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Showing results for "understand".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48068/psn-pdf
    June 12, 2019 - psnet.ahrq.gov/issue/pediatric-faculty-knowledge-and-comfort-discussing-diagnostic-errors-pilot-survey-understand … psnet.ahrq.gov/issue/pediatric-faculty-knowledge-and-comfort-discussing-diagnostic-errors-pilot-survey-understand

62. Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). | PSNet
    psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18-0
    January 11, 2023 - supports large research demonstration and implementation projects applying existing strategies to understand … December 12, 2023 Notice of Intent to Publish Funding Opportunity Announcements to Understand

63. Overdiagnosis: how our compulsion for diagnosis may be harming children. | PSNet
    psnet.ahrq.gov/issue/overdiagnosis-how-our-compulsion-diagnosis-may-be-harming-children
    March 04, 2020 - The authors advocate for research and educational strategies to better understand and address the problem … Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48004/psn-pdf
    May 08, 2019 - blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment … https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment https://psnet.ahrq.gov

65. In Conversation With… Erik Hollnagel, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
    February 26, 2025 - They were promised too much by developers who really don't understand how health care is done in practice … So we shouldn't look for failures, but we should look at how things go well and try to understand how … On the basis of that, we can better understand these situations where things don't go well. … We're trying to understand and improve how things work in the operating room and in the ward. … But in the longer term it will be there because people suddenly understand what they do, they understand

66. Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet
    psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
    April 27, 2015 - Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand … Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative Study to Understand an … Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative Study to Understand an

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33881/psn-pdf
    August 01, 2019 - They were promised too much by developers who really don't understand how health care is done in practice … So we shouldn't look for failures, but we should look at how things go well and try to understand how … On the basis of that, we can better understand these situations where things don't go well. … We're trying to understand and improve how things work in the operating room and in the ward. … But in the longer term it will be there because people suddenly understand what they do, they understand

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60001/psn-pdf
    March 04, 2020 - https://psnet.ahrq.gov/issue/patient-safety-marginalised-groups-narrative-scoping-review To better understand … This review highlights the need for additional research to understand the intersection between marginalization

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867083/psn-pdf
    November 06, 2024 - communication includes not only telling the patient what their diagnosis is but also ensuring they understand … "the healthcare team told you the main reason you're in the hospital (your diagnosis) in a way you understand

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73106/psn-pdf
    April 01, 2021 - essential aspect of preventing medical errors and improving patient safety is using data effectively to understand … Tracking performance helps one identify patient safety hazards, understand baseline performance, compare … data enable stakeholders and improvers with a range of backgrounds, professions, and skillsets to understand … tools quickly and clearly convey data, provide insight into system-level issues, and help the viewer understand … patient safety interventions were introduced or when relevant events occurred, and help the viewer understand

71. Accuracy in patient understanding of common medical phrases. | PSNet
    psnet.ahrq.gov/issue/accuracy-patient-understanding-common-medical-phrases
    November 30, 2022 - Ensuring patients understand their diagnosis and care plan is important to achieving optimal outcomes

72. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - This systematic review discusses how root cause analysis methods can be used to understand community-acquired … considered preventable complications, but the authors suggest that current frameworks must be adapted to understand

73. Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. | PSNet
    psnet.ahrq.gov/issue/use-novel-electronic-health-record-centered-interprofessional-icu-rounding-simulation
    March 04, 2019 - Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand … Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand … Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841305/psn-pdf
    January 27, 2023 - To begin to understand how healthcare is provided, you can conceptualize healthcare delivery as a linear … The other important ramification of Hollnagel’s concept is that the lens we use to try to understand … healthcare work affects what we see and what we understand. … Ellen Deutsch: I’m still trying to learn and understand. It’s taken at least 10 years. … Resilient healthcare will help us understand, appreciate, and implement conditions and processes that

75. Understanding and preventing vaccination errors. | PSNet
    psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
    April 15, 2016 - Study Understanding and preventing vaccination errors. Citation Text: Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. Copy Citation Format: DOI Google Scholar BibTeX…

76. Application of Safety-II Principles | PSNet
    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … Safety-II seeks to understand and replicate processes that allow things to go right most of the time … One example is to map a process using the Functional Resilience Analysis Method (FRAM) to understand … Simulations can also be incorporated into root cause analyses in situ in order to understand patient … Kathy Helak: We use the learning team methodology to understand work done versus work imagined.

77. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - We want to optimize and understand those pieces of the story because we may need to capitalize on them … Kathy Helak: We use the learning team methodology to understand work done versus work imagined. … And third, it’s important to understand that what has gotten us to this point is not possibly going to … Safety-II seeks to understand and replicate processes that allow things to go right most of the time … Simulations can also be incorporated into root cause analyses in situ in order to understand patient

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/844787/psn-pdf
    September 11, 2019 - identification-inpatient-dnr-status-safety-hazard-begging-standardization https://psnet.ahrq.gov/issue/triad-vii-do-prehospital-providers-understand-physician-orders-life-sustaining-treatment … https://psnet.ahrq.gov/issue/triad-vii-do-prehospital-providers-understand-physician-orders-life-sustaining-treatment

79. Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. | PSNet
    psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
    November 09, 2022 - This review analyzed experiences in the United Kingdom to understand strengths and weaknesses in e-prescribing … October 13, 2018 Using sociotechnical theory to understand medication safety work in

80. Psn-Pdf (pdf file)
    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 … In this way, an investigation proposes to understand how things usually go right as a basis for explaining … In this way, similar efforts and resource utilization to understand a system and its functions may be … A Safety II approach may also require new methods and tools to understand how things work, depending … Nonetheless, because these events are frequent, if we can understand how and why they happen, we can