-
psnet.ahrq.gov/node/34863/psn-pdf
June 12, 2007 - cognitive psychology and human factors engineering provide the way out by shifting
attention from blaming individuals
-
psnet.ahrq.gov/node/43038/psn-pdf
March 05, 2014 - curriculum of medical training
that often rewards trainee autonomy and places retrospective blame on individuals
-
psnet.ahrq.gov/node/45817/psn-pdf
October 25, 2017 - ://psnet.ahrq.gov/issue/case-investing-patient-safety-canada
Medical error and patient harm affect individuals
-
psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - This
study prospectively enrolled nearly 4,500 individuals calling poison control centers about unsupervised
-
psnet.ahrq.gov/node/73527/psn-pdf
July 28, 2021 - This consensus statement, based on input from an
international panel of individuals with expertise in
-
psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - Frequently, these individuals feel personally responsible for the patient outcome. … "(18)
We completed 31 qualitative interviews with individuals identified as potentially suffering from … availability with immediate access to support (19,20), leadership
presence/support, and opportunities for individuals … investigations and the distinct needs of a second victim, real-time surveillance of all caregivers by
individuals
-
psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - Too often the individuals who "solved" the original problem are different from those who ultimately inherit … occur in sequence with each other (as they did in this case) and combine with the active failure of individuals … Active Failures Active failures are errors committed by individuals, usually practitioners who are … The error occurs when individuals fall victim to the flaws within the system and mistakes are made.
-
psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - have been ambiguous (at best) in real time as clearly wrong, and attribute blame when the actions of individuals … The team should include process experts as well as other individuals drawn from all levels of the organization … Teams should not include individuals who were involved in the event or close call being reviewed, but … those individuals should be interviewed for information.
7.
-
psnet.ahrq.gov/node/49807/psn-pdf
October 01, 2017 - 60.3 million people residing in the US
speak a language other than English at home.(1) Among these individuals … Culturally and Linguistically Appropriate Services (CLAS) framework to
improve language assistance for individuals … An excellent resource for improving communications for LEP individuals in hospital settings is Improving … continue to utilize and promote medical
translation services to ensure accurate communication with LEP individuals … www.census.gov/data/tables/2013/demo/2009-2013-lang-tables.html
https://www.hhs.gov/civil-rights/for-individuals
-
psnet.ahrq.gov/node/44446/psn-pdf
June 21, 2016 - best-radiologist
Collective intelligence encompasses several methods for summarizing input from multiple individuals
-
psnet.ahrq.gov/node/40702/psn-pdf
October 16, 2012 - That notwithstanding, individuals certainly bear some
responsibility in most cases of errors, and a
-
psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - They could not identify any screening instruments or tools that
accurately risk-stratified individuals
-
psnet.ahrq.gov/node/47875/psn-pdf
July 19, 2019 - This wide range of instruments assessed individuals or teams in various
health care settings, either
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-9
June 16, 2019 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
-
psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - activities and the determination to
achieve consistently safe operations
a blame-free environment where individuals … A just
culture focuses on identifying and addressing systems issues that lead individuals to engage
-
psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - In both cases, potential warnings alerting individuals or groups to the
possibility of serious error
-
psnet.ahrq.gov/node/34664/psn-pdf
December 23, 2008 - The 5-day seminar was attended by 64 individuals from 29 different countries
with a mission to create
-
psnet.ahrq.gov/node/39543/psn-pdf
May 19, 2010 - ://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
-
psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - power—revealed that catastrophic safety failures are almost
never caused by isolated errors committed by individuals … In this model,
errors made by individuals result in disastrous consequences due to flawed systems—the … used in health care, emphasizes that most errors result from system flaws but
also delineates where individuals
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37
June 16, 2019 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals