivated to speak up (individual level) … Two independently reported studies conducted by the same research group employed individual interviews … healthcare team members, which is captured most accurately through individual interviews. … The overall objective is to instill psychological safety at the individual, team, and organizational
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psnet.ahrq.gov/node/867182/psn-pdf
November 20, 2024 - The collective diagnosis
was more accurate than individual LLMs, even when the highest performing LLM … /psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
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psnet.ahrq.gov/issue/pain-management-and-opioid-epidemic-balancing-societal-and-individual-benefits-and-risks
March 29, 2006 - Book/Report
Pain Management and the Opioid Epidemic: Balancing Societal and Individual … Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits … Citation
Citation Text:
Pain Management and the Opioid Epidemic: Balancing Societal and Individual
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
June 07, 2008 - Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual … Text:
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual … Text:
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual
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psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
March 23, 2011 - Study
The impact of organisational and individual factors on team communication in … The impact of organisational and individual factors on team communication in surgery: a qualitative study … The impact of organisational and individual factors on team communication in surgery: a qualitative study
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psnet.ahrq.gov/node/866736/psn-pdf
September 18, 2024 - working conditions; (2) the organization of the
work, such as inadequate care guidelines; and (3) individual … factors, such as cognitive processing and
individual needs.
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - raised preemptively before an incident occurs, or after, and it may involve either the actions of the 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
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psnet.ahrq.gov/node/60569/psn-pdf
June 10, 2020 - workplace-team-resilience-systematic-review-and-conceptual-development
This systematic review examined nature of workplace team resilience, how it is defined, the individual … factors associated with team resilience, and the relationship between individual- and team-level resilience
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psnet.ahrq.gov/node/866105/psn-pdf
June 12, 2024 - Plurality
substantially outperformed average individual accuracy and the most senior group member's … /psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
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psnet.ahrq.gov/node/865310/psn-pdf
March 27, 2024 - organizational-learning-morbidity-and-mortality-conference
Morbidity and mortality (M&M) conferences have evolved from focusing on individual … acknowledged the importance of recognizing
organizational trends and learning from errors at both the individual
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psnet.ahrq.gov/node/866080/psn-pdf
June 05, 2024 - their own failures, underscoring the need to consider the impact of repeated failures on
improving individual … strategies-learning-failure
https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - It's clear that individual investigators and institutions have discovered things that cause problems, … One is that individual organizations don't seem to follow up on their root cause analyses very well. … Some solutions are at the level of making a policy or retraining an individual clinician. … Sometimes the solution is improving the performance of an individual. … And individual accountability, individual feelings of responsibility, and high moral fiber are crucial
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psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
April 22, 2011 - Review
A literature review of the individual and systems factors that contribute … A literature review of the individual and systems factors that contribute to medication errors in nursing … A literature review of the individual and systems factors that contribute to medication errors in nursing