-
psnet.ahrq.gov/node/37725/psn-pdf
February 17, 2011 - issues such as copying
and pasting portions of clinical notes and requirements to fill in templates rather … than interact meaningfully
with patients.
-
psnet.ahrq.gov/node/38329/psn-pdf
January 22, 2017 - often feel left out of disclosure conversations,
which they believe should be viewed as a team event rather … than as a patient–physician conversation.
-
psnet.ahrq.gov/node/39973/psn-pdf
January 04, 2011 - Examining the evidence on ACGME duty hour standards and patient outcomes, this commentary suggests
that rather … than implementing one policy at a time, alternative approaches should be assessed to
effectively improve
-
psnet.ahrq.gov/node/37518/psn-pdf
March 13, 2008 - innovation-patient-safety-new-task-design-reducing-patient-falls
This study describes the success of using the prone position, rather … than sitting-standing, when helping
patients transfer out of bed to prevent falls.
-
psnet.ahrq.gov/node/40909/psn-pdf
November 09, 2011 - handing-over-patient-care-it-just-old-broken-telephone-game
General surgery residents strongly preferred signing out patients in person rather … than by
videoconferencing or other electronic modalities, but in this simulation study, signout accuracy
-
psnet.ahrq.gov/node/36542/psn-pdf
August 06, 2008 - introduce
the concept of a team that proactively monitors patients at risk of clinical deterioration rather … than waiting to
assess the patient when they have been alerted to a problem.
-
psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
March 01, 2023 - Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather … than systems . … March 7, 2018
More holes than cheese.
-
psnet.ahrq.gov/node/867631/psn-pdf
February 26, 2025 - Patients whose ED note contained the word "homeless" were more likely to be
discharged rather than admitted
-
psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - systems thinking to evaluate and design for safety, but they are keenly aware that safety is an emergent, rather … than a static, property. … Near misses are viewed as opportunities to learn about systems issues and potential improvements, rather … than as evidence of safety. … They seek underlying rather than surface explanations.
-
psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - JM : Michelle Mello , Marie Bismark, and I did some research in New Zealand rather than Australia, … So, rather than suing the person who we deem "responsible" for the harm, it's administered by the government … It's more than just letting patients talk. … Apologies are important, but begin with listening and asking what patients need rather than assuming … Some children are very emotionally intelligent, and it should be based on maturity rather than just the
-
psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
Though less often cited than … tight coupling" as the two factors that create an environment in which a major accident becomes more
rather … than less probable over time, regardless of steps taken to increase safety.
-
psnet.ahrq.gov/node/42229/psn-pdf
July 03, 2014 - Analysis of more than
30,000 surgical procedures revealed that hospitals received significantly greater … findings of this study arise directly
from a payment system that rewards providers for the volume rather … than the quality of service provided.
-
psnet.ahrq.gov/node/838019/psn-pdf
September 07, 2022 - were classified by the research team as “weak,” meaning that they focus on
influencing human behavior rather … than on treating underlying problems (e.g., alerts, trainings, double
checks).
-
psnet.ahrq.gov/node/73291/psn-pdf
May 19, 2021 - reducing the national never event rate through shared learning
and an integrated system-wide approach, rather … than concentrating on underperforming, outlier hospitals
where factors such as safety culture maybe
-
psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - goals (leveled-target goal setting, equal emphasis goals, data-driven
learning, and developmental) rather … than performance goals.
-
psnet.ahrq.gov/node/839821/psn-pdf
November 09, 2022 - involved overlooking another
disease in the same organ group or related organ (e.g., diagnosing headache rather … than stroke).
-
psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Researchers found that most errors occurred during the
medication administration step rather than the
-
psnet.ahrq.gov/node/837743/psn-pdf
July 27, 2022 - record (EHR) system sent thousands of requests for medical care in a large health system
to no location rather … than to the intended site for care.
-
psnet.ahrq.gov/node/74110/psn-pdf
November 24, 2021 - Researchers found that most new problems were exacerbations of preexisting conditions rather
than problems
-
psnet.ahrq.gov/node/34966/psn-pdf
June 22, 2009 - The authors suggest
that a consensual, rather than individual, approach would more reliably determine