-
psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - also help reduce mismatches between the knowledge and expectations of those providing drugs and the behaviors
-
psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - Many of their automatic behaviors
no longer applied, which is very fatiguing.
-
psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - fatigue, distraction, or other causes of momentary lapses in concentration and failures in automatic behaviors
-
psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - The goals of this phase are to explore participants’ rationale for observed behaviors,
identify and
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis.
February 1, 2023
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
The Cases
Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
-
psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - clinical care settings, but they are not necessarily labeling
them as Safety-I or Safety-II, or resilient behaviors
-
psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy
Helak about Application of Safety-II Principles
August 28, 2024
In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-an…
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - fatigue, distraction, or other causes of momentary
lapses in concentration and failures in automatic behaviors
-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - You're talking about tackling a lot of hot button issues: peer review, economic incentives that drive
behavior
-
psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - It's not new that there's an abuse of copy–paste behavior in notes.
-
psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - The tension between those two views is interesting and important in understanding the behavior of hospitals
-
psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - It's not new that there's an abuse of copy–paste behavior in notes.
-
psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - Chopra to talk about your PICC ordering behavior?
VC: Haha! No, that's not it.
-
psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - Her research includes molecular epidemiology, antimicrobial prescribing, behavior change, and health
-
psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - The tension between those two views is interesting and important in understanding the behavior of hospitals
-
psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - need folks who can draw on a variety of experiences, like human factors engineering and organizational behavior
-
psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - use daily in their Electronic Health Records (EHR), they ‘nudge’ or ‘direct’ appropriate prescribing behavior
-
psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - Her research includes molecular epidemiology, antimicrobial prescribing, behavior change, and health
-
psnet.ahrq.gov/periodic-issue/periodic-issue-318
November 30, 2021 - Identified root causes include issues related to risk assessment for suicidal or overdose behaviors as