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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - In some cases, this strategy could prove vitally important in supporting anticipatory thinking about
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - The transition from clearly thought-out
opinion to myth and folklore is easily detectable; the moderator
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - this work.(18) We should be including the patient not just in the plan of care, but in our clinical
thought
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psnet.ahrq.gov/node/865884/psn-pdf
May 29, 2024 - Although both approaches to thinking about problem representation have utility, we will focus
primarily … which all team members – including patients and their families – can contribute and view one
another's thoughts
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - We thought that the opportunity to define things in a common way had to begin where the data are initially
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psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - technological or organizational barriers
Cognitive errors, which include inadequate knowledge, poor critical … thinking skills, a lack of
competency, problems in data gathering, and failing to synthesize information
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - leadership structure, nurses can
practice at optimal levels, motivated by supervisors who encourage critical … thinking, foster skill
development, and increase work satisfaction on the team, thus promoting better
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - leadership structure, nurses can practice at optimal levels, motivated by supervisors who encourage critical … thinking, foster skill development, and increase work satisfaction on the team, thus promoting better
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - She went to a local emergency department (ED) thinking she might be having “a heart attack.” … Because somatization, anxiety, and panic disorder have long been thought to affect more
women than men
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psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - Cognitive Bias
Cognitive bias can contribute to errors in judgment or thinking leading to an incorrect … Understaffing
In many healthcare organizations, understaffing is thought to aggravate the impact of
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Cognitive Bias Cognitive bias can contribute to errors in judgment or thinking leading to an incorrect … Understaffing In many healthcare organizations, understaffing is thought to aggravate the impact of
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psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
September 18, 2024 - However, we know very little about clinicians' thought processes in such cases. … The safety journal: lessons learned with an error reporting tool to stimulate systems thinking
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - As early as 2003, mortality from PCA use was thought to be a low likelihood event, ranging between 1: … Confirmation bias is a selective type of thinking whereby one tends to read or hear what they expect.
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psnet.ahrq.gov/node/72563/psn-pdf
December 07, 2020 - In Conversation With... Katie J. Suda, PharmD, MS
December 7, 2020
In Conversation With.. Katie J. Suda, PharmD, MS . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
Editor’s Note: Katie J. Suda, PharmD, MS is a professor at the University of Pittsburgh School of Medic…
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Good Catch in the Operating Room
Citation Text:
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - Deaths Not Foretold: Are Unexpected Deaths Useful
Patient Safety Signals?
December 1, 2007
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
The Case
…
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psnet.ahrq.gov/node/49469/psn-pdf
December 01, 2004 - asked a representative sample of Maryland physicians (including
obstetricians) how important they thought … Only 56% of responding physicians thought it
was "very important. … have an impact: at two medical schools, approximately two-thirds of first and fourth-year students
thought
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - This schedule was thought to improve patient adherence, facilitate dosage adjustment, and permit more … to commit suicide, patients with suicidal ideation will generally tell their physicians about such thoughts … drug cannot be tolerated or produces no benefit; there are signs of severe depression with possible thought … disorder (e.g., psychosis, disorganized thinking) or suicidal ideation; the patient is interested in
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - April 1, 2016
Perspective
Innovation and Lean Thinking