-
psnet.ahrq.gov/node/44312/psn-pdf
November 06, 2015 - members,
most of these interactions are more properly characterized as collaboration or coordination rather … than true
teamwork.
-
psnet.ahrq.gov/node/41518/psn-pdf
October 12, 2012 - response team model that relied on clinical triggers to summon the primary team caring for the
patient—rather … than a dedicated, separate team—resulted in sustained reductions in unexpected inpatient
mortality
-
psnet.ahrq.gov/node/47743/psn-pdf
February 22, 2019 - This commentary advocates for individual rather than general approaches to assessing
abilities of aging
-
psnet.ahrq.gov/node/34059/psn-pdf
March 11, 2011 - Most of the
ADEs were found through electronic or computerized methods, rather than by voluntary reporting
-
psnet.ahrq.gov/node/37465/psn-pdf
March 02, 2011 - effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-
trial
This study found that the use of ratios rather … than mass concentration on drug labels may be a source of
drug administration error.
-
psnet.ahrq.gov/node/47196/psn-pdf
October 17, 2018 - The author suggests that an adaptive rather than linear decision-making
approach would support reasoning
-
psnet.ahrq.gov/node/866590/psn-pdf
August 28, 2024 - three-
quarters of proposed risk controls outlined in the plans were weak (focusing on individual rather … than
systemic issues).
-
psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - patient did not know to inform the insurance company that the colonoscopy was for screening purposes (rather … The colonoscopy demonstrated colon cancer; the diagnosis was made more than 6 months after the positive … For instance, rather absurdly, if an abnormality (such as a polyp or growth) is found during a colonoscopy … , some insurance companies will deem the colonoscopy a diagnostic test (rather than a screening test) … Ascertaining costs and benefits of colonoscopy more difficult than the procedure itself.
-
psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
January 12, 2022 - While direct oral anticoagulants (DOAC) are considered safer than warfarin , DOAC-related medication … Active , rather than latent, failures contributed to most errors.
-
psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
May 08, 2019 - presented at one hospital's emergency medicine morbidity and mortality (M&M) conferences found that more than … When present, cognitive errors were more frequently ascribed to faulty data synthesis rather than a knowledge
-
psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
September 23, 2020 - peer-reviewed commentary asserts emergency department (ED) overcrowding is a greater safety risk than … misdiagnosis, and errors are more frequently systemic rather than cognitive.
-
psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - More than 80% of
respondents expressed a desire for internal rather than external support when needing
-
psnet.ahrq.gov/node/40206/psn-pdf
June 15, 2011 - The authors argue that their findings reinforce the need to adopt a systems
approach to prevention rather … than focusing solely on individual nursing practice.
-
psnet.ahrq.gov/node/44472/psn-pdf
January 22, 2016 - this environment, including promoting
transparency, focusing on systems-related causes for failures rather … than blaming individuals, and
standardizing procedures and equipment.
-
psnet.ahrq.gov/node/37228/psn-pdf
December 15, 2011 - have a positive opinion of
the workplace culture of safety when the survey was distributed on site rather … than mailed.
-
psnet.ahrq.gov/node/37258/psn-pdf
March 23, 2011 - psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-
staff
Rather … than using traditional retrospective methods, this study employed an observational technique with
expert
-
psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - also possible to program machines to make it impossible to
select a patient's medication from more than … Mistakes with medications occur not because a clinician has been incompetent by
making an error, but rather … is important to
acknowledge that medication errors generally occur as a result of system failures rather … than faults
produced by particular people. … Medication errors generally occur as a result of system failures rather than faults produced by
particular
-
psnet.ahrq.gov/node/73132/psn-pdf
April 14, 2021 - explored the role of machine-learning based clinical decision support (CDS) algorithms to
support (rather … than replace) human decision-making and the impact on diagnostic performance.
-
psnet.ahrq.gov/node/838631/psn-pdf
October 19, 2022 - Safety-II perspective emphasizes improving patient safety by focusing on what goes right in
healthcare, rather … than on errors or what goes wrong (Safety-I).
-
psnet.ahrq.gov/node/764398/psn-pdf
March 02, 2022 - developed in aviation, has become popular in healthcare as
a method to train groups to function as teams, rather … than as a collection of individuals.