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psnet.ahrq.gov/node/34691/psn-pdf
May 18, 2016 - discusses how traditional methods of error reduction in medicine have focused on individual
performance rather … than on the systems in which individuals operate. … Rather than relying on the absence of human error, as has
been traditional in medicine, he advocates
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psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - evolution of systems described, arguments are made for challenges in linking errors as a specific behavior rather … than an effect of changing work environments. … calls for new system design approaches with greater emphasis on addressing structural deficiencies rather … than human reliability.
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psnet.ahrq.gov/node/35726/psn-pdf
February 09, 2011 - deprivation and summarize past research that suggests the
impact is greatest on mood and cognitive tasks rather … than motor tasks. … clinical settings and the importance of
physicians' acknowledging such states as a risk to their patients rather … than a sign of personal weakness.
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psnet.ahrq.gov/node/48139/psn-pdf
July 17, 2019 - investigators to approach
patients who have experienced adverse events to participate in studies, rather … than prohibit such studies
due to fear of causing further psychological harm. … discuss these
adverse events with patients through a reciprocal lens, expressing support and sympathy rather … than
maintaining an emotionally distant stance.
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digital.ahrq.gov/program-overview/research-stories/opening-window-depression
January 01, 2023 - the assessment via the patient portal and filled it out at home had higher instances of depression than … An electronic questionnaire can help identify people with depression symptoms, rather than waiting for … An electronic questionnaire can help identify people with depression symptoms, rather than waiting for
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-1.html
July 01, 2023 - The call for adoption of team-based care models began more than a decade ago. … systems must be developed and implemented in a way that supports the patient-clinician diagnostic team, rather … than hindering it. … Rather than viewing AI as a diagnostic tool to be wielded by human agents, we view it as a member of
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-slides.html
December 01, 2017 - Catheter insertion may be perceived as one of many “tasks” rather than as a component of evidence-based … Think in terms of nursing practice components rather than a set of tasks to be completed. … gloves
Best type of kit to stock for your patient population
Would individual supplies be better than
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psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - incorporated
a negative outcome or a deviation from standard of practice into their error definition rather … than analyzing
the event independent of those factors. … of a safety culture and the need to redefine errors as
opportunities for learning and improvement rather … than individual or isolated events.
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - Rather than reacting retrospectively to what has gone wrong, Safety II attempts
to understand the interaction … of systems and behaviors to facilitate desired outcomes rather than only
preventing undesired outcomes … Instead, Safety II simply suggests selecting events based
on frequency rather than severity. … Rather than
focusing on either end of this spectrum, a Safety II approach focuses on the middle, emphasizing … than an error or harm mitigation tool.
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - Rather than reacting retrospectively to what has gone wrong, Safety II attempts to understand the interaction … of systems and behaviors to facilitate desired outcomes rather than only preventing undesired outcomes … Instead, Safety II simply suggests selecting events based on frequency rather than severity. … Rather than focusing on either end of this spectrum, a Safety II approach focuses on the middle, emphasizing … than an error or harm mitigation tool.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan95/syphilis-infection-in-nonpregnant-adults-and-adolescents-june-2016
September 18, 2014 - women; contacts of cases; studies of HIV patients, for whom syphilis testing is disease management rather … than a screening intervention
Interventions
KQs 1, 4: Screening effectiveness, including … than primary prevention, and it is therefore outside the scope of this review. … Harms of treatment with penicillin will be included in the background section rather than in a key question … The contextual questions will be addressed by studies reporting rates and trends of syphilis rather than
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology8.html
April 01, 2025 - We have learned a lot from pioneering work on patient surveys and interviews. 44-47 Rather than speak … When things go wrong, they may speak not of errors, but rather mistakes, problems, mishaps, misunderstandings
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-measures.html
June 01, 2018 - Healthy Living
Much valuable health care is delivered to prevent disease, disability, and discomfort rather … than to treat specific clinical conditions. … services improve health and quality of life and are often better characterized by stage over a lifespan rather … than by organ system.
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psnet.ahrq.gov/issue/error-medicine
November 02, 2014 - discusses how traditional methods of error reduction in medicine have focused on individual performance rather … than on the systems in which individuals operate. … Rather than relying on the absence of human error, as has been traditional in medicine, he advocates
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/Culture-Check-UpTool.docx
June 02, 2025 - conversation, using the specific survey items based on a unit’s assessment of patient safety culture rather … than the summary scores (e.g., safety climate). … can be an issue for which the average response is three or below or a domain score that shows less than … This is not a meeting to rationalize or justify concerns, but rather a time to focus on identifying opportunities
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psnet.ahrq.gov/issue/poking-skunk-ethical-and-medico-legal-concerns-research-about-patients-experiences-medical
May 05, 2021 - permit investigators to approach patients who have experienced adverse events to participate in studies, rather … than prohibit such studies due to fear of causing further psychological harm. … discuss these adverse events with patients through a reciprocal lens, expressing support and sympathy rather … than maintaining an emotionally distant stance.
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Charles Denham , and Lucian Leape ) take the hospital to task for focusing on narrow improvements rather … than using complexity theory to solve underlying problems, and for creating a " second victim " by … disciplining the nurse (who was fired and ultimately criminally prosecuted) rather than acknowledging
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www.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - The rates of the 21 MPSMS adverse events are expressed as a rate for the whole sample population, rather … originate as a rate, and second, they are an estimate for four specific subpopulations of hospital patients rather … than all inpatients. … In order to estimate MPSMS rates for all patients, rather than simply those with one of the four diagnoses … estimated the adverse event rates for the 21 MPSMS HACs using data from patients with all diagnoses, rather
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psnet.ahrq.gov/node/38455/psn-pdf
January 02, 2017 - Rather than a dedicated and resource-intensive rapid response team, this hospital required
nurses to … provide a unique prototype for addressing failure to rescue initiatives that
leverage existing resources rather … than creating new ones.
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool12.html
March 01, 2014 - Rather, the objective of MI is not to solve the patient's problem or even to develop a plan; the goal … much of the MI literature emphasizes how the "spirit" of MI is the driving force behind any success, rather … than particular techniques or training. … consultations with patients, whereas the clinician's primary goal is to provide high-quality listening rather … than ready-made answers or advice.