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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/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/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/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/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/primer/handoffs-and-signouts
October 18, 2023 - Handoffs and Signouts
Citation Text:
Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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…
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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…
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psnet.ahrq.gov/primer/handoffs
October 18, 2023 - Handoffs
Citation Text:
Handoffs and Signouts. 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 7 XML Endnote tagged PubMedId RIS
Download…
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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/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/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/issue/global-goal-reduce-medical-errors
November 01, 2017 - October 5, 2011
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - we 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/node/33798/psn-pdf
January 01, 2015 - Accountability in Patient Safety
January 1, 2015
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/accountability-patient-safety
Annual Perspective 2015
The tension between the no-blame culture espoused in the early years of the safety movement and …
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psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
March 27, 2024 - this case, it seems that the anesthesiologist and endoscopy team sedated and intubated the patient thinking
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - was no pneumothorax from
the line they had placed but did not “see” the retained sponge because they thought
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psnet.ahrq.gov/periodic-issue/periodic-issue-328
February 23, 2022 - improve MMC: encourage culture change; allocate ample time for open communication to foster innovative thinking
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psnet.ahrq.gov/periodic-issue/periodic-issue-410
September 27, 2023 - While both types are subject to bias, this paper describes how cognitive biases in fast thinking, such