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Total Results: 1,606 records

Showing results for "rather than".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42759/psn-pdf
     April 24, 2017 - programs often inhibit safety culture, because they are perceived as focusing on punitive actions rather … than quality improvement.

302. Feeling No Pain | PSNet
     psnet.ahrq.gov/web-mm/feeling-no-pain
     August 30, 2023 - 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 it … Thus, when analyzing an incident, rather than focusing solely on the individual care provider-actor,

303. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. | PSNet
     psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
     January 29, 2021 - alert in the mind of these anesthesia care providers that this fluid is intended for bladder irrigation rather … than for intravenous therapy. … The ototoxicity in the cases presented may be  vestibular rather than cochlear in nature and therefore … may produce permanent loss of balance rather than hearing loss. 7    Given these significant side effects … The risk of fluid overload in this case was less important than the risk of gentamicin nephrotoxicity

304. Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet
     psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
     May 01, 2012 - 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

305. Shining a Light: Safer Health Care Through Transparency. | PSNet
     psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
     November 23, 2016 - Health care has historically treated data as something to be safeguarded rather than openly discussed … July 26, 2023 Broken Trust: Making Patient Safety More than Just a Promise.

306. Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet
     psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
     February 09, 2011 - diagnoses may represent limitations of current technology or atypical presentations of these conditions rather … than errors. … Nonetheless, clinically significant diagnoses escape detection at a greater rate than is generally appreciated

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50858/psn-pdf
     January 31, 2020 - An electronic system can efficiently review significantly more images than would be feasible for an … Despite the potential of AI in diagnostic imaging, in the short term it is most likely to complement rather … than replace traditional approaches used by radiologists. … concerns regarding the introduction of new patient safety risks, AI will continue to serve as an adjunct rather … than an alternative to a radiologist.

308. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
     March 01, 2013 - patient's mother called the ED to report that the patient's discharge paperwork listed a weight of 25 kg rather … than her true weight of 25 lbs (11.3 kg). … Other than mild and self-limited diarrhea, there were no significant adverse effects from the four larger … automation complacency In our case, a clinician hand writing this patient’s weight (25 kg or 55 pounds)—rather … than relying on automation—would have likely realized the computer-listed weight was incongruent with

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43571/psn-pdf
     October 01, 2014 - successful implementation, highlighting that failure to follow up on concerns raised may actually erode, rather … than enhance, safety culture.

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34053/psn-pdf
     March 02, 2011 - recommendations to reduce the incidence of VAP, including use of semi-recumbent positioning, sucralfate rather … than H2- antagonists, and aspiration of subglottic secretions in select patient populations.

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44056/psn-pdf
     May 19, 2018 - As payment models increasingly shift toward paying for value rather than volume, the negative financial

312. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
     November 01, 2023 - white, which was abnormal for acetic acid, and that led to the discovery that TCA had been applied rather … than acetic acid. … Often confused with a thermal burn, the mechanisms are distinctly different than heat related and have … used intervention in the TCA chemical peel consists of the application of cold water as a diluent, rather … than a neutralizer.

313. Are second victims getting the help they need? | PSNet
     psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need
     September 13, 2017 - second victim support programs, such as an established culture of safety, focus on emotional needs rather … than skill assessment, and sustained leadership engagement in the program.

314. The relationship between patients' perception of care and measures of hospital quality and safety. | PSNet
     psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
     February 13, 2019 - Although past research suggests that patient complaints relate more to service quality rather than … likelihood to recommend" a hospital had strong associations with technical performance measures in more than … 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than

315. Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. | PSNet
     psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
     June 21, 2023 - Diagnostic safety is beginning to be established as a systemic , rather than solely an individual performance

316. Techno Trip | PSNet
     psnet.ahrq.gov/web-mm/techno-trip
     May 01, 2005 - Instead, the failure occurred because the IT design was technology-centered rather than human-centered … man–machine interface to be attributed to human error (eg, "the surgeon should look more carefully") rather … than to poor design.( 14 ) Creating high quality, human-centered technology is difficult and requires … Cases like this one demonstrate that IT in health care requires more than simply adding "computerization … Creating robust IT depends on designing health care computer systems to be user-centered rather than

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866217/psn-pdf
     July 10, 2024 - We serve more than 100,000 individuals across Massachusetts, Rhode Island, Michigan, and California. … As the majority of members are over age 45, our patient safety priorities are much different than, for … Amy Helwig: We often refer to these as quality measures rather than patient safety measures. … digital quality measures that allow you to look at all different aspects of data and the actual outcome, rather … than just whether someone had a vaccine or a specific screening. 

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49462/psn-pdf
     October 01, 2004 - causes, the solutions offered by this approach rely on improving the design of artifacts in the world rather … than relying on labels, instructions, training, or the usual admonition to "be more careful … Christmas tree adapters to the correct flowmeter; and        -    Use clear Christmas tree adapters rather … than color-coded ones. … Look for possible design solutions wherever possible rather than relying solely on training, warnings

319. Patient safety in primary care: conceptual meanings to the health care team and patients. | PSNet
     psnet.ahrq.gov/issue/patient-safety-primary-care-conceptual-meanings-health-care-team-and-patients
     September 28, 2022 - providing appropriate, timely care) better reflect the experiences of healthcare personnel and patients rather … than domain-based conceptualizations (e.g., diagnosis, care transitions, and medications).

320. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet
     psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience
     February 01, 2023 - goals (leveled-target goal setting, equal emphasis goals, data-driven learning, and developmental) rather … than performance goals.