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Showing results for "rather than".

21. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet
    psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
    September 25, 2024 - Study Classic Learning from mistakes is easier said than … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection … Edmondson proposes that, rather than examining errors and accidents in health care on an individual or … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39389/psn-pdf
    January 03, 2017 - Dekker, Charles Denham, and Lucian Leape) take the hospital to task for focusing on narrow improvements rather … than using complexity theory to solve underlying problems, and for creating a "second victim" by disciplining … the nurse (who was fired and ultimately criminally prosecuted) rather than acknowledging the institution's

23. The medical liability climate and prospects for reform. | PSNet
    psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
    September 29, 2017 - in malpractice claims), and administrative compensation systems (which use an adjudication process rather … than usual courts) will all play a larger role and lead to more rapid resolution following adverse events … of accountable care organizations may lead to reform in the liability system such that organizations rather … than individuals are liable for malpractice.

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather … than proactive, seeking to identify and mitigate contributing factors after adverse events have occurred … But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … Rather than defining safety as the absence of adverse events, where as few things as possible go wrong … than what goes well.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867336/psn-pdf
    December 11, 2024 - tasked with increasingly complex care regimens as many care recipients prefer to stay in their homes rather … than move to a residential facility. … On average, 13.5 medication errors per caregiver per year were self-reported, with more than half of … Caregivers who cared for multiple recipients reported more errors than caregivers who reported sharing

26. Clinical triggers: an alternative to a rapid response team. | PSNet
    psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
    December 21, 2014 - Rather than a dedicated and resource-intensive rapid response team, this hospital required nurses to … a unique prototype for addressing failure to rescue initiatives that leverage existing resources rather … than creating new ones.

27. Falls | PSNet
    psnet.ahrq.gov/primer/falls
    October 27, 2021 - More than one-third of in-hospital falls result in injury, including serious injuries such as fractures … rules for identifying high-risk patients, but none has been shown to be significantly more accurate than … They include: Multidisciplinary (rather than solely nursing) responsibility for intervention. … Staff and patient education (if provided by health professionals and structured rather than ad hoc). … Provision of safe footwear (rather than solely advice on safe footwear).

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - In this study, more than 1,000 interdisciplinary rounds were observed to assess the extent and timing … Results show attending physicians had longer interaction times with nurses than did residents or interns … Attendings were also more likely to elicit nurses' concerns rather than waiting for nurses to bring

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33589/psn-pdf
    September 15, 2024 - 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.

30. Implementing a Fall Prevention Program | PSNet
    psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - Patients of all ages fall, but more than 80% of falls in hospitals occur in patients older than 65 years … Components most often seen in successful trials include: Multidisciplinary (rather than solely nursing … Provision of safe footwear (rather than solely advice on safe footwear). … Staff and patient education (if provided by health professionals and structured rather than ad hoc). … than assessment.

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851058/psn-pdf
    June 28, 2023 - peer- reviewed commentary asserts emergency department (ED) overcrowding is a greater safety risk than … misdiagnosis, and errors are more frequently systemic rather than cognitive.

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838017/psn-pdf
    September 07, 2022 - framework to identify and reduce adultification (when children are perceived or treated as being older than … RRC calls for systemic, rather than individual, efforts.

33. Getting the diagnosis wrong. | PSNet
    psnet.ahrq.gov/issue/getting-diagnosis-wrong
    January 20, 2021 - a way to encourage physicians to spend more time on the cognitive component of forming a diagnosis rather … than simply ordering imaging tests. … December 4, 2013 Misdiagnosis is more common than drug errors or wrong-site surgery.

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33723/psn-pdf
    December 01, 2011 - Patients of all ages fall, but more than 80% of falls in hospitals occur in patients older than 65 years … Components most often seen in successful trials include: Multidisciplinary (rather than solely nursing … Provision of safe footwear (rather than solely advice on safe footwear). … Staff and patient education (if provided by health professionals and structured rather than ad hoc). … than assessment.

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33612/psn-pdf
    May 01, 2005 - The transformation had less to do with the reorganization of clinical care than of the acceptance and … First, we learned that safety–if it was to be a core property of our system of care rather than an empty … Rather than creating a patient safety office, we gave senior clinical leaders responsibility for critical … decided that patient safety issues and problems would be reported directly up for board-level review, rather … than to a staff-level subcommittee.

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74206/psn-pdf
    December 22, 2021 - direct-oral-anticoagulant-related-medication-incidents-and-pharmacists- interventions-hospital While direct oral anticoagulants (DOAC) are considered safer than … Active, rather than latent, failures contributed to most errors.

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60049/psn-pdf
    March 18, 2020 - transition roles from student to health care professional and whether differences in resident performance (rather … than differences in perceptions of performance) contribute to gender disparities in evaluations. … comparing feedback on medical errors, women receive more harsh criticism and less supportive feedback than

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49771/psn-pdf
    July 01, 2016 - Case Objectives Explain how technology, including computerized provider order entry, can transform, rather … than eliminate, hazards. … than scrolling to the bottom; (v) entries themselves can be long and largely identical with the small … In other words, the goal should be moving work-as-imagined closer to work-as- done, rather than the … Ironies of automation: increasing levels of automation can increase, rather than decrease, the problems

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46310/psn-pdf
    October 29, 2017 - results-national-survey 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.

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837808/psn-pdf
    August 05, 2024 - recognizing-excellence-diagnosis-recommended-practices-hospitals Diagnostic safety is beginning to be established as a systemic, rather … than solely an individual performance issue.