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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - ignoring others, akin to anchoring bias.13,14 Learning tools that teach “outside-the-box” or “lateral”
thinking
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
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/web-mm/poorly-advanced-directives
August 01, 2018 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - June 12, 2013
Assessing system thinking in senior pharmacy students using the innovative
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - B and her children were distraught after experiencing 20 minutes of thinking that their beloved husband
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - When things go badly, clinicians may later be asked what they were thinking by starting vasopressors
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - factor for
death [3], longer length of stay [4], and worse long-term brain function [5]), it is worth thinking
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - Second, when the anesthesiologist does arrive, s/he is hurried and
potentially thinking more about the
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - error and highlighted an opportunity for future enhancement of the CPOE system to include human factors thinking
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psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
December 01, 2005 - Introducing the Redesigned AHRQ Patient Safety Network
Robert M. Wachter, MD | November 1, 2015
View more articles from the same authors.
Citation Text:
Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. Rockville (MD): Agency f…
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psnet.ahrq.gov/node/50754/psn-pdf
December 18, 2019 - this case, it seems
that the anesthesiologist and endoscopy team sedated and intubated the patient thinking
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to
Promote a Culture of Safety
April 1, 2006
Alldredge BK, Koda-Kimble MA. Count and Be Counted: Preparing Future Pharmacists to Promote a
Culture of Safety. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacis…
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - 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/node/73153/psn-pdf
April 28, 2021 - This task involves
the use of critical thinking skills.
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - 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/49702/psn-pdf
March 01, 2014 - Review how to balance systems thinking with individual accountability in health care. … I thought you would want know the
final diagnosis."
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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - at high risk, and guidelines suggest starting prophylaxis for such
patients.(20) Rather than just thinking
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - 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/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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psnet.ahrq.gov/node/33590/psn-pdf
September 15, 2024 - Leadership Role in Improving Safety
September 15, 2024
Leadership Role in Improving Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/leadership-role-improving-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and p…