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psnet.ahrq.gov/issue/national-center-patient-safety-ncps
March 27, 2005 - It focuses on prevention rather than punishment by applying human factors analysis and the safety research
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psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
June 11, 2008 - Using anonymous reporting systems during a defined study period, investigators analyzed more than 900 … Overall, the large majority of errors were classified as process errors rather than as knowledge- and
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psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
March 11, 2011 - nurses but increased it for physicians, particularly when using centrally located desktop workstations rather … than bedside point-of-care systems. … While some systems undoubtedly perform better than others in this regard, efforts to implement EHRs will
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - who apologized and took responsibility for an error and that their perception of this interaction, rather … than the actual words expressed, was more important. … July 8, 2013
More than words: patients' views on apology and disclosure when things go
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psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors
April 24, 2018 - Physicians with depression and burnout also report committing more errors than their peers. … A strength of this study is that the errors were assessed objectively rather than by self-report.
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psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
September 19, 2016 - More than 80% of respondents expressed a desire for internal rather than external support when needing
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psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - observed improvements seen in some studies may have been due to temporal changes or other
interventions rather … than the checklist itself.
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psnet.ahrq.gov/node/43074/psn-pdf
December 18, 2014 - and other training program regulators to promote evaluations of various models of graded autonomy, rather … than set "one rigid standard on the basis of conjecture alone."
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psnet.ahrq.gov/node/45595/psn-pdf
April 19, 2017 - However, their deaths may be due to
the underlying illness rather than the medical care they received
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psnet.ahrq.gov/node/42548/psn-pdf
December 29, 2014 - include
geriatric syndromes like delirium that may result as a complication of underlying illness rather … than as a
consequence of a health care process.
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - psychologist James Reason, suggests that safety failures are rarely caused by a single human error;
rather … There was not a single cause of this adverse drug event, but rather multiple failures in
the system. … than the provider entering
every order themselves. … , or its brand name, Topamax™, than does trimethobenzamide alone. … The provider
approving topiramate rather than trimethobenzamide is an individual level error, which
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psnet.ahrq.gov/node/43723/psn-pdf
October 03, 2017 - shining-light-safer-health-care-through-transparency
Health care has historically treated data as something to be safeguarded rather … than openly discussed.
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psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
Success in patient safety is generally measured in incremental steps rather … than giant leaps, but this
pioneering study certainly represents the latter.
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psnet.ahrq.gov/node/44039/psn-pdf
December 23, 2016 - profoundly changed clinician workflow, resulting in unintended consequences that in some
cases have harmed rather … than helped patients.
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psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - This implementation study examined factors related to checklist use in the
operating room for crises rather … than routine practice.
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psnet.ahrq.gov/node/38805/psn-pdf
April 04, 2011 - who apologized and took responsibility for an error and that their perception of this interaction,
rather … than the actual words expressed, was more important.
-
psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - All stakeholders reinforced the need for tailored, interactive, multi-modal communication
rather than
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psnet.ahrq.gov/node/46297/psn-pdf
March 21, 2018 - The reasons for order cancellation were more accurately reported during provider interviews rather
than
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psnet.ahrq.gov/node/46012/psn-pdf
December 21, 2017 - The authors conclude that differences in illness severity rather than health care
team staffing explain
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - link below] discusses the study findings, and emphasizes the continued need to run toward science
rather … than away from it in evaluating quality improvement efforts.