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Showing results for "thinking".

2321. Psn-Pdf (pdf file)
      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…

2322. Psn-Pdf (pdf file)
      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

2323. Diagnostic Delay in the Emergency Department | PSNet
      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

2324. Death by PCA | PSNet
      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.

2325. Psn-Pdf (pdf file)
      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

2326. Introducing the Redesigned AHRQ Patient Safety Network | PSNet
      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…

2327. Psn-Pdf (pdf file)
      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…

2328. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
      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

2329. Psn-Pdf (pdf file)
      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

2330. Becoming a Patient Safety Organization | PSNet
      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

2331. The Deadly Duo | PSNet
      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

2332. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-352
      July 08, 2022 - All healthcare workers were challenged to identify hazards of omission and those requiring two-step thinking

2333. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-415
      November 29, 2023 - Study Use of design thinking and human factors approach to improve situation awareness

2334. Organizational learning and patient safety: hospital pharmacy settings. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-and-patient-safety-hospital-pharmacy-settings
      September 23, 2020 - Improving Diagnostic Safety and Quality April 26, 2023 Assessing system thinking

2335. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-456
      September 25, 2024 - System 1 and System 2 thinking, human factors, and cognitive biases are discussed.

2336. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet
      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

2337. Slow Down: Right Drug, Wrong Formulation | PSNet
      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

2338. Poorly Advanced Directives | PSNet
      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

2339. A Potent Medication Administered in a Not So Viable Route | PSNet
      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

2340. Psn-Pdf (pdf file)
      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