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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - January 13, 2021
The rise of human factors: optimising performance of individuals and
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - There are two objectives of
safe system design: (i) to make it difficult for individuals to make mistakes … Although it would be easy to fault the individuals involved, the absence of prescribing criteria for … Lessons from the Denver medication error/criminal negligence case: look
beyond blaming individuals. … complexity and variation of a
specific process
Redundancies
• Inclusion of duplicate steps or multiple individuals
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - The efficacy of self-
check is limited by time pressure and by asymmetric knowledge—individuals in the … Both individuals
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov … can also be limited by asymmetric knowledge and by the explicit
or implicit medical power hierarchy—individuals … Numerous tools
currently allow virtual presence of geographically separate individuals, through text
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 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 appropriate … #16
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 … expectations include: (1) successful performance of the activity; (2)
verbal encouragement; (3) seeing like individuals
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psnet.ahrq.gov/issue/learning-invited-reviews
May 29, 2019 - August 14, 2019
The rise of human factors: optimising performance of individuals and
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psnet.ahrq.gov/issue/when-surgery-goes-wrong-weighing-risks
December 18, 2019 - February 15, 2023
The rise of human factors: optimising performance of individuals and
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psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
August 02, 2023 - July 24, 2019
The rise of human factors: optimising performance of individuals and teams
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - patients for HBV prior to cancer chemotherapy, especially patients at high risk.( 1-4 ) This includes all individuals … Groups at high risk of HBV who should be screened (from AASLD guidelines [ 1 ]) Individuals … of sexually transmitted disease Men who have sex with men Inmates of correctional facilities Individuals
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - creatinine level to estimate kidney function, there is a substantial misclassification, particularly in individuals … creatinine, is a more accurate estimation of kidney impairment, but still overestimates renal function among individuals … not been widely studied.( 8 ) Nonetheless, principles and guidelines for K+ repletion do exist for individuals
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psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
May 25, 2022 - November 3, 2015
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
January 11, 2023 - Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - 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/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - May 28, 2014
Findings and Lessons From the Improving Management of Individuals With Complex
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - Individuals who work within such a
culture expect professional conduct and feel physically and psychologically … addition, organizations should strive to
build processes for assessing the extent to which systems and/or individuals … risks overlooking important safety threats posed
by underprepared, willfully negligent, or impaired individuals
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psnet.ahrq.gov/web-mm/nosy-business
March 01, 2007 - Most severe nose bleeds of this nature occur in individuals older than 50 years.( 1 ) Anatomy & Epidemiology … Neoplasm is a rare cause but should be considered in individuals with recurring bleeds from the same … Posterior bleeds are more commonly seen in older individuals, and their management is more complex, typically
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Organizations and individuals are increasingly embracing the use of video for learning. … Structured, routine post-action reviews, either by individuals or by teams, are also becoming more prevalent … validated assessment tools ( 3,4 ), clinical protocols, and benchmark performance data become available, individuals
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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - 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/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
December 24, 2008 - February 4, 2015
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - January 21, 2015
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - August 14, 2019
The rise of human factors: optimising performance of individuals and