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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.
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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
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psnet.ahrq.gov/node/60928/psn-pdf
September 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/46964/psn-pdf
April 11, 2018 - that specialists are more vulnerable to anchoring bias and more siloed approaches to problem
solving than … specialists hone their generalist skills, seek multidisciplinary consultation, and focus on
patient-centered rather … than disease-centered care to ensure a wide range of considerations are explored
to avoid diagnostic
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psnet.ahrq.gov/node/35314/psn-pdf
August 31, 2005 - organizations approach error the way other industries
do, by constantly evaluating and solving problems, rather … than working around them.
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psnet.ahrq.gov/node/43771/psn-pdf
May 01, 2015 - publics-views-medical-error-massachusetts
This statewide public telephone survey in Massachusetts found that more than … 20% of respondents
experienced a medical error in the prior 5 years, and more than half of these incidents … Most respondents attributed adverse events to individual physicians and nurses rather than health
systems … Importantly, prior to being given an explanation, less
than half of respondents understood the term
-
psnet.ahrq.gov/node/60921/psn-pdf
September 16, 2020 - who achieved
the correct diagnosis (herpes zoster) utilized systems-based or anatomic approaches, rather … than focuses
on life-threatening diagnoses alone, and employed debiasing strategies.
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psnet.ahrq.gov/node/60924/psn-pdf
September 16, 2020 - importance of staff education and leadership to support the focus of
reporting initiatives on the system rather … than individuals when failures occur.
-
psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - field uses the term adverse events to describe patient harm that arises as a result of
medical care (rather … than from the underlying disease). … Rather, it puts individual actions in the appropriate context and recognizes that the vast
majority … than
blame. … than
implementing targeted programs to prevent individual harms.
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psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - The authors describe characteristics from more than 1000
incidents collected and offer strategies to … authors conclude that it may be beneficial to classify specific incidents by a preventive strategy, rather … than
one based on outcomes, in order to prevent future adverse events and provide more constructive
-
psnet.ahrq.gov/node/47301/psn-pdf
September 02, 2018 - presented at one hospital's emergency medicine morbidity and mortality
(M&M) conferences found that more than … When present, cognitive errors were more frequently ascribed to faulty data synthesis rather than a
-
psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - failure can cause, its value as a learning opportunity, if examined through the lens of
human error rather … than blame, cannot be understated.
-
psnet.ahrq.gov/node/34669/psn-pdf
June 26, 2015 - Learning from mistakes is easier said than done: group
and organizational influences on the detection … Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences
on the Detection … learning-mistakes-easier-said-done-group-and-organizational-influences-
detection-and
Edmondson proposes that, rather … than examining errors and accidents in health care on an individual or
system level, we should instead
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - medication dosage calculation and found that those students who were taught using dimensional analysis, rather … than traditional math, scored better on the test. … Bachelor's degree nurse graduates report better quality and safety educational preparedness than
-
psnet.ahrq.gov/node/48184/psn-pdf
August 14, 2019 - 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.
-
psnet.ahrq.gov/node/35772/psn-pdf
March 15, 2006 - medication dosage calculation and found that
those students who were taught using dimensional analysis, rather … than traditional math, scored better on
the test.
-
psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
January 30, 2019 - This statewide public telephone survey in Massachusetts found that more than 20% of respondents experienced … a medical error in the prior 5 years, and more than half of these incidents resulted in harm. … Most respondents attributed adverse events to individual physicians and nurses rather than health systems … Importantly, prior to being given an explanation, less than half of respondents understood the term " … March 12, 2025
Broken Trust: Making Patient Safety More than Just a Promise.
-
psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - 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/38244/psn-pdf
November 26, 2008 - by understanding human error and suggests how to design
reporting systems to stimulate improvement rather … than blame individuals.
-
psnet.ahrq.gov/node/837641/psn-pdf
July 06, 2022 - potential harms (such as potentially inappropriate prescribing or potential prescribing omissions)
rather … than actual harms.