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Showing results for "individual".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837974/psn-pdf
    August 31, 2022 - fostering-just-culture-healthcare-organizations-experiences-practice A just culture in healthcare balances organizational and individual … Researchers also identified several challenges in fostering a just culture, including how individual

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50870/psn-pdf
    February 05, 2020 - survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error A brief survey of two internal medicine practices explored clinician perceptions of individual … The most commonly reported individual-level factors contributing to diagnostic error was atypical patient

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47287/psn-pdf
    December 19, 2018 - shifting-and-sharing-academic-physicians-strategies-navigating- underperformance-and-failure Although individual … shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure https://psnet.ahrq.gov/primer/individual-clinician-performance-issues … prevalence-and-characteristics-physicians-prone-malpractice-claims https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49702/psn-pdf
    March 01, 2014 - Review how to balance systems thinking with individual accountability in health care. … Describe two examples of well-defined processes to identify individual accountability for adverse events … In our opinion, the appropriate response of the individual clinician and the health care system should … Overemphasizing individual contributions risks overlooking faulty and obsolete systems. … Balancing systems and individual accountability in a safety culture.

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73961/psn-pdf
    October 13, 2021 - gender biases have been widely documented at the system level, it has not been well documented at the individual … department visits in the US showed variation in hospital admission rates among physicians, but an individual

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47864/psn-pdf
    April 08, 2019 - This review explores the impact of investigations focused at the individual, practice, and system levels … psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries https://psnet.ahrq.gov/primer/individual-clinician-performance-issues

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43655/psn-pdf
    December 19, 2014 - systematic-biases-group-decision-making-implications-patient-safety Cognitive approaches to patient safety have mostly focused on individual … opinion; social loafing in which people expend less effort because of a perceived failure to obtain individual … credit for efforts; group polarization in which individual moderate positions are subsumed by more

68. Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. | PSNet
    psnet.ahrq.gov/issue/variability-antibiotic-use-across-nursing-homes-and-risk-antibiotic-related-adverse-outcomes
    November 06, 2015 - Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual … Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual … Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73136/psn-pdf
    April 14, 2021 - Because the specific variable(s) differed for each individual nurse, interventions addressing medication … administration errors should be tailored to individual nurse risk factors.

70. Evaluating the effectiveness of health care teams. | PSNet
    psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
    September 20, 2023 - effective teamwork in health care settings, including benefits for the organization, team, patient, and individual … September 29, 2010 The impact of organisational and individual factors on team communication

71. Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. | PSNet
    psnet.ahrq.gov/issue/errors-medicine-punishment-versus-learning-medical-adverse-events-revisited-expanding-frame
    August 24, 2022 - where errors and near misses serve as organizational learning opportunities, and not as a time for individual … May 24, 2023 Individual characteristics that promote or prevent psychological safety

72. Understanding risk factors for complaints against pharmacists: a content analysis. | PSNet
    psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis
    February 07, 2024 - thematic analysis of 37 published complaints against pharmacists in New Zealand explored the role of individual … findings highlight the importance of considering environmental and system factors, in addition to individual

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60614/psn-pdf
    June 24, 2020 - The CAST approach is based on the principle that accidents are not only the result of individual system … events (AEs) appear to be related to the design of the system involved and not attributable to unsafe individual

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851051/psn-pdf
    June 28, 2023 - multisource Patient fall rates can be impacted by numerous factors, such as staffing, safety culture, and individual … systematic-review-nurses-safety-attitudes-and-their-impact-patient-outcomes-acute-care https://psnet.ahrq.gov/issue/effects-individual-nurse-and-hospital-characteristics-patient-adverse-events-and-quality-care

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34669/psn-pdf
    June 26, 2015 - detection-and Edmondson proposes that, rather than examining errors and accidents in health care on an individual … The study, conducted on eight individual floors (units) at a university hospital, analyzes how differences … Team members were surveyed to determine the social and organizational properties of the units, and an individual

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - stroke to identify the types of transitions involved and whether reports included any evidence of individual … Few incident reports referenced individual or organizational learning (e.g., team discussions, root

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39822/psn-pdf
    February 17, 2011 - issue/disclosure-dilemma-large-scale-adverse-events Error disclosure policies for events that affect individual … traditionally focused on what information to share and how to share it; of course, discussions about individual … endoscope used on scores of patients), which harm or carry a potential to harm groups of patients, and how individual

78. Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. | PSNet
    psnet.ahrq.gov/issue/action-research-simulation-team-communication-and-bringing-tacit-voice-society-simulation
    April 16, 2019 - The author suggests that simulation can offer opportunities for individual and team reflection, innovation … December 22, 2010 The impact of organisational and individual factors on team communication

79. Experimental evidence for structured information-sharing networks reducing medical errors. | PSNet
    psnet.ahrq.gov/issue/experimental-evidence-structured-information-sharing-networks-reducing-medical-errors
    December 15, 2021 - in this case, diagnostic accuracy) of a group of individuals outperforms the judgment of a single individual … Individual accuracy did improve, suggesting real-time information-sharing between physicians could improve

80. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. | PSNet
    psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
    March 18, 2019 - Past commentaries have explored the tension between balancing no blame and individual accountability … accountability in patient safety, with one argument describing the need for health care to differentiate individual