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Showing results for "reason".

41. Beyond the organisational accident: the need for "error wisdom" on the frontline. | PSNet
    psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
    November 18, 2015 - Citation Text: Reason J. … Share Facebook Twitter Linkedin Copy URL April 6, 2011 Reason … Linkedin Copy URL Cite Citation Citation Text: Reason

42. Human error: models and management. | PSNet
    psnet.ahrq.gov/issue/human-error-models-and-management
    November 18, 2015 - Citation Text: Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. … Share Facebook Twitter Linkedin Copy URL April 21, 2015 Reason … Linkedin Copy URL Cite Citation Citation Text: Reason

43. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet
    psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
    June 09, 2010 - Citation Text: Carthey J, de Leval MR, Reason JT. … Twitter Linkedin Copy URL June 24, 2015 Carthey J, de Leval MR, Reason … Cite Citation Citation Text: Carthey J, de Leval MR, Reason

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49764/psn-pdf
    June 01, 2016 - scenario described above, the referring ED physician did not appropriately communicate the specific reason … referring physician must communicate clearly with the consultant so that the consultant understands the reason … The central reason for the consultation request needs to be clearly stated and understood in order for … One study showed that the referring physician and the consultant disagreed about the primary reason … Take-Home Points The referring physician is responsible for clearly stating the reason for the consultation

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49420/psn-pdf
    October 01, 2003 - Parents were advised the reason for the referral was so that he could get a "blood test" performed. … The third error was due to a failure of the ED to adequately question the family’s reason for arrival … Health care providers should establish a system to provide patients with a written description of the reason … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … Reason JT. Human error. New York: Cambridge University Press; 1990. 6. Leape LL.

46. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet
    psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - One reason: doctors don't take them seriously. … One reason: doctors don't take them seriously.

47. Latent Error (or Latent Condition) | PSNet
    psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason

48. To LP or Not LP | PSNet
    psnet.ahrq.gov/web-mm/lp-or-not-lp
    February 01, 2018 - Parents were advised the reason for the referral was so that he could get a "blood test" performed. … The third error was due to a failure of the ED to adequately question the family’s reason for arrival … Health care providers should establish a system to provide patients with a written description of the reason … Designated ED staff (perhaps triage nurses) should confirm the reason for referral of all patients sent … Reason JT. Human error. New York: Cambridge University Press; 1990. 6. Leape LL.

49. Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet
    psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
    September 06, 2023 - Was their race a reason? … One reason: doctors don't take them seriously.

50. Latent Error (or Latent Condition) | PSNet
    psnet.ahrq.gov/taxonomy/term/3488
    December 12, 2020 - Error (or Latent Condition) The terms active and latent as applied to errors were coined by Reason

51. Right? Left? Neither! | PSNet
    psnet.ahrq.gov/web-mm/right-left-neither
    November 16, 2022 - James Reason has developed a powerful explanatory model to understand adverse events that occur by the … Reason has referred to this framework for understanding adverse events as the “Swiss Cheese Model.”( … This patient was subjected to spinal anesthesia for no reason. … Reason J. Managing the risk of organizational accidents. … Reason J. Human error: models and management. BMJ. 2000;320:768-770. [go to PubMed] 7.

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - James Reason has developed a powerful explanatory model to understand adverse events that occur by the … Reason has referred to this framework for understanding adverse events as the “Swiss Cheese Model.”( … This patient was subjected to spinal anesthesia for no reason. … Reason J. Managing the risk of organizational accidents. … Reason J. Human error: models and management. BMJ. 2000;320:768-770. [go to PubMed] 7.

53. Medical mistakes are more likely in women and minorities. | PSNet
    psnet.ahrq.gov/issue/medical-mistakes-are-more-likely-women-and-minorities
    November 01, 2017 - Was their race a reason? … Was their race a reason?

54. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
    psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
    November 30, 2023 - However, the CUS tool assumes that the clinician who uses it has adequate reason to be concerned about … a clinician may want to block the implementation of a care plan: PBOCs are not normally sufficient reason … For this reason, standardized decision trees are a particularly valuable tool for helping to resolve … In both cases, however, there must be a compelling reason to stop the implementation of a previously … Critique of Practical Reason .

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841467/psn-pdf
    December 14, 2022 - for the choices made and actions taken in the case, those reasons were not necessarily the type of reason … However, the CUS tool assumes that the clinician who uses it has adequate reason to be concerned about … For this reason, standardized decision trees are a particularly valuable tool for helping to resolve … In both cases, however, there must be a compelling reason to stop the implementation of a previously … Kant I, Abbott TK.Critique of Practical Reason. Amherst N.Y: Prometheus Books; 1996.

56. Active Error (or Active Failure) | PSNet
    psnet.ahrq.gov/glossary/active-error-or-active-failure
    September 13, 2021 - Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - The modern field of systems analysis was pioneered by the British psychologist James Reason, whose analysis … Reason introduced the Swiss Cheese model to describe this phenomenon. … Reason used the terms  active errors  and  latent errors  to distinguish individual from system errors … The work of James Reason and  Dr.

58. Communication With Consultants | PSNet
    psnet.ahrq.gov/web-mm/communication-consultants
    October 01, 2018 - scenario described above, the referring ED physician did not appropriately communicate the specific reason … referring physician must communicate clearly with the consultant so that the consultant understands the reason … The central reason for the consultation request needs to be clearly stated and understood in order for … One study showed that the referring physician and the consultant disagreed about the primary reason for … Take-Home Points The referring physician is responsible for clearly stating the reason for the consultation

59. Systems Approach | PSNet
    psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - The modern field of systems analysis was pioneered by the British psychologist James Reason , whose … Reason introduced the Swiss Cheese model to describe this phenomenon. … Reason used the terms  active errors  and  latent errors  to distinguish individual from system errors … The work of James Reason and  Dr.

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844762/psn-pdf
    September 25, 2019 - Recommendations include that patients know the reason they are taking each medication, speak up if any