-
psnet.ahrq.gov/node/43910/psn-pdf
November 23, 2016 - , apologize, and display empathy when the
scenario represented an instance of clear responsibility rather … than shared responsibility or system failure.
-
psnet.ahrq.gov/node/34979/psn-pdf
June 22, 2009 - systemic issues and highlight the importance
of both these approaches being used in a collaborative, rather … than independent, fashion.
-
psnet.ahrq.gov/node/46592/psn-pdf
December 19, 2017 - The authors suggest that focusing on procedural experience rather than technical skill can help
clinicians
-
psnet.ahrq.gov/node/44612/psn-pdf
October 28, 2015 - this commentary reviews how complacency about EHR usability problems, focus on billing
efficiency rather … than clinical workflow, and insufficient engagement with clinicians in EHR design hinder
the potential
-
psnet.ahrq.gov/node/34681/psn-pdf
February 09, 2011 - such a system
would encourage error reporting and could be linked to reforms that make institutions, rather … than
individuals, responsible for injuries to patients.
-
psnet.ahrq.gov/node/60641/psn-pdf
July 01, 2020 - Studies generally found that incivility
occurs mainly within professional disciplines rather than across
-
psnet.ahrq.gov/node/60055/psn-pdf
March 18, 2020 - the app could affect safety, citing that safety was the responsibility of the clinical staff
alone rather … than patients.
-
psnet.ahrq.gov/node/73866/psn-pdf
September 22, 2021 - 19 cases in nursing homes is related to ownership status, facility size and average
occupancy rate, rather … than quality (as measured by infection prevention and control deficiencies).
-
psnet.ahrq.gov/node/44476/psn-pdf
September 26, 2016 - Recognizing
this, commentators have called for research to analyze the causes and effects of interruptions, rather … than
attempting to categorically prevent interruptions. … Interventions that were interrupted took longer than
uninterrupted tasks, and interruptions were a significant
-
psnet.ahrq.gov/node/44141/psn-pdf
November 06, 2015 - a reliance on
written documentation, which was often difficult to find or missing key information, rather … than verbal
signout.
-
psnet.ahrq.gov/node/39234/psn-pdf
January 20, 2010 - track-trigger-and-teamwork-communication-deterioration-acute-medical-and-
surgical-wards
This qualitative study found that nurses relied on their clinical judgment, rather … than formal track and trigger
systems, to determine when a patient required urgent assistance.
-
psnet.ahrq.gov/node/40690/psn-pdf
August 17, 2011 - Most of these potential failures require technological rather than educational
or policy-based solutions
-
psnet.ahrq.gov/node/42896/psn-pdf
February 23, 2015 - always causes fatal toxicity if it is incorrectly administered
intrathecally (via spinal injection) rather … than intravenously.
-
psnet.ahrq.gov/node/45204/psn-pdf
September 18, 2016 - study found that patients and caregivers define patient safety as meeting all of a patient's
needs rather … than avoiding harm and reducing risks associated with medical care.
-
psnet.ahrq.gov/node/44671/psn-pdf
September 20, 2016 - widespread calls for full disclosure of medical errors, physicians often choose their words carefully
rather … than explicitly detail how errors may have occurred. … More than three-quarters
of physicians in the breast cancer case said they would offer either no information
-
psnet.ahrq.gov/issue/do-safety-culture-scores-nursing-homes-depend-job-role-and-ownership-results-national-survey
April 05, 2017 - Prior studies have demonstrated that managers have more positive perceptions of safety culture than … that staff responses to AHRQ's Nursing Home Survey on Safety Culture were higher for administrators than … The authors call for reporting safety culture results by role rather than by facility.
-
psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - In health care, as in other industries, most errors are caused by slips rather than mistakes, and checklists … errors or handoff
errors—may require solutions focused on training, supervision, and decision support rather … than
standardizing behavior, and thus may not be an appropriate subject for a checklist.
-
psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Medical Practice Study defined an adverse event as "an injury that was
caused by medical management (rather … than the underlying disease) and that prolonged the
hospitalization, produced a disability at the time … Summary
In summary, adverse events refer to harm from medical care rather than an underlying disease
-
psnet.ahrq.gov/node/46534/psn-pdf
January 31, 2018 - They also felt that
requirements should be tailored to individual surgical experience rather than standardized
-
psnet.ahrq.gov/node/44474/psn-pdf
September 24, 2016 - that
interruptions be considered a process with various potential consequences for multiple actors rather … than
single events and suggests a human factors approach to addressing interruptions.