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psnet.ahrq.gov/node/34772/psn-pdf
November 18, 2015 - Weick's thinking encompasses the notion that both individuals and teams often
overlook important problems … because they put on cognitive blinders based on their biases and
expectations and that individuals
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - The person approach focuses on blaming
individuals, whereas the system approach concentrates on the … conditions under which individuals work.
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Frequent fliers, or more appropriately, individuals with frequent use of emergency departments (EDs), … frequently, have serious medical conditions, and are more likely to be admitted to the hospital than individuals … who are not frequent ED users.( 2 ) Individuals with frequent ED visits often have underlying co-occurring … above highlights the fact that diagnostic errors contribute to the excess mortality experienced by individuals … interventions that augment teaching in health professional training about how to optimize care for individuals
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psnet.ahrq.gov/node/34749/psn-pdf
January 09, 2017 - policy support of it, the primer thoughtfully outlines the complex
nature of deciding how best to hold individuals … How
they are applied to various situations in health care and how the individuals involved should be
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - Other individuals join medical families in which they simply never received early feedback that certain … There also are individuals with personality disorders. … Certainly, we see individuals who model narcissism. … Some individuals simply choose to take what we call the "geographic" solution. … Unfortunately, we now have many circumstances in which we've identified individuals at one institution
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - Many individuals are reluctant to report events either in fear of retaliation or because they report … Many of the individuals who witnessed the behavior were afraid to speak up because of the prominence … There also are individuals with personality disorders. … Certainly, we see individuals who model narcissism. … Some individuals simply choose to take what we call the "geographic" solution.
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psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
May 27, 2011 - This narrative review explores the evidence around nursing behaviors , individuals, and practice characteristics … further research into the relationship between medication administration behavior, care settings, and individuals
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psnet.ahrq.gov/node/43856/psn-pdf
March 18, 2015 - This narrative review
explores the evidence around nursing behaviors, individuals, and practice characteristics … further research into the
relationship between medication administration behavior, care settings, and individuals
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psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - Although early efforts in the patient safety movement focused on shifting the blame for errors from
individuals … The third edition offers new content related to restorative justice and explores the reasons
why individuals
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psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - Raven, MD, MPH, MSc
This case illustrates the challenges inherent in providing acute medical care for individuals … Frequent fliers, or more appropriately, individuals with frequent use of emergency departments (EDs), … frequently, have serious medical conditions, and are more likely to be admitted to
the hospital than individuals … who are not frequent ED users.(2) Individuals with frequent ED visits often
have underlying co-occurring … 1982 (10), diagnostic
overshadowing is related to clinicians' tendency to misattribute symptoms of individuals
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psnet.ahrq.gov/issue/association-household-opioid-availability-and-prescription-opioid-initiation-among-household
April 24, 2018 - patients frequently share their prescribed medications with someone else, it remains uncertain whether individuals … Using claims data from 2000 to 2014, this retrospective cohort study found that 12,695,280 individuals
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psnet.ahrq.gov/issue/medication-related-harm-older-adults-following-hospital-discharge-development-and-validation
May 15, 2013 - The cohort was derived from inpatients at five hospitals in England and included 119 individuals who … experienced medication-related harm requiring healthcare utilization and 699 individuals who did not
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - This is particularly true for frail individuals or for those with cognitive
impairment who cannot play … multidisciplinary roles on the team at the academic
medical center, these roles may be shared by multiple individuals … Identify one or two individuals who can serve as the primary point (or points) of contact at each site … The SNF and hospital are responsible for
identifying these individuals, but the role is often filled … Identify individuals to serve in key innovation clinical roles.
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - physicians be mindful of Emergency Medical Treatment and Active Labor Act (EMTALA) when caring for pregnant individuals … 13, 2024
Ensuring safe and equitable discharge: a quality improvement initiative for individuals
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psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - the use of illegal substances
such as cocaine and fentanyl, poses immediate and long-term risks to individuals … Some individuals with substance use disorder are reluctant to seek help or
engage in treatment, partly … This one-size-fits-all approach
can be alienating, especially for individuals who are not ready or able … Overview of Harm Reduction
Respect for individuals' autonomy, with a focus on engagement, collaboration … Harm reduction programs have not been associated with negative outcomes for individuals, communities,
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psnet.ahrq.gov/node/44827/psn-pdf
February 14, 2017 - Designated trained peers had cup-of-coffee conversations to discuss
reports with the associated individuals … Even when there were two or more complaints about a provider, the
vast majority of individuals were
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - We typically see individuals admitted for another medical indication who, once hospitalized, appear to … We also see individuals with opioid and methamphetamine use disorders, who are often hospitalized for … most at risk of overdose, who are also the individuals most likely to save someone’s life. … For individuals with a bigger copay, donated supply from state or local public health departments and … Harm reduction programs have not been associated with negative outcomes for individuals, communities,
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Some individuals with substance use disorder are reluctant to seek help or engage in treatment, partly … This one-size-fits-all approach can be alienating, especially for individuals who are not ready or able … Overview of Harm Reduction Respect for individuals' autonomy, with a focus on engagement, collaboration … Harm reduction programs have not been associated with negative outcomes for individuals, communities, … most at risk of overdose, who are also the individuals most likely to save someone’s life.
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Designated trained peers had cup-of-coffee conversations to discuss reports with the associated individuals … Even when there were two or more complaints about a provider, the vast majority of individuals were able
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - We need to ensure that we have high quality, safe healthcare that is equitable for all individuals and … Engaging persons and involving individuals, patients, caregivers, and their families, in having a voice … Another patient safety initiative is ensuring that individuals have access to their medical information … Finally, care and information must be delivered to individuals in a manner that is understandable in … We want to make sure that we are serving all populations and all individuals.