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psnet.ahrq.gov/periodic-issue/periodic-issue-379
February 01, 2023 - Researchers used three systems thinking methods (ActorMap, AcciMap, and PreventiMap) and stakeholder
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - March 1, 2015
Perspective
Innovation and Lean Thinking
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - October 13, 2010
Preventing catheter-related bloodstream infections: thinking outside
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psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
August 15, 2017 - In thinking about this case, the communication among the nurse, ED physician, and the neurologist as
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - Second, when the anesthesiologist does arrive, s/he is hurried and potentially thinking more about the
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - content includes
(but not limited to): systems
failure and medical errors,
process and outcomes
thinking
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - Towards a unified model of accident causation: refining and validating the systems thinking
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - Design thinking. Harv Bus Rev. 2008;86:84-92, 141. [go to PubMed]
7. Fox S. Degrees of access.
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Canadian ED
physician and safety expert Pat Croskerry’s observation, “When the diagnosis is made, the thinking
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - If it was offered, he may have
refused it, thinking that his prescription was for his usual refill.
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - This thinking aligns with the resilient healthcare and the Safety-II framework, which seeks to
define
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - Accessed May 2020 PSNet-Related Resources Perspectives Perspectives on Safety: New Thinking about High
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - learning/practice environment, and health care responsibilities) using systems approaches and design thinking
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psnet.ahrq.gov/issue/hospitals-tackle-high-risk-drugs-reduce-errors
October 07, 2015 - July 2, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/surgical-mistakes-persist-bay-state-still-tiny-fraction-total-procedures
September 10, 2014 - October 3, 2007
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - Conduct pilot training programs and offer them at no charge to those deemed as “thought leaders,” those … 21, 2017
Understanding the heterogeneity of labor and delivery units: using design thinking
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - Rather, we need to ask: Under what conditions are social arrangements once thought unassailable and
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - SPOTLIGHT CASE
One Toxic Drug Is Not Like Another
Citation Text:
Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi
about Cybersecurity
March 27, 2024
Pelletreau B, Riggi J. In Conversation with..Barbara Pelletreau and John Riggi about Cybersecurity. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cyberse…
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - is at high risk, and guidelines suggest starting prophylaxis for such patients.(20) Rather than just thinking