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Total Results: 1,606 records

Showing results for "rather than".

241. Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet
     psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
     November 12, 2014 - were either respiratory complications or patient injuries, and they were largely due to systems issues rather … than individual clinician performance. … 2015 A facilitated survey instrument captures significantly more anesthesia events than

242. Avoid punitive approach to your safety event reporting, | PSNet
     psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
     October 23, 2019 - importance of staff education and leadership to support the focus of reporting initiatives on the system rather … than individuals when failures occur.   

243. Diagnostic Overshadowing Dangers | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
     February 12, 2020 - system frequently, have serious medical conditions, and are more likely to be admitted to the hospital than … diagnoses, yet typically their chief complaint in the ED is not related to these conditions, but rather … In such instances, providers may rely on documentation from previous visits rather than taking extra … than to a step-down or intensive care unit setting that would allow for more intensive monitoring. … than automatically labeling a patient as a "poor historian."

244. Harm From Alarm Fatigue | PSNet
     psnet.ahrq.gov/web-mm/harm-alarm-fatigue
     February 14, 2018 - 170 audible false alarms each day, more than 7 per hour. … Consequently, rather than signaling that something is wrong, the cacophony becomes "background noise" … Another suggestion for industry is to create algorithms that analyze all of the available ECG leads, rather … than only a select few leads. … Take-Home Points Alarms should never be completely silenced; rather, clinical staff should problem-solve

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43438/psn-pdf
     February 23, 2018 - safety-i-and-safety-ii-past-and-future-safety-management Historically, the approach to patient safety has been more reactive rather … than proactive, involving a response to adverse events and near misses after they occur.

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43663/psn-pdf
     November 12, 2014 - These results argue for integrating survey results rather than testing whether each separate aspect

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47175/psn-pdf
     July 19, 2018 - paradox of information technology—the fact that digitization often initially impedes productivity rather … than enhancing it.

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47376/psn-pdf
     November 02, 2018 - errors were related to person-related factors, such as inadequate communication between clinicians, rather … than technological factors.

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35570/psn-pdf
     May 27, 2011 - the national interest in CPOE, these findings should reinforce the understanding that CPOE is a tool rather … than a solution for patient safety and that appropriate vigilance in implementation is necessary.

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34968/psn-pdf
     July 10, 2008 - Centers for Disease Control and Prevention (CDC) recommend the use of alcohol-based hand sanitizers rather … than traditional hand washing.

251. The effect of bedrails on falls and injury: a systematic review of clinical studies. | PSNet
     psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
     March 15, 2016 - inherently responsible for serious patient injury and found that outdated design and incorrect assembly, rather … than bedrails themselves, contributed to such injuries. … 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than

252. When "Psychiatric" Symptoms Are Not | PSNet
     psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
     September 20, 2011 - this patient had a psychiatric disorder, many physical symptoms were then ascribed to that disorder rather … than to a concurrent or underlying medical illness. … New medical symptoms in psychiatric patients should be listed as separate problems rather than being … Psychiatric patients whose symptoms are worsening rather than improving with treatment warrant careful … Paranoid psychosis in old age: much more common than previously thought?

253. Looking for Meds in All the Wrong Places | PSNet
     psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
     June 16, 2021 - also possible to program machines to make it impossible to select a patient's medication from more than … Mistakes with medications occur not because a clinician has been incompetent by making an error, but rather … it is important to acknowledge that medication errors generally occur as a result of system failures rather … than faults produced by particular people. … Medication errors generally occur as a result of system failures rather than faults produced by particular

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865412/psn-pdf
     March 27, 2024 - multisystem illness is diagnosed can be attributed to a maladaptive emotional reaction to the diagnosis, rather … than to CNS manifestations of SLE itself. … treatment approaches generally rely on expert clinical experience attuned to subtle atypical features rather … than diagnostic protocols based on randomized controlled trials. … Psychotic presentations with atypical features, shown in Table 1, lead to greater suspicion of a systemic, rather

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43287/psn-pdf
     July 02, 2014 - strategies after an RCA: management continuity and targeting corrective actions at the unit level (rather … than at the organizational level).

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44689/psn-pdf
     February 24, 2018 - They suggest that rather than attempt to balance these two forces, organizations should appreciate their

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36834/psn-pdf
     August 26, 2011 - may improve patient outcomes, though they acknowledge that their study evaluated safety practices rather … than true adverse events.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41628/psn-pdf
     January 03, 2017 - Since only about 1 in 10 falls result in injury, some argue that rather than trying to prevent all falls

259. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet
     psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
     November 18, 2015 - Vaughan identifies two general causes other than pressures related to the timeline: a dispersion of knowledge … groups to the possibility of serious error are cast as consistent with a prevailing belief or strategy, rather … than interpreted as grounds for casting it aside.

260. Normal Accidents: Living with High-Risk Technologies. | PSNet
     psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
     March 06, 2005 - Though less often cited than high-reliability theory in the health care literature, normal accidents … tight coupling" as the two factors that create an environment in which a major accident becomes more rather … than less probable over time, regardless of steps taken to increase safety.