- 
                                        
psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - also possible to program machines to make it impossible to select a patient's medication from more than … Mistakes with medications occur not because a clinician has been incompetent by making an error, but rather … it is important to acknowledge that medication errors generally occur as a result of system failures rather … than faults produced by particular people. … Medication errors generally occur as a result of system failures rather than faults produced by particular
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not
September 20, 2011 - this patient had a psychiatric disorder, many physical symptoms were then ascribed to that disorder rather … than to a concurrent or underlying medical illness. … New medical symptoms in psychiatric patients should be listed as separate problems rather than being … Psychiatric patients whose symptoms are worsening rather than improving with treatment warrant careful … Paranoid psychosis in old age: much more common than previously thought?
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/42138/psn-pdf
March 27, 2013 - setting, although the majority of these errors appear to be administering drugs at the wrong time
rather … than administering the wrong dose or wrong medication entirely.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/47495/psn-pdf
October 31, 2018 - review found that most leadership training in maternity settings used a work-based learning
approach rather … than simulation or classroom interventions.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/44199/psn-pdf
September 09, 2015 - to call a nurse for help, they were more
willing to ask for help if encouraged to do so by a doctor rather … than a nurse.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/41607/psn-pdf
January 03, 2017 - issue/using-risk-assessment-approach-determine-which-factors-influence-whether-
partially-bilingual
Rather … than using professional interpreters, many partially bilingual clinicians rely on their own (sometimes
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/41561/psn-pdf
August 01, 2012 - investigators concluded that the low rate of reporting
was likely due to hospital failure to identify events rather … than hospitals failing to report known events.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/45924/psn-pdf
March 15, 2017 - events were judged to be preventable, and incidents were frequently due to
the organization of care rather … than from knowledge gaps on the part of physicians.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - research to disseminate
quality improvement, greater adoption of safety efforts as a part of quality rather … than a competitor of it, and
ongoing appreciation of what outside industries can bring to health care
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/43068/psn-pdf
May 29, 2014 - error of omission) were the most common concerns, often related to patient or family caregiver
actions rather … than the home hospice team.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/44950/psn-pdf
March 02, 2016 - affect the care plan, were more often identified when providers specifically elicited such information rather … than when it arose spontaneously.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/37912/psn-pdf
September 25, 2008 - However,
use of the application itself may only be a marker rather than a direct cause of a hospital's
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/44344/psn-pdf
July 22, 2015 - can remain unrecognized due to insufficient reporting and the
tendency to place blame on the user rather … than question whether the equipment functioned appropriately.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/39199/psn-pdf
January 28, 2010 - Rather than relying on specific vital sign abnormalities, nurses
relied on a combination of clinical
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/47284/psn-pdf
December 05, 2018 - either respiratory
complications or patient injuries, and they were largely due to systems issues rather … than individual
clinician performance.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/35332/psn-pdf
September 21, 2005 - between language
barriers and adverse events, the study design only offers an associative relationship rather … than a
causative one.
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - ensure-patient-safety
Traditionally, efforts to reduce medical errors have focused on modifying individual behavior rather … than
systems.
                                     
                                                                    - 
                                        
www.uspreventiveservicestaskforce.org/home/getfilebytoken/P2BsfdYoqKa6-9a-Wh5VqB
Clinicians may choose to selectively counsel patients rather than incorporate counseling into the care … Generally, persons with a 10-year risk greater than 20% are considered to be high-risk, those 
with a … 10-year risk less than 10% are considered to be low-risk, and those in the 10% to 20% range are considered
                                     
                                                                    - 
                                        
www.uspreventiveservicestaskforce.org/home/getfilebytoken/2_e9yUNkzrtkkNKmn7YtCU
September 01, 2012 - Clinicians may choose to selectively coun-
sel patients rather than incorporate counseling into the care … Clinicians may choose to selectively counsel patients
rather than incorporate counseling into the care … Clinicians may choose to selectively provide this service 
to patients rather than incorporating it into … Because the
WHI was primarily designed to detect differences in breast
cancer rather than CVD, its power … These recommendations are based on the health
benefits of physical activity rather than on the effectiveness
                                     
                                                                    - 
                                        
psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - extend beyond the borders of the overlying skin changes, requiring much more extensive debridement than … the necessary but less surgically rewarding operations (like NSTI debridement), and often work alone rather … However, rather than working together to provide a double layer of security, this dual ‘ownership’ resulted … important, that will ultimately lead to a culture of safety, where doing the safe thing feels natural, rather … than enforced, thus augmenting rather than diminishing physician autonomy. 13    Take-Home Points Necrotizing