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Showing results for "rather than".

1381. Maternal Safety | PSNet
      psnet.ahrq.gov/primer/maternal-safety
      January 10, 2024 - Charles Johnson Pregnancy and birth are normal physiologic processes that optimally require support rather … than medical intervention. … cesarean birth, and future potentially life-threatening placental abnormalities are greater for cesarean than … Additionally, more than half of rural US counties do not have hospital-based obstetric services, significantly … ACOG defines hemorrhage as a cumulative blood loss of greater than or equal to 1,000 mL or blood loss

1382. Ambiguity and workarounds as contributors to medical error. | PSNet
      psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
      December 23, 2008 - authors suggest that health care organizations should not strive to become factories of repetition but, rather … December 3, 2018 Doctors are more dangerous than gun owners: a rejoinder to error counting

1383. In Conversation With… Wanda Pratt, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
      November 01, 2017 - we can study people and their needs and come up with solutions that blend the best of both worlds, rather … than creating technology that makes the problem worse. … patients need and how can we understand their needs and perspectives and develop tools to support them, rather … WP : I see that as an opportunity more than a threat. … promise to help improve patient safety and outcomes, it can only serve as an enabler for better care, rather

1384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49682/psn-pdf
      April 01, 2013 - For example, in this case, it is known that, despite maximal medical therapy, more than 95% of patients … the lethal diagnosis, the patient might choose to spend more time with his family in the coming year than … particular diagnosis, as is practically the entire scientific evidence base of modern medicine (other than … solutions must directly address this root cause.(1) Classifying diagnostic errors by clinical context rather … than by cognitive bias might offer opportunities to develop systems solutions to cognitive problems

1385. Difficult Encounters: A CMO and CNO Respond | PSNet
      psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
      March 01, 2018 - Our medical center expects no less civility in the behavior of attending physicians than from our residents … cardiologist communicated his or her conclusions directly to either the orthopedic resident or attending, rather … than leaving written recommendations that the nurse had to read over the phone to the resident. … Development of a culture such as this, however, requires more than role-modeling. … remediation, which means that legal counsel still has to oversee every step for anything more serious than

1386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843150/psn-pdf
      December 05, 2022 - people consider to be offensive because it suggests that you prescribe to a set of ideals or beliefs, rather … than this is just who you are.8 In these cases, healthcare is still very fallible. … specialized care for the LGBTQ+ community because the things that we do are generally no different than … The bottom line is understanding that supporting the LGBTQ+ community in healthcare is no different than … Pronouns are words that are used to refer to a person other than their name; pronouns are viewed as

1387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867850/psn-pdf
      February 26, 2025 - primer/high-reliability weird thing to want to do, but the word “reliability” carries less baggage than … As for which processes might be more important than others, in general, healthcare organizations tend … In my survey work, I find that reluctance to simplify interpretations tends to be rated lower than the … Can we hire in a way that reinforces high reliability principles rather than just trying to differentiate

1388. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - a trained vascular access team, 3–5 and (iv) carry fewer risks (or at least are believed to do so) than … be associated with a lower incidence of bloodstream infections because they are placed peripherally rather … than centrally; however, there is a growing body of evidence indicating that PICC lines can contribute … Chopra et al. 14 found that PICCs in outpatient settings were associated with a lower risk for CLABSI than … hospitalized patients is appropriate when (i) the PICC has not been used for a clinical purpose for more than

1389. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet
      psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
      March 27, 2024 - Psychologically safe cultures focus more on learning and how system failures lead to safety events rather … than on individual actions. … For example, someone who is extroverted may be more likely to speak up than someone who is introverted … SOPS Nursing Home Survey respondents) and found that LPNs rated all measures of safety culture lower than … This survey also found that LPNs working in nursing homes were less satisfied with their jobs than LPNs

1390. Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors
      December 01, 2013 - other health professionals and administrators have often showed greater engagement in patient safety than … physicians, but correct diagnosis resonates more with physicians than other health care professionals … Naturally, one might expect clinicians to preferentially attribute diagnostic errors to system problems rather … than individual cognitive errors. … It's about more than just a research area, it's about a person, and she took interest in both.

1391. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
      July 10, 2024 - It was around that time that the term patient safety began to be used in the UK other than in terms of … It's had some adverse consequences because there is an enormous amount of rather disorganized regulation … There's another form of reporting, which is rather different from this voluntary reporting system, the … You spend a little less than 10%. … This is a rather crude response, and it's very hard still to make an argument to senior managers and

1392. Interpreting the Patient Safety Literature | PSNet
      psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
      June 01, 2005 - events are often intrinsically complex and must be implemented in the messy setting of routine care, rather … than the highly controlled environments of most clinical trials. … Rather than attempting to compress this comprehensive series into a brief commentary, the discussion … than changing care? … Rather than resting on our laurels and saying well, we're great, those were just rare events, people

1393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49802/psn-pdf
      August 01, 2017 - likelihood of bleeding following a procedure as "low risk," where the likelihood of bleeding is less than … This is why combining checklists with teamwork training may be more effective than either intervention … Unfortunately, the process was not led by a physician and was treated as a "check box" exercise rather … than an opportunity for a team discussion; thus, it was ineffective. … Procedural checklists often require team involvement, rather than just checking the box, to be effective

1394. Comanagement: Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/comanagement-whos-charge
      July 01, 2011 - hospitalist) increased authority, responsibility, and accountability for the care of surgical patients.( 1 ) Rather … than simply offering advice to the referring surgeon on a specific question, comanaging physicians have … The chances that a surgical patient would be comanaged grew by more than 11% per year between 2001 and … more common in non-teaching hospitals, where surgical patients are often admitted to the hospitalist rather … than the surgeon.

1395. Which End Is Which? | PSNet
      psnet.ahrq.gov/web-mm/which-end-which
      February 09, 2011 - return to the OR for laparotomy, it became apparent that the diversion had involved the transverse colon rather … than the descending colon. … A second confirmatory test consists of instilling air or water (rather than a colonoscope) into the distal … On average, patients have an ileus that is much shorter with the laparoscopic procedure than with open … It is important to note that mechanical obstruction can occur for reasons other than the error described

1396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33646/psn-pdf
      February 01, 2007 - RW: Now when you were talking about what was different in 1999 than 1980, most of your answer emphasized … envision a day when these systems actually do begin to replace physicians because they'll be better than … they're much more digitally native than we are. … Outcomes-based connections rather than knowledge- and textbook-based connections? … Rather than looking at the prior probability of conditions within the pages of a textbook, it would actually

1397. In Conversation With… Robert Hirschtick, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
      January 01, 2018 - Are there deeper lessons from what you've observed in how we use our electronic tools than simply that … RH : I would be reluctant to say that, as a group, practitioners and clinicians are less ethical now than … I'm more optimistic about physical exam skills than I am about note-writing skills. … Singh and colleagues identified 190 diagnostic errors.( 6 ) Expert review determined that more than 35% … outcomes, cannot be underestimated, as it may allow the note to be used more for clinical communication rather

1398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33730/psn-pdf
      June 01, 2012 - It was around that time that the term patient safety began to be used in the UK other than in terms … It's had some adverse consequences because there is an enormous amount of rather disorganized regulation … There's another form of reporting, which is rather different from this voluntary reporting system, the … You spend a little less than 10%. … This is a rather crude response, and it's very hard still to make an argument to senior managers and

1399. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather … Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought?

1400. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - Rather, they concerned incompetent or poorly performing doctors, whose colleagues were covering up for … you expected and what has been harder than you expected? … In the UK, when you're trying to introduce change, you rather feel that you're in a goldfish bowl. … RW: What's been harder than you thought? … , the history of quality and safety in the National Health Service (NHS) until recently has been a "rather