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Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. | PSNet

psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021

September 25, 2013 - August 25, 2010 Preventing catheter-related bloodstream infections: thinking outside

Effects of work hour reduction on residents' lives: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review

March 02, 2011 - Teaching internal medicine residents quality improvement and patient safety: a lean thinking

Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. | PSNet

psnet.ahrq.gov/issue/current-surgical-instrument-labeling-techniques-may-increase-risk-unintentionally-retained

February 08, 2012 - September 13, 2023 Toward the translation of systems thinking methods in patient safety

Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet

psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care

September 19, 2018 - August 20, 2018 Utilizing a Systems and Design Thinking Approach for Improving Well-Being

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet

psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business

November 23, 2016 - PICC Line April 1, 2009 Preventing catheter-related bloodstream infections: thinking

Driving improvement in patient care: lessons from Toyota. | PSNet

psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota

September 24, 2016 - November 14, 2018 A concept analysis of systems thinking.

Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity

January 06, 2016 - and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. | PSNet

psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment

May 25, 2010 - ) Teaching internal medicine residents quality improvement and patient safety: a lean thinking

Suicidal Ideation in the Family Medicine Clinic | PSNet

psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic

October 01, 2007 - ://www.sprc.org/settings/primary-care/toolkit .( 11,12 ) Importantly, suicidal ideation (defined as thinking … If a patient expresses suicidal thoughts but the nature of the intent and plan is not clear, asking about … exposure (peer or celebrity) Access to lethal means Cognitive rigidity (perfectionistic, black or white thinking … Warning signs (thoughts, behaviors, situations) Internal coping mechanisms People/social settings that

Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet

psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience

July 20, 2010 - strategies for more than 50 years, establishing impressive safety records.( 3 ) In contrast, "systems thinking … we have seen a movement toward a hospital– and health system–wide focus on and approach to "systems thinking

In Conversation With… Harlan Krumholz, MD, SM | PSNet

psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm

April 01, 2018 - I haven't stopped thinking about it since then. You and I trained together. … When we were in clinic, we thought about people as outpatients. … I thought that could be a win–win. … And I started thinking that transient cognitive dysfunction was part of this syndrome. … I remember thinking that this actor is channeling what is on the mind of our patients.

Patient Advocacy in Patient Safety: Have Things Changed? | PSNet

psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed

June 01, 2014 - Was that a choice on your part because that was what you thought had the best chance to be successful … I learned that if you understand structural thinking—if you understand feedback loops and the cultural … There are many times when I want to smack someone on the side of the head and say, "What are you thinking

Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet

psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient

February 21, 2020 - provides the author cognitive relief of an accomplished task, but it does not reflect the author’s thought … Breaking out of this system 1, automatic thinking 6 is a significant challenge, and may not always be … Systems 1 and 2 thinking processes and cognitive reflection testing in medical students.

Patient Safety During Hospital Discharge | PSNet

psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge

April 01, 2018 - I haven't stopped thinking about it since then. You and I trained together. … When we were in clinic, we thought about people as outpatients. … I thought that could be a win–win. … And I started thinking that transient cognitive dysfunction was part of this syndrome. … I remember thinking that this actor is channeling what is on the mind of our patients.

Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common

February 01, 2007 - Once a plausible condition is identified, other possibilities are not fully considered; we just stop thinking … focuses on improving physicians' skills in metacognition, the ability to monitor and understand one's own thought … Blink: The Power of Thinking Without Thinking. New York, NY: Little, Brown and Company; 2005. 9. … I wonder if there is anything else I should be thinking of? What things can I not afford to miss?

Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. | PSNet

psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care

March 10, 2021 - October 27, 2021 View More Related Resources Use of design thinking

Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet

psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors

December 18, 2019 - February 15, 2023 Toward the translation of systems thinking methods in patient safety

What Makes a Good Checklist | PSNet

psnet.ahrq.gov/perspective/what-makes-good-checklist

October 01, 2010 - We asked him to speak with us about checklists and other thoughts about the science of improving patient … I actually thought we were on the same team, that it was the patient's team."

In Conversation with...Peter J. Pronovost, MD, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0