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Total Results: 701 records

Showing results for "thinking".

381. Overuse as a Patient Safety Problem | PSNet
     psnet.ahrq.gov/perspective/overuse-patient-safety-problem
     September 01, 2014 - The dreaded thought of missing a cancer diagnosis leads to overtesting. … give talks I ask two questions, have you or someone you know ever had medical care that you or they thought … That tells me many people are thinking about this and being more involved in their medical decision-making … Then I asked him what he thought about these repeated tests after hearing the talk I had given, and he … February 28, 2024 Perspective Innovation and Lean Thinking

382. In Conversation with David W. Bates about Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
     February 26, 2025 - What other thoughts do you have on that? … What are your thoughts on how to address that? David Bates: I would ask them to report on less. … instrumental in radically reducing CLABSI note that at the time of To Err Is Human , CLABSIs were thought … in science and systemic investment in improving patient safety combined to make a complication, once thought

383. Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/are-we-safer-today
     February 26, 2025 - instrumental in radically reducing CLABSI note that at the time of To Err Is Human , CLABSIs were thought … in science and systemic investment in improving patient safety combined to make a complication, once thought … What other thoughts do you have on that? … What are your thoughts on how to address that? David Bates: I would ask them to report on less.

384. In Conversation With… Neel Shah, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
     October 30, 2019 - happens to a mom's preference about vaginal delivery versus C-section, from sitting in a prenatal visit thinking … I would have thought that all of the variables would be knowable, the size of the head, the contractility … Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused

385. Making health care safer. Think sepsis. Time matters. | PSNet
     psnet.ahrq.gov/issue/making-health-care-safer-think-sepsis-time-matters
     August 31, 2016 - Image/Poster Making health care safer. Think sepsis. Time matters. Citation Text: Making health care safer. Think sepsis. Time matters. CDC; Centers for Disease Control and Prevention. Copy Citation Save Save to your library Print Download PDF Sh…

386. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
     psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
     December 18, 2024 - A patient safety mindset should be in place in hospitals where everyone is thinking about how to make … What are your thoughts on why falls continue to be a challenge in healthcare settings? … Sarah Mossburg: Do you have any thoughts about why that is? … Providers thought it took more time than allowed in a single visit to support these conversations. … We found that providers thought that it was feasible to implement this in the context of a visit.

387. The Ongoing Journey to Prevent Patient Falls | PSNet
     psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
     December 18, 2024 - A patient safety mindset should be in place in hospitals where everyone is thinking about how to make … What are your thoughts on why falls continue to be a challenge in healthcare settings? … Sarah Mossburg: Do you have any thoughts about why that is? … Providers thought it took more time than allowed in a single visit to support these conversations. … We found that providers thought that it was feasible to implement this in the context of a visit.

388. Opioid Overdose as a Patient Safety Problem | PSNet
     psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
     May 01, 2017 - When we started to hear in the mid to late 1990s that we could use opioids more safely than we thought—we … The natural response, which we're taught to do by thought leaders, is to increase the opioid doses. … RW : I was thinking that as you said, "If you identify the right patient, it's reasonable to try it." … And there are a lot more than we thought.

389. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
     psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
     December 14, 2022 - what worked and why, as well as what didn’t work. 3 Recent discussions among resilience engineering thought … the meetings, discussions, and work to create presentations and publications has helped me clarify my thinking … The other type of work I have thought about is “work-as-simulated.”

390. Patient Engagement and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
     February 01, 2013 - dementia, low health literacy, and cultural factors all affect patients' ability to behave safely.( 15 ) Thought … from patients' observations about how their body is responding to a new medication or therapy, their thoughts

391. Safety in the Prehospital Emergency Medical Services Setting | PSNet
     psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
     May 01, 2019 - I'm thinking about thrombolysis, and you see more and more things being pushed into the ambulance because

392. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - application of RCA in health care inherently conflicts with our deepening understanding of systems thinking … The name "root cause analysis Promotes linear thinking toward a single root cause when most adverse

393. Safety Across The Board | PSNet
     psnet.ahrq.gov/perspective/safety-across-board
     August 31, 2020 - institution is not only seeking the latest information and evidence from outside organizations and thought … A journey to find and be part of a culture of safety within an innovative and thought-leading healthcare … Or is it just a paradigm shift of how your thinking of the care you are providing?

394. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
     psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
     October 30, 2019 - Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused … happens to a mom's preference about vaginal delivery versus C-section, from sitting in a prenatal visit thinking … I would have thought that all of the variables would be knowable, the size of the head, the contractility

395. Artificial Intelligence and Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
     January 31, 2020 - Gruen, MD, MBA, FACR is the Chief Medical Officer, Imaging at IBM Watson Health and is a thought leader … I was thinking with the differential diagnoses generators, some of them now can take the information

396. Building a Safety Program in a Vast Health Care Network | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
     March 01, 2019 - They should be educated in systems thinking associated with modern patient safety best practices and … This onboarding, as well as ongoing educational efforts focused on systems thinking, change management … October 1, 2004 Perspective Innovation and Lean Thinking

397. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - health care need to be conducted by professionals skilled in human factors engineering and systems thinking … Systems Thinking—A New Direction in Healthcare Incident Investigation.

398. The path to diagnostic excellence includes feedback to calibrate how clinicians think. | PSNet
     psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
     May 04, 2022 - Commentary Emerging Classic The path to diagnostic excellence includes feedback to calibrate how clinicians think. Citation Text: Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…

399. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
     psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
     March 01, 2017 - the whole group additional information that would be helpful, insights they noticed, and what they thought … RW : Over the last 15 to 20 years, our way of thinking about mistakes and harm has changed, with much … Recently, we've been thinking about how you would look at accountability in systems. … There was some prospective thought about the problems of scaling, and still the problems emerged.

400. The Role of Community Pharmacists in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
     October 24, 2021 - So, when we're thinking about the safety considerations for a community pharmacy, we have to look at