-
psnet.ahrq.gov/node/853058/psn-pdf
August 30, 2023 - significantly higher agreement when dermatologists conducted face-to-face and teledermatology consults,
rather … than non-specialists (i.e., primary care or emergency medicine physicians).
-
psnet.ahrq.gov/node/844800/psn-pdf
September 25, 2019 - many adults are unaware these programs exist or choose to
retain or sell unused prescription opioids rather … than utilize safe disposal services.
-
psnet.ahrq.gov/node/839315/psn-pdf
January 01, 2024 - research shows many investigations into suicide deaths are conducted to fulfill regulatory
requirements, rather … than to improve suicide-prevention interventions.
-
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.
-
psnet.ahrq.gov/node/35571/psn-pdf
April 06, 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
-
psnet.ahrq.gov/node/34769/psn-pdf
March 28, 2005 - Vaughan identifies two general causes
other than pressures related to the timeline: a dispersion of … 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.
-
psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - 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
-
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.
-
psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - interventions targeting healthcare-acquired condition reduction and prevention target a single
condition, rather … than the risks of multiple conditions.
-
psnet.ahrq.gov/node/47990/psn-pdf
June 18, 2019 - team implemented a daily conference call that included nurses, residents, and
attending physicians rather … than separating physician and nursing handoff workflows.
-
psnet.ahrq.gov/node/73889/psn-pdf
September 29, 2021 - that hospital leadership and clinical leaders primarily relied on staff to
ensure patient safety, rather … than relying on systems and processes to prevent errors.
-
psnet.ahrq.gov/node/72502/psn-pdf
November 25, 2020 - 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).
-
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
-
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.
-
psnet.ahrq.gov/node/36344/psn-pdf
February 17, 2011 - involves an iatrogenic reaction that occurred due to mistakenly administering methotrexate daily,
rather … than weekly.
-
psnet.ahrq.gov/node/37796/psn-pdf
May 28, 2008 - study found that nurses are more satisfied with openness, accuracy, and understanding of
communication rather … than simply the timeliness of it.
-
psnet.ahrq.gov/node/34961/psn-pdf
June 22, 2009 - They argue that better people management leads to, rather than results from, an improved
organizational
-
psnet.ahrq.gov/node/39864/psn-pdf
November 02, 2010 - multidose drug dispensing—dispensing medications according to the time the patient takes the
medication, rather … than as individual prescriptions—was associated with a reduction in documented
medication discrepancies
-
psnet.ahrq.gov/node/42321/psn-pdf
June 19, 2013 - https://psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiveness
Rather than
-
psnet.ahrq.gov/node/44573/psn-pdf
October 21, 2015 - a way
to encourage physicians to spend more time on the cognitive component of forming a diagnosis rather … than
simply ordering imaging tests.