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Showing results for "thinking".

1821. Science and patient safety. | PSNet
      psnet.ahrq.gov/issue/science-and-patient-safety
      July 19, 2019 - Commentary Science and patient safety. Citation Text: Vincent CA. Science and patient safety. CMAJ. 2013;185(2):110-1. doi:10.1503/cmaj.120792. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

1822. The next wave of hospital innovation to make patients safer. | PSNet
      psnet.ahrq.gov/issue/next-wave-hospital-innovation-make-patients-safer
      September 05, 2018 - Newspaper/Magazine Article The next wave of hospital innovation to make patients safer. Citation Text: The next wave of hospital innovation to make patients safer. Ghaferi AA; Myers C; Sutcliffe KM; Pronovost PJ. Copy Citation Save Save to your library Print…

1823. The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. | PSNet
      psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy
      September 04, 2013 - Newspaper/Magazine Article The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Citation Text: The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. Wright L. New Yorker. January 4, 2021;96(463):20-59.  Copy C…

1824. Is a tired doctor a safe doctor? | PSNet
      psnet.ahrq.gov/issue/tired-doctor-safe-doctor
      August 24, 2022 - Newspaper/Magazine Article Is a tired doctor a safe doctor? Citation Text: Is a tired doctor a safe doctor? Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014. Copy Citation Save Save to your library Print Download PDF Share Face…

1825. Understanding and learning from organisational failure. | PSNet
      psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
      April 19, 2011 - Commentary Understanding and learning from organisational failure. Citation Text: Walshe K. Understanding and learning from organisational failure. Qual Saf Health Care. 2003;12(2):81-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

1826. Use systems redesign and the law to prevent medical errors and accidents. | PSNet
      psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
      August 26, 2020 - Newspaper/Magazine Article Use systems redesign and the law to prevent medical errors and accidents. Citation Text: Use systems redesign and the law to prevent medical errors and accidents. Saks MJ, Landsman S. STAT. August 4, 2021. Copy Citation Save Save to yo…

1827. Medicare study finds teaching hospitals have higher risk of complications; findings disputed. | PSNet
      psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-findings-disputed
      June 01, 2016 - Newspaper/Magazine Article Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Citation Text: Medicare study finds teaching hospitals have higher risk of complications; findings disputed. Rau J. Washington Post. February 12, 2012:A03. Cop…

1828. 'Superbug' scourge spreads as U.S. fails to track rising human toll. | PSNet
      psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll
      September 29, 2021 - Newspaper/Magazine Article 'Superbug' scourge spreads as U.S. fails to track rising human toll. Citation Text: 'Superbug' scourge spreads as U.S. fails to track rising human toll. McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016. Copy Citation …

1829. Patients, beware: 731 nurses reveal what to watch out for in the hospital. | PSNet
      psnet.ahrq.gov/issue/patients-beware-731-nurses-reveal-what-watch-out-hospital
      November 24, 2021 - Newspaper/Magazine Article Patients, beware: 731 nurses reveal what to watch out for in the hospital. Citation Text: Patients, beware: 731 nurses reveal what to watch out for in the hospital. Consumer Reports. 2009 Sep;74(9):18-23. Copy Citation Save Save to y…

1830. Medical error and moral luck. | PSNet
      psnet.ahrq.gov/issue/medical-error-and-moral-luck
      October 02, 2024 - Commentary Medical error and moral luck. Citation Text: Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

1831. Feds stop public disclosure of many serious hospital errors. | PSNet
      psnet.ahrq.gov/issue/feds-stop-public-disclosure-many-serious-hospital-errors
      September 17, 2014 - Newspaper/Magazine Article Feds stop public disclosure of many serious hospital errors. Citation Text: Feds stop public disclosure of many serious hospital errors. O'Donnell J. Copy Citation Save Save to your library Print Download PDF Share …

1832. Understanding Patient Safety, Third Edition. | PSNet
      psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
      November 03, 2015 - Book/Report Classic Understanding Patient Safety, Third Edition. Citation Text: Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. Copy Citation Save Save t…

1833. Judgment under Uncertainty: Heuristics and Biases. | PSNet
      psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
      June 02, 2010 - Book/Report Classic Judgment under Uncertainty: Heuristics and Biases. Citation Text: Judgment under Uncertainty: Heuristics and Biases. Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147. …

1834. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet
      psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
      January 09, 2019 - Measurement Tool/Indicator Classic IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Citation Text: IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…

1835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72613/psn-pdf
      December 22, 2020 - We were inspired by his Harvard Medical Practice study and the work that came after that and thought … KH: When thinking about the triggers, do the individual private practices have a true electronic health … We also went through an exercise when we did our random chart review to try to determine whether we thought

1836. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
      November 01, 2005 - I remember debate as being a really intriguing entree into thinking hard about public policy. … I wondered whether you ever thought about going into either politics or the clergy. … I've not thought about the sources of that, but it does make me think about three things. … DB: I guess a couple of thoughts. … In thinking about such a time delay, it is vital to consider what defines a "response" by the primary

1837. Misleading Complaint | PSNet
      psnet.ahrq.gov/web-mm/misleading-complaint
      December 01, 2009 - forgettable (e.g., start over by taking your own history), allowing the brain to concentrate on higher-level thinking

1838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33750/psn-pdf
      May 01, 2013 - AJ: In a survey a few years ago, we asked hospital board chairs to prioritize what they thought was most … But what I'm thinking about is much more experimentation and research at the sharp end of health care … For example, if I really thought electronic health records were the latest and greatest thing and that

1839. Rapid Response Teams: Lessons from the Early Experience | PSNet
      psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
      November 01, 2005 - In thinking about such a time delay, it is vital to consider what defines a "response" by the primary … I remember debate as being a really intriguing entree into thinking hard about public policy. … I wondered whether you ever thought about going into either politics or the clergy. … I've not thought about the sources of that, but it does make me think about three things. … DB: I guess a couple of thoughts.

1840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - Our Society [SIDM] thought if we could convince the IOM to undertake a major report on diagnostic error … Where did that come out in the committee's deliberations, and what are your thoughts about that? … This is where we document our thoughts, find our information, and communicate with others.