-
psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
March 20, 2019 - Tenner’s discussions of medical and nonmedical examples provide an engaging introduction to the many ways
-
psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - Not to prevent every accident, because that would be costly in ways that we don't want to encourage, … RW : What are some alternative ways, and which ones do you find the most attractive? … MM : There are a number of ways you could set this up, but probably the most feasible way for the US … Electronic records reduce malpractice liability risk in many ways. … In other ways they can elevate the risk of having to pay out once an incident does occur.
-
psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Sarah Mossburg: Are there ways that Safety-I and Safety-II overlap? … Safety-I emphasizes compliance with policies, procedures, and ways to minimize risk. … I think there are a lot of ways to do that, with the National Action Plan being one of them. … events, our inter-hospital transport, or early ambulation What helped us was discovering accessible ways
-
psnet.ahrq.gov/primer/communication-between-clinicians
September 15, 2024 - issues, such as nonverbal cues, interpersonal relations, and group dynamics, can affect communication in ways … In many ways, these factors contribute to the overall culture of safety within an organization.
-
psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - We should be looking for ways of actually counting these things and taking them out of the reporting … down and to articulate and operationalize a problem with safety as a series of rules, which in some ways … emphasized the kind of single-payer structural issues how they've determined the response—helping in some ways … in hindering in other ways.
-
psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
April 24, 2018 - Albert Wu discussed ways that organizations can support second victims.
-
psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
February 01, 2011 - This review examines ways in which patients have been integrated into clinical decision-making, discusses
-
psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
November 23, 2016 - The authors identify four key domains of transparency and ways in which they could be enhanced: transparency
-
psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Sarah Mossburg: What are some ways that we can evaluate the effectiveness of learning systems? … Sarah Mossburg: What are some ways learning health systems can improve patient safety? … They had tried 52 ways to address this over the last year, and only four had any evidence behind them … Sarah Mossburg: Could you give some examples of effective ways to operationalize that feedback? … Newer, better ways to train are necessary.
-
psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - Sarah Mossburg: What are some ways that we can evaluate the effectiveness of learning systems? … Sarah Mossburg: What are some ways learning health systems can improve patient safety? … They had tried 52 ways to address this over the last year, and only four had any evidence behind them … Sarah Mossburg: Could you give some examples of effective ways to operationalize that feedback? … Newer, better ways to train are necessary.
-
psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - been added to the clinical environment, clinicians' workflows have been
affected in unanticipated ways … Warnings could be presented in different ways, in order to key
clinicians to alerts that are more clinically
-
psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - With the process mapped out, the FMEA then continues by identifying the ways in which each step can go
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Artificial intelligence (AI) and machine learning (ML) are being used and tested in numerous ways. … an application is released, and (3) risk communication strategies can influence bias in unexpected ways … Artificial intelligence (AI) and machine learning (ML) are being used and tested in numerous ways.
-
psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
October 23, 2013 - Experts have previously highlighted flaws with the RCA process and suggested ways to improve it.
-
psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - The system includes tools to prospectively identify process risks in an organization, analyze the ways
-
psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - RW : In some ways, the IOM report was an effort to disentangle the legal morass from the world of patient … has used and made famous, to the recognition of how troubled some of the doctors may be and finding ways … have we learned about teaching health care professionals how to have these conversations and the best ways
-
psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - shouldn't necessarily affect safety, but it changes the working conditions for the safety professionals in ways … EH : Not only do you need to have a whole IT department involved, but it also affects things in ways … EH : We see that applied in many ways.
-
psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - One of the most important ways in which a high reliability orientation can help is by helping people … What are some of the ways that high reliability mindsets are best sustained in healthcare organizations … Do we have ways to check if we are going off the rails built into the process? … Tim Vogus: In a lot of ways they have, including in everyday human resource management practices. … Tim Vogus: There are a few ways to think about this.
-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - One of the most important ways in which a high reliability orientation can help is by helping people … What are some of the ways that high reliability mindsets are best sustained in healthcare organizations … Do we have ways to check if we are going off the rails built into the process? … Tim Vogus: In a lot of ways they have, including in everyday human resource management practices. … Tim Vogus: There are a few ways to think about this.
-
psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - February 9, 2011
Radiation offers new cures, and ways to do harm.