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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - requires large-scale changes more than increased individual effort. 1 The report describes a body of knowledge
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - requires large-scale changes more than increased individual effort. 1 The report describes a body of knowledge
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - Nurses on knowledge vasoactive drugs used in critical patients.
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - Nurses on
knowledge vasoactive drugs used in critical patients.
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - benefit/action, inadequate time to report errors (given
cumbersome reporting systems), and lack of knowledge
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - by health care workers (HCWs) for noncompliance include insufficient time, work overload, inadequate knowledge
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - benefit/action, inadequate time to report errors (given cumbersome reporting systems), and lack of knowledge
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Therefore, they don't have a lot of knowledge regarding what the important issues are.
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - safety and even less understanding of the contextual factors and strategies required to translate new knowledge
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - into 12 groups based on the cause: 1) false-positive or over-reading, 2) faulty reasoning, 3) lack of
knowledge
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - may fail to escalate treatment for post-procedural complications in a timely manner when they lack knowledge
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Lucian Leape Institute to reform education, and redesigned their medical school curriculum to build knowledge
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - have learned from the hospital, some advances in ambulatory patient safety will come from our growing knowledge
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - So common ground refers to how much a priori shared knowledge did the two people have understanding each
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Lucian Leape Institute to reform education, and redesigned their medical school curriculum to build knowledge
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - have learned from the hospital, some advances in ambulatory patient safety will come from our growing knowledge
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - They have formed a cognitive model of what’s happening there based on their experience and knowledge,
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - may fail to escalate treatment for post-procedural complications in a timely manner when they
lack knowledge
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - benefit/action, inadequate time to report errors
(given cumbersome reporting systems), and lack of knowledge
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - LLMs in particular could improve clinical decision support because they excel at analyzing text and knowledge