-
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/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
-
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/33826/psn-pdf
February 01, 2017 - than be replaced) and see what that might look like. … We will need to have two-way conversations—rather than one way (boss-to subordinate)." … RW: Right, I assume you saw that as a lesion and a flaw rather than the nature of the business. … than individual performance. … than serve
the patient.
-
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/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/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - JM : Michelle Mello , Marie Bismark, and I did some research in New Zealand rather than Australia, … 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
-
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.
-
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/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/47410/psn-pdf
April 10, 2019 - found that postdischarge home visits from pharmacists focused on the details of the
medication regimen rather … than health beliefs and extent of medication adherence.
-
psnet.ahrq.gov/node/60169/psn-pdf
March 25, 2020 - 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
-
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/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/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/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-neglected
February 14, 2024 - systemic issues and highlight the importance of both these approaches being used in a collaborative, rather … than independent, fashion. … August 26, 2020
Adverse events in infants less than 6 months of age after ambulatory
-
psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - systems thinking to evaluate and design for safety, but they are keenly aware that safety is an emergent, rather … than a static, property. … Near misses are viewed as opportunities to learn about systems issues and potential improvements, rather … than as evidence of safety. … They seek underlying rather than surface explanations.
-
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/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.