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Total Results: 3,864 records

Showing results for "individuals".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33635/psn-pdf
     July 01, 2006 - lower in the organization, safety managers, need to either provide a great deal of support for those individuals … These individuals must have a broad array of skills. … At a place like Partners, which is huge, these get divided among different individuals. … say, even though this is a patient safety standard, it has such a quality or IT component that other individuals … physicians and problem issues, and interfacing with the outside boards and regulatory groups around problem individuals

422. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings | PSNet
     psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
     May 26, 2021 - Family members, PCPs, or mental health staff might feel it safer to send individuals to an ED anytime … First, it is crucial to recognize that just over half of individuals who attempt suicide do not have … About 54% of individuals who died by suicide in 27 states in 2015 had not received a clinical diagnosis … In addition to potentially identifying individuals at risk, consider the destigmatizing benefits of inquiring … Primary care contact prior to suicide in individuals with mental illness.

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33658/psn-pdf
     October 01, 2007 - But individuals have to come in and engage in safe practices and be accountable for their choices as … But the tension was ultimately that individuals played a role. … We have to help individuals through good coaching and mentoring, and also through system design. … It's about really dealing with the system issues, but individuals have to be accountable for their choices

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49512/psn-pdf
     May 01, 2006 - organizational sociologists, Reason provides a conceptual framework that delineates how errors made by individuals … references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references primary errors made by individuals … Many individuals made many errors. Many defenses failed to protect this patient. … Many other individuals, including the staff in the first ED, the second ED physician, the admitting

425. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
     July 20, 2010 - , and other providers who care for patients at Duke are hard-working, intelligent, and well-trained individuals … Devastating is, in fact, an appropriate word to describe the impact of this event on many individuals … How could such a terrible mistake happen to a team of highly qualified and dedicated individuals in an

426. Accountability in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/accountability-patient-safety
     January 01, 2018 - approaches intended to support a 'just culture'" did not adequately capture the complicated interplay of individuals … studies at five diverse hospitals, they introduced a model of a shared moral community, co-created by individuals … been a logical, predictable need to reexamine the balance between the accountability of systems and individuals

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40656/psn-pdf
     October 16, 2012 - origins of HIT errors, which the authors characterize as malfunctions during use, incorrect use by individuals

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43475/psn-pdf
     July 18, 2016 - A work culture in which individuals are blamed for errors was also tied to less near-miss reporting,

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37791/psn-pdf
     September 29, 2017 - field if similar requirements were placed for interventions that mostly target systems rather than individuals

430. Getting the Diagnosis Both Right and Wrong | PSNet
     psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
     May 29, 2024 - a coproductive activity between persons in specific ecosystems, and the interactions between these individuals … and between the individuals and the ecosystem have significant impacts on the diagnostic process. … challenging to ask these questions in a busy clinical environment, but there are likely methods that individuals … However, one of the most promising strategies to improve the decision-making of individuals and teams

431. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
     January 01, 2023 - serious injuries,1 such as fractures or head trauma, falls can have important psychological impacts on individuals … • For both individuals, an interdisciplinary person-centered care plan for fall prevention would be … Vitamin D supplements to prevent falls in NH, although there are recommendations for community dwelling individuals … effect of opioids on the central nervous system, increasing fall risk.17 – Likewise, particularly for individuals … include: – (1) successful performance of the activity; – (2) verbal encouragement; – (3) seeing like individuals

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72614/psn-pdf
     March 01, 2021 - Although relatively uncommon, obstetric emergencies still affect thousands of individuals and can have … The University of Kansas Hospital offered the course five times per year, with roughly 50 individuals … He then administered the course to these individuals and held several rehearsals. … After this trial, the labor and delivery department scheduled all involved individuals (approximately … Adjusting schedule: Because training all individuals during the same week proved logistically difficult

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861881/psn-pdf
     January 31, 2024 - I work with professional organizations, with health systems, and with individuals to develop and operationalize … Ricciardi: I work on Wednesdays at Mercy Health Clinic, which is a clinic that serves only uninsured individuals … Another element that makes primary care so challenging is that many individuals within the United States … Many patients are caring for a loved parent, partner, or child and they often put those individuals’

434. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-21
     January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals

435. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-17
     January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42946/psn-pdf
     January 07, 2015 - Although individuals reported that the computer system seemed to save time for some tasks, most users

437. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-20
     January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals

438. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36
     December 30, 2014 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46913/psn-pdf
     May 09, 2018 - Investigators surveyed individuals who downloaded a checklist from two websites about whether they used

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43690/psn-pdf
     March 26, 2015 - These incidents impacted multiple patients and included system failures as well as errors by individuals