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psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
June 16, 2019 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals … Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals … The authors discuss the need to look beyond individuals and focus on the multiple system failures that … Citation Text:
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental
November 29, 2023 - Study
Chronic pain diagnoses and opioid dispensings among insured individuals with … Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. … This study examined opioid treatment patterns among individuals with schizophrenia, bipolar disorder, … Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness.
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psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
October 19, 2022 - Study
Ensuring safe and equitable discharge: a quality improvement initiative for individuals … Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive … pressure monitoring was found to increase the rate of completed postpartum blood pressure checks among individuals … Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive
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psnet.ahrq.gov/node/865978/psn-pdf
May 29, 2024 - Ensuring safe and equitable discharge: a quality
improvement initiative for individuals with hypertensive … Ensuring safe and equitable discharge: a quality improvement
initiative for individuals with hypertensive … https://psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-
individuals-hypertensive … pressure monitoring was
found to increase the rate of completed postpartum blood pressure checks among individuals … https://psnet.ahrq.gov/issue/ensuring-safe-and-equitable-discharge-quality-improvement-initiative-individuals-hypertensive
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psnet.ahrq.gov/node/60019/psn-pdf
March 04, 2020 - Chronic pain diagnoses and opioid dispensings among
insured individuals with serious mental illness. … Chronic pain diagnoses and opioid dispensings among insured
individuals with serious mental illness. … https://psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals- … This
study examined opioid treatment patterns among individuals with schizophrenia, bipolar disorder … https://psnet.ahrq.gov/issue/chronic-pain-diagnoses-and-opioid-dispensings-among-insured-individuals-serious-mental
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes … The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes … https://psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve- … https://psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes … https://psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
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psnet.ahrq.gov/node/72718/psn-pdf
February 10, 2021 - Assessing reasons for decreased primary care access for
individuals on prescribed opioids: an audit … Assessing reasons for decreased primary care access for
individuals on prescribed opioids. … https://psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed- … https://psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study … https://psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
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psnet.ahrq.gov/node/850352/psn-pdf
June 14, 2023 - Stigmatizing language expressed towards individuals
with current or previous OUD who have pain and cancer … Stigmatizing language expressed towards individuals with
current or previous OUD who have pain and cancer … https://psnet.ahrq.gov/issue/stigmatizing-language-expressed-towards-individuals-current-or-previous-oud … https://psnet.ahrq.gov/issue/stigmatizing-language-expressed-towards-individuals-current-or-previous-oud-who-have-pain-and … https://psnet.ahrq.gov/issue/stigmatizing-language-expressed-towards-individuals-current-or-previous-oud-who-have-pain-and
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psnet.ahrq.gov/node/849602/psn-pdf
May 31, 2023 - Psychosocial processes in healthcare workers: how
individuals' perceptions of interpersonal communication … Psychosocial processes in healthcare workers: how individuals'
perceptions of interpersonal communication … https://psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions- … https://psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal … https://psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal
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psnet.ahrq.gov/node/842429/psn-pdf
January 11, 2023 - Cohort study of
individuals with lung cancer presenting in ambulatory
care in the United States. … Cohort
study of individuals with lung cancer presenting in ambulatory care in the United States. … https://psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer- … https://psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer-presenting-ambulatory … https://psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer-presenting-ambulatory
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psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
November 17, 2021 - Study
Assessing reasons for decreased primary care access for individuals on prescribed … Assessing reasons for decreased primary care access for individuals on prescribed opioids. … Assessing reasons for decreased primary care access for individuals on prescribed opioids. … View More
Related Resources
Stigmatizing language expressed towards individuals
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psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
October 18, 2023 - Study
Drug administration errors in an institution for individuals with intellectual … Drug administration errors in an institution for individuals with intellectual disability: an observational … Drug administration errors in an institution for individuals with intellectual disability: an observational
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psnet.ahrq.gov/node/47783/psn-pdf
April 10, 2019 - An IDEA: safety training to improve critical thinking by
individuals and teams. … An IDEA: Safety Training to Improve Critical Thinking by
Individuals and Teams. … https://psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
Diagnostic … https://psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
https
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psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal
July 26, 2023 - Study
Psychosocial processes in healthcare workers: how individuals' perceptions … Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication … Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication
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psnet.ahrq.gov/issue/endorsements-surgeon-punishment-and-patient-compensation-rested-and-sleep-restricted
September 23, 2020 - Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals … Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals … Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams … The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes … The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - The systems approach views errors made by individuals as inevitable, although it acknowledges that human … model memorably summarized this concept and created a powerful metaphor: namely, that errors made by individuals … This broader concept of individual clinician performance that also includes how individuals engage and … safe, high-quality care cannot be achieved without well-designed systems of care that are supported by individuals
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psnet.ahrq.gov/node/37138/psn-pdf
October 04, 2011 - Drug administration errors in an institution for individuals
with intellectual disability: an observational … Drug administration errors in an institution for
individuals with intellectual disability: an observational … https://psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability … https://psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational … https://psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
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psnet.ahrq.gov/issue/clinician-perspectives-electronic-health-records-communication-and-patient-safety-across
September 23, 2020 - In this survey study in oncology, nearly 300 individuals, including physicians, nurse practitioners, … Investigators found that individuals describing a greater degree of electronic health record use reported … lower safety culture scores, and individuals who rated communication higher also perceived safety culture
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psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
June 16, 2021 - data from five ethnographic case studies to illustrate the fundamental interdependence of systems and individuals … The authors argue apportioning responsibility between systems and the individuals within them leads to … Senior author Mary Dixon-Woods elaborates on the relationship between individuals and systems in a PSNet