-
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/node/37216/psn-pdf
July 28, 2010 - administrative measures, including length of stay
and patient volume, by using a nurse practitioner (rather … than a physician trainee) to participate in
multidisciplinary rounds.
-
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/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/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/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/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/74110/psn-pdf
November 24, 2021 - Researchers found that most new problems were exacerbations of preexisting conditions rather
than problems
-
psnet.ahrq.gov/node/49467/psn-pdf
December 01, 2004 - The patient
reported also taking lisinopril 20 mg daily for more than a year. … judged that the patient became weak due to the new atrial
fibrillation and rapid ventricular response rather … than to potassium depletion, hyponatremia, or other effects
of the hydrochlorothiazide. … outcomes and
reduce errors; for example, forwarding all clinical calls to physicians or trained nurses rather … Take-Home Points
Remember that your primary role is to triage, rather than diagnose, via effective and
-
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/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/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/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/34966/psn-pdf
June 22, 2009 - The authors suggest
that a consensual, rather than individual, approach would more reliably determine
-
psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - 170 audible false alarms each day, more than 7 per hour. … Consequently, rather
than signaling that something is wrong, the cacophony becomes "background noise … with
persistent atrial fibrillation (an irregular heart rhythm that can trigger telemetry alarms) rather … than only a select few leads. … https://psnet.ahrq.gov//#references
Take-Home Points
Alarms should never be completely silenced; rather
-
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).