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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-194-evidence-summary-corticosteroids-asthma.pdf
October 01, 2017 - e
Effective Health Care Program
Archived: This report is
greater than 3 years old. … medications taken daily
on a long-term basis to achieve and maintain control of
persistent asthma.2 Rather … In this report, controller medications are defined by
the timing and indication for use rather than … Likewise, for this report, quick relief therapy is defined by
the timing and indication for use rather … than by mechanism
of action.
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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
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psnet.ahrq.gov/node/47743/psn-pdf
February 22, 2019 - This commentary advocates for individual rather than general approaches to assessing
abilities of aging
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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
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Shooting-Script-How-to.pdf
July 01, 2024 - Do not use more than 2 credentials (e.g., M.D., M.P.H.). … People prefer being spoken to rather than being spoken at. … comprehension can take
longer than reading comprehension. … • Use humane language to describe someone, rather than as their disease or disability. … For
instance, say “patients with diabetes,” rather than “diabetics.”
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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
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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.
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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.
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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.
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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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digital.ahrq.gov/ahrq-funded-projects/opportunistic-decision-making-information-needs-and-workflow-emergency-care
January 01, 2023 - Rather than focusing on a single task at a time, ED clinicians are forced to switch between multiple … Rather than acting on a global understanding of the department, clinicians make opportunistic decisions
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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/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.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
April 01, 2013 - I feel it is something being done to me rather than something being done with me. … It’s being done over me, rather than through me, and all of a sudden, I get this pushback to say, “Hey … rather than understanding, that “You’re a bad doctor. … How can you do something that makes it take less time rather than more time? … A small, little window drape got put into our kits rather than a full barrier drape.
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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
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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
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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.
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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.
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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
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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.