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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31
January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-18
December 30, 2014 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
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 … Boards are typically comprised of mostly nonclinical individuals, so hospital leaders and staff will
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Boards are typically comprised of mostly nonclinical individuals, so hospital leaders and staff will … and training, and respond to regulatory and other mandates; and a culture that is just, encourages individuals … 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.
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psnet.ahrq.gov/issue/just-bag-it
November 04, 2020 - Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Psychological safety is defined at the group level but is affected by the characteristics of the individuals … facilitators and examples of each facilitator were identified:
Leader inclusiveness: introducing individuals … culture: nonjudgmental atmosphere (team level)
Support in silos: identifying with a group of similar individuals … level)
Interpersonal relationships: familiar long-tenure team members (team level)
Small teams: individuals
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - organizational sociologists, Reason provides a conceptual framework that delineates how errors made by individuals … We will start by identifying the primary errors made by individuals during the course of this patient's … 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 physician
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psnet.ahrq.gov/node/49438/psn-pdf
March 05, 2004 - the HIPAA Privacy Rule [45 UFR Prts 160 and 164] covers protected health
information (PHI), "about individuals … disclosure of PHI is only likely to be granted if it involves no more than minimal risk to the privacy of
individuals … are necessary, we use camera angles and image
border controls that allow us to avoid recognition of individuals
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.179_slideshow.ppt
July 01, 2008 - Problem
More than 3 million Americans have
used heroin in their lifetime
In 2000, up to 1 million individuals … Medical and Societal Costs
Illicit opioid use associated with
significant harm to individuals
Strains … Symptoms may be severe, cause significant distress, and often impair functioning
Many opioid dependent individuals
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psnet.ahrq.gov/node/49626/psn-pdf
May 01, 2011 - Pathogens can be transmitted through direct contact with infected individuals or contaminated objects … standard, airborne, and contact precautions.(7,10) A
vaccine is available and effective for high-risk individuals … , though pre-exposure vaccination is not currently
recommended for individuals who do not work directly
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - They meet several times to interview individuals who have direct knowledge of
the physician's behavior … The fair hearing panel is appointed by the President of the
Medical Staff and can only include individuals … Often, individuals feel that their complaints fall into
a black hole, are not taken seriously, or will … I appreciate that the leadership of individuals like Dr. … professionals, but the potential impact on patient safety and staff satisfaction caused by
problematic individuals
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-25
December 30, 2014 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
December 30, 2014 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-45
January 17, 2018 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals
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psnet.ahrq.gov/node/43695/psn-pdf
August 02, 2015 - care organizations may
lead to reform in the liability system such that organizations rather than individuals
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psnet.ahrq.gov/issue/strong-surgery
October 15, 2018 - More
Related Resources
The rise of human factors: optimising performance of individuals
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psnet.ahrq.gov/node/40800/psn-pdf
December 09, 2014 - improving-quality
The systems approach to analyzing adverse events emphasizes how active errors (those made by
individuals
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Fundamentally, disruptive behavior by individuals subverts the organization's ability to develop a culture … appropriate foundation for dealing with disruptive behavior, as it calls for disciplinary action for individuals