-
psnet.ahrq.gov/node/43068/psn-pdf
May 29, 2014 - error of omission) were the most common concerns, often related to patient or family caregiver
actions rather … than the home hospice team.
-
psnet.ahrq.gov/node/44950/psn-pdf
March 02, 2016 - affect the care plan, were more often identified when providers specifically elicited such information rather … than when it arose spontaneously.
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psnet.ahrq.gov/node/37912/psn-pdf
September 25, 2008 - However,
use of the application itself may only be a marker rather than a direct cause of a hospital's
-
psnet.ahrq.gov/node/44344/psn-pdf
July 22, 2015 - can remain unrecognized due to insufficient reporting and the
tendency to place blame on the user rather … than question whether the equipment functioned appropriately.
-
psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - Rather than relying on specific vital sign abnormalities, nurses
relied on a combination of clinical
-
psnet.ahrq.gov/node/47284/psn-pdf
December 05, 2018 - either respiratory
complications or patient injuries, and they were largely due to systems issues rather … than individual
clinician performance.
-
psnet.ahrq.gov/node/35332/psn-pdf
September 21, 2005 - between language
barriers and adverse events, the study design only offers an associative relationship rather … than a
causative one.
-
psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - ensure-patient-safety
Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather … than
systems.
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psnet.ahrq.gov/issue/adaptive-expertise-medical-decision-making
September 18, 2024 - The author suggests that an adaptive rather than linear decision-making approach would support reasoning
-
psnet.ahrq.gov/issue/health-factory
December 23, 2008 - organizations approach error the way other industries do, by constantly evaluating and solving problems, rather … than working around them.
-
psnet.ahrq.gov/node/47506/psn-pdf
January 21, 2019 - balance: day shift had better scores compared to night shift, and shorter shifts had better scores
than … The authors suggest that burnout interventions target work settings rather than
individuals, because
-
psnet.ahrq.gov/node/38706/psn-pdf
June 17, 2009 - tool, they discovered that only nine of the triggers generated a positive
predictive value of greater than … advocate for use of their trigger approach
but perhaps focusing only on the nine high-yield triggers rather … than the exhaustive list.
-
psnet.ahrq.gov/node/39620/psn-pdf
September 20, 2011 - Although past research
suggests that patient complaints relate more to service quality rather than quality … likelihood to recommend" a hospital had strong associations with technical performance measures in more
than
-
psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside
December 14, 2011 - 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 them
-
psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
July 10, 2008 - This AHRQ-funded study surveyed more than 1000 physicians to understand their beliefs about error reporting … More than half the respondents reported involvement in a serious error with a similar proportion agreeing … that system failures, rather than individual ones, are the cause.
-
psnet.ahrq.gov/issue/risks-prescribing-cascade
December 16, 2020 - article shares how medication side effects can be misdiagnosed to perpetuate harm in older patients rather … than getting to the root of the care concerns.
-
psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Those problems most likely would be considered errors of omission by the individual nurses,
rather than … compromise patient safety because it focuses attention and reliance on the means of providing care, rather … than on the patient. … Because this analysis was limited to the material in the case report, it
is less comprehensive than … Thus, when analyzing
an incident, rather than focusing solely on the individual care provider-actor,
-
psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
January 01, 2016 - Most were solitary case reports, rather than collections or reviews. … In this case, the problems probably arose more from a lack of knowledge than poor technique. … Often anecdotal or personal knowledge, rather than broader experience and data, is passed on. … sufficiently sophisticated.( 4,5 ) Most simulations of common medical procedures focus on elementary technique rather … than the management of complications and recognition and management of pathology.
-
psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - concluded the activities most
frequently missed are those related to emotional and psychological needs, rather … The only exception is that nurses report more
missed care than do nursing assistants. … toward
caring for the whole group of patients, mostly by assisting each other to complete needed care rather … than
focusing only on their own patient assignments. … Indeed, results from a study of Pennsylvania hospitals suggest that more than 30% of nurses had
high
-
psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Concerns have been raised, however, that patient complaints may
center on poor service quality rather … than on clinical adverse events. … patients in safety efforts has extended to
allowing patients and families to summon rapid response teams, rather … than waiting for clinicians to
respond.