-
psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Those problems most likely would be considered errors of omission by the individual nurses,
rather than … compromise patient safety because it focuses attention and reliance on the means of providing care, rather … than on the patient. … Because this analysis was limited to the material in the case report, it
is less comprehensive than … Thus, when analyzing
an incident, rather than focusing solely on the individual care provider-actor,
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - system frequently, have serious medical conditions, and are more likely to be admitted to the hospital than … diagnoses, yet typically their chief complaint in the ED is not related to these conditions, but rather … In such instances, providers may rely on documentation from previous visits rather than taking extra … than to a step-down or intensive care unit setting that would allow for more intensive monitoring. … than automatically labeling a patient as a "poor historian."
-
hcup-us.ahrq.gov/reports/methods/2019-01.pdf
January 01, 2019 - AHRQ PDI software requires that the iatrogenic
pneumothorax be reported as a secondary diagnosis (rather … software requires that the accidental puncture or
laceration be reported as a secondary diagnosis (rather … AHRQ PDI software requires that the iatrogenic
pneumothorax be reported as a secondary diagnosis (rather … The AHRQ PDI software requires that the respiratory failure be
reported as a secondary diagnosis (rather … requires that the sepsis be reported as
a secondary diagnosis (rather than the principal diagnosis)
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/assessing-applicability.ppt
January 01, 2009 - Applicability Judged for Each Question
Applicability Judged for Each Question
Rather than judging the … Trials of biologics for rheumatoid arthritis that used radiographic progression rather than symptom evaluations … This step is not about reporting applicability elements (in step 1), but rather is about summarizing … Where possible, describe proportions (percentage older than 65) rather than an age range or average age … Where possible, describe proportions (percentage older than 65 years of age) rather than an age range
-
psnet.ahrq.gov/node/73083/psn-pdf
March 31, 2021 - concluded the investigations
were largely suited to fit the requirements of the supervisory authority rather … than an opportunity for
organizational learning to advance patient safety.
-
psnet.ahrq.gov/node/50824/psn-pdf
January 22, 2020 - research which
found that CRM improved staff outcomes, such as safety culture and situational awareness, rather … than
patient-related outcomes.
-
psnet.ahrq.gov/node/50370/psn-pdf
January 01, 2020 - They conclude that medical errors more often result from errors
of commission or omission rather than
-
psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - 170 audible false alarms each day, more than 7 per hour. … Consequently, rather than signaling that something is wrong, the cacophony becomes "background noise" … Another suggestion for industry is to create algorithms that analyze all of the available ECG leads, rather … than only a select few leads. … Take-Home Points Alarms should never be completely silenced; rather, clinical staff should problem-solve
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-237-evidence-summary-palliative-care-ambulatory.pdf
February 01, 2021 - into ambulatory care for adults with serious life-
threatening chronic illness and conditions other than … of potential prediction models, tools, and triggers are available, mainly for
general populations rather … than specific illnesses or conditions, but none were
evaluated for effectiveness or implementation … variety of relevant patient and caregiver education tools are available,
mainly for general populations rather … than specific illnesses or conditions, none were
evaluated for effectiveness or implementation
-
psnet.ahrq.gov/node/43847/psn-pdf
January 28, 2015 - likely to speak up if they noticed an error when paired with an attending surgeon who
used encouraging rather … than dismissive language.
-
psnet.ahrq.gov/node/44213/psn-pdf
July 08, 2015 - The authors recommend increasing patient engagement through partnership rather than
by encouraging patients
-
psnet.ahrq.gov/node/40846/psn-pdf
October 12, 2011 - patient safety, concerns persist that
patient satisfaction may be more influenced by service quality rather … than safety issues.
-
psnet.ahrq.gov/node/45908/psn-pdf
April 05, 2017 - towards-framework-managing-risk-associated-technology-induced-error
Enterprise risk management focuses on managing risk at the system rather … than the unit or incident level.
-
psnet.ahrq.gov/node/45430/psn-pdf
September 28, 2016 - They
argue that human error should be the starting point rather than a root cause in any error analysis
-
psnet.ahrq.gov/node/47314/psn-pdf
November 24, 2018 - that participants
may be more engaged during rounds when information is obtained from presentations rather … than having
the electronic medical record readily available on a computer.
-
psnet.ahrq.gov/node/44470/psn-pdf
October 13, 2015 - rotations, because most learning for postgraduate medical training occurs through
supervised experience rather … than coursework.
-
psnet.ahrq.gov/node/46865/psn-pdf
March 07, 2018 - issue/chasing-6-sigma-drawing-lessons-cockpit-culture
Aviation safety relies on systems improvement rather … than individual blame to understand and mitigate
failure.
-
psnet.ahrq.gov/node/44996/psn-pdf
June 29, 2016 - entry errors are more common in urgent situations and when numbers are
entered from a main keyboard rather … than a numeric keypad.
-
psnet.ahrq.gov/node/47213/psn-pdf
June 20, 2018 - second victim support programs, such as
an established culture of safety, focus on emotional needs rather … than skill assessment, and sustained
leadership engagement in the program.
-
psnet.ahrq.gov/node/42994/psn-pdf
March 26, 2014 - behavior and litigation risk: complexity of care, discussion of mistakes
among colleagues, personalized rather … than team responsibility, and how hospitals respond to incidents.