I think it depends on the level of play.
Passive defence and waiting for errors may be ok for lower rated players but among stronger players it is essential to fight for active play, even if it costs some material.
Stronger players don't make many errors (in particular in good positions) and know how to convert an advantage. The downside is that stronger players also know how to suppress counterplay and will try to force you into passive defence but it doesn't mean that you shouldn't try.
Ok, this will depend on the position, but does anyone have any tips for how to play in a clearly worse position? A lot as been written about what to do with an advantage, or how to conduct yourself in an even position, but not much about how to play a worse position. Not dead lost, but where you're obviously worse.
For example do you give up on activity and defend, making it as hard as possible for them while you wait for a mistake? Or do you try to force activity, set traps, and hope for a blunder? I think Dvoretsky's Analytical Manual has a chapter on this, but I don't have the book.