-
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/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/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers
December 02, 2020 - tasked with increasingly complex care regimens as many care recipients prefer to stay in their homes rather … than move to a residential facility. … On average, 13.5 medication errors per caregiver per year were self-reported, with more than half of … Caregivers who cared for multiple recipients reported more errors than caregivers who reported sharing
-
psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - patient did not know to inform the insurance company that the colonoscopy was for screening purposes (rather … The colonoscopy demonstrated colon cancer; the diagnosis was made more than 6 months after the positive … For instance, rather absurdly, if an abnormality (such as a polyp or growth) is found during a colonoscopy … , some insurance companies will deem the colonoscopy a diagnostic test (rather than a screening test) … Ascertaining costs and benefits of colonoscopy more difficult than the procedure itself.
-
psnet.ahrq.gov/issue/gaps-specialists-diagnoses
July 28, 2021 - that specialists are more vulnerable to anchoring bias and more siloed approaches to problem solving than … 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
-
psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
March 01, 2023 - Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather … than systems . … March 7, 2018
More holes than cheese.
-
psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
September 20, 2011 - involves an iatrogenic reaction that occurred due to mistakenly administering methotrexate daily, rather … than weekly. … Bronchoscopy, Two Errors
January 1, 2019
Promethazine conundrum: IV can hurt more than
-
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/36812/psn-pdf
June 30, 2011 - discovered that night
work and unpredictable schedules were associated with greater fatigue measures than … which also suggested that error reduction strategies should
consider the nature of residents' work rather … than simply the number of hours worked.
-
psnet.ahrq.gov/node/35467/psn-pdf
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
-
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/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/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/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.
-
psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - This review examines how debriefing principles can be embedded for use of the
practice in real time, rather … than developed in simulated circumstances, to improve anesthesia safety.
-
psnet.ahrq.gov/node/47982/psn-pdf
July 31, 2019 - measure speaking-up behaviors of medical students and the
general public, using a masked experiment rather … than asking participants to report their behaviors or
comfort level.
-
psnet.ahrq.gov/node/47907/psn-pdf
July 19, 2019 - safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-
wellness
Building on success rather … than reacting to failure is an emerging focus of improvement efforts.
-
psnet.ahrq.gov/node/836859/psn-pdf
April 06, 2022 - clinicians that uncertainty is a part
of medicine and shifting to a focus on patient-centered management rather … than focusing on identifying a
diagnosis.
-
psnet.ahrq.gov/node/73074/psn-pdf
March 24, 2021 - The authors discuss failures
including the lack of data auditing and a focus on ratings rather than