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Showing results for "rather than".

41. Psn-Pdf (pdf file)
    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.

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34703/psn-pdf
    December 24, 2008 - The authors suggest that their result, much higher than prior estimates, is more accurate than previous … The authors emphasize that 25% of detected errors had “interactive” or “administrative” causes, rather … than traditional professional or medical causes, and they recommend increased attention to these sources

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37480/psn-pdf
    January 23, 2008 - lost-opportunities-how-physicians-communicate-about-medical-errors This AHRQ-funded study surveyed more than … 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.

44. Psn-Pdf (pdf file)
    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. 

45. Psn-Pdf (pdf file)
    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

46. Psn-Pdf (pdf file)
    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

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47743/psn-pdf
    February 22, 2019 - This commentary advocates for individual rather than general approaches to assessing abilities of aging

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33878/psn-pdf
    April 01, 2019 - JM: Michelle Mello, Marie Bismark, and I did some research in New Zealand rather than Australia, so it … So, rather than suing the person who we deem "responsible" for the harm, it's administered by the government … It's more than just letting patients talk. … Apologies are important, but begin with listening and asking what patients need rather than assuming … Some children are very emotionally intelligent, and it should be based on maturity rather than just the

49. Use of dimensional analysis to reduce medication errors. | PSNet
    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

50. Psn-Pdf (pdf file)
    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.

51. Psn-Pdf (pdf file)
    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.

52. Psn-Pdf (pdf file)
    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.   

53. Psn-Pdf (pdf file)
    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.

54. Psn-Pdf (pdf file)
    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.

55. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
    December 23, 2020 - The transformation had less to do with the reorganization of clinical care than of the acceptance and … First, we learned that safety–if it was to be a core property of our system of care rather than an empty … Rather than creating a patient safety office, we gave senior clinical leaders responsibility for critical … decided that patient safety issues and problems would be reported directly up for board-level review, rather … than to a staff-level subcommittee.

56. Psn-Pdf (pdf file)
    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

57. Psn-Pdf (pdf file)
    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

58. Patient Safety 101 | PSNet
    psnet.ahrq.gov/primer/patient-safety-101
    January 16, 2025 - than from the underlying disease). … harm in Medicare patients in ambulatory and   long-term-care hospitals have also found that more than … Rather, it puts individual actions in the appropriate context and recognizes that the vast majority of … than blame. … than implementing targeted programs to prevent individual harms.

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Staffing An ICU nurse, already caring for two other patients, mistakenly administered  dialysis liquid rather … than polyethylene glycol solution through a feeding tube. … When she was later weighed, her actual weight was 30kg higher than her guessed weight, which meant her … cardiology department used a homegrown, error-prone scheduling system that identified patients by name rather … those that performed fewer than four. 

60. Unintended Consequences of CPOE | PSNet
    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - than eliminate, hazards. … they intended; (ii) the user and screen can be misaligned leading the user to select an entry other than … 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 opposite … Ironies of automation: increasing levels of automation can increase, rather than decrease, the problems