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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - improvement, calls for understanding and revision of the production process rather than placing blame on the individual … He also calls for individual physicians to join in the movement, maintaining that these principles apply
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - clinical results.(5-7) One
can imagine potential scenarios when individual research findings may be … Building Processes to Report Individual Findings from Research Studies
Once researchers identify the … Disclosing individual genetic results to research participants. Am J Bioeth. Nov-
Dec 2006;6:8-17. … Disclosing individual results of clinical research: implications of respect for
participants. … Undesirable implications of disclosing individual genetic results to research participants.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - that occurred in the care delivered by their colleagues
Review how to balance systems thinking with individual … accountability in health care
Describe two examples of well-defined processes to identify individual … Balancing systems and individual accountability in a safety culture. … Balancing systems and individual accountability in a safety culture. … Balancing systems and individual accountability in a safety culture.
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psnet.ahrq.gov/issue/analysis-consistency-emergency-department-physician-variation-propensity-admission-across
May 19, 2021 - gender biases have been widely documented at the system level, it has not been well documented at the individual … emergency department visits in the US showed variation in hospital admission rates among physicians, but an individual
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psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses
July 28, 2021 - Because the specific variable(s) differed for each individual nurse, interventions addressing medication … administration errors should be tailored to individual nurse risk factors.
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psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
July 07, 2021 - 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/issue/fostering-just-culture-healthcare-organizations-experiences-practice
August 10, 2022 - A just culture in healthcare balances organizational and individual responsibility and accountability … Researchers also identified several challenges in fostering a just culture, including how individual
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psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
February 12, 2020 - A brief survey of two internal medicine practices explored clinician perceptions of individual- and systems-level … The most commonly reported individual-level factors contributing to diagnostic error was atypical patient
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psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
October 19, 2022 - patient outcomes, an ongoing dialogue exists about how health care should address and hold accountable individual … Overall, the authors estimate for the population that nearly a quarter of individual physicians involved
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psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
June 09, 2021 - A just culture balances organizational and individual accountability when a medical error occurs … March 13, 2024
Individual characteristics that promote or prevent psychological safety
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - clinical results.( 5-7 ) One can imagine potential scenarios when individual research findings may be … Much of this debate centers around the degree to which individual results have adequate reliability and … Disclosing individual genetic results to research participants. Am J Bioeth. Nov-Dec 2006;6:8-17. … Disclosing individual results of clinical research: implications of respect for participants. … Undesirable implications of disclosing individual genetic results to research participants.
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psnet.ahrq.gov/node/47658/psn-pdf
December 12, 2018 - incidents at a health care institute dedicated to treating heart problems in children and the
cultural and individual … issue/hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary
https://psnet.ahrq.gov/primer/individual-clinician-performance-issues
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psnet.ahrq.gov/issue/does-responsibility-affect-publics-valuation-health-care-interventions-relative-valuation
October 12, 2022 - ., healthcare-acquired infections, medication administration errors) versus other contexts, such as individual … Findings suggest that individual value placed on different safety-related interventions depends on context
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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - 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
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psnet.ahrq.gov/issue/transition-planning-senior-surgeon-guidance-and-recommendations-society-surgical-chairs
August 14, 2019 - In an accompanying editorial, an older physician supports mandatory testing and suggests individual-level … September 7, 2016
The competent surgeon: individual accountability in the era of "systems
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psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands
June 16, 2021 - Although individual and organizational accountability are important elements of safety, they can also … April 3, 2019
What is the role of individual accountability in patient safety?
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psnet.ahrq.gov/issue/workplace-team-resilience-systematic-review-and-conceptual-development
January 03, 2017 - 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/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons
April 03, 2013 - their own failures, underscoring the need to consider the impact of repeated failures on improving individual … August 19, 2020
Effects of individual nurse and hospital characteristics on patient adverse
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psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - After several episodes of incorrect surgical procedures , a medical center conducted individual root … cause analyses and summarized the findings to identify common causes of each individual error.
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psnet.ahrq.gov/node/44793/psn-pdf
February 17, 2016 - examines social factors that affect patient safety
improvement, including balancing collective versus individual … explaining-michigan-developing-ex-post-theory-quality-improvement-program
https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study