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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
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psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
March 05, 2025 - describes a graphical language system that makes drug monographs and related medical concepts easier to understand … prevent medication errors, particularly at the prescribing stage when drug information is critical to understand
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - Helping Patients Understand and Act
It is essential for health systems, health care professionals, … Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians, 2nd ed. … RW: The construct appears to be, do they understand the physician's instructions? … For a patient with heart failure, this means making sure I really understand whether this person has … As opposed to asking the patient, "Do you understand?" or "Was I clear?"
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - 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. … In the article, I described other ways that we try to understand work. … Ellen Deutsch: I’m still trying to learn and understand. It’s taken at least 10 years.
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psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - The goal is to understand the causes of errors to prevent the future occurrence of a similar event. … This novel outlook inverts the Safety-I paradigm and seeks to understand what is going well, as opposed … healthcare work affects what we see and what we understand. … In the article, I described other ways that we try to understand work. … Ellen Deutsch: I’m still trying to learn and understand. It’s taken at least 10 years.
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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
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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
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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
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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
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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
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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.
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Format:
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psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
October 16, 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
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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
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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
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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
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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
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psnet.ahrq.gov/node/37755/psn-pdf
April 14, 2011 - describes a graphical language system that makes drug monographs and related medical
concepts easier to understand … prevent medication errors,
particularly at the prescribing stage when drug information is critical to understand
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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
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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.
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psnet.ahrq.gov/node/44620/psn-pdf
November 04, 2015 - poor
communication regarding test results in primary care, this commentary advocates for research to
understand … to notify patients about their results and involve patients in shared decision-
making so that they understand