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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - I would routinely come into my clinic, thinking I was seeing a patient coming in for follow-up, only … EC: We have sought out experts across the country to help us in our thinking, even going as far as preparing
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - historical details, serial physical exam findings, laboratory and imaging results, and recommendations and thought … quickly, or — when we actively decide to override this efficient but potentially error-prone form of thinking … Thinking, fast and slow. 1st pbk. ed. New York: Farrar, Straus and Giroux; 2013.
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - She denied current suicidal thoughts. … To triage effectively, nurses must have strong critical thinking skills, the ability to identify high-risk
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psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
September 23, 2020 - Study
"We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care.
Citation Text:
Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of cr…
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psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - But just because they could, they often added these features without real thought by anybody about what … When I saw that number, I thought there was a mistake—but there wasn't. … RW : In part because of your work, we've thought more about the impact on the nurses of these alarms … She thought the baby was dying and nobody was coming. … She thought about it for a second and she said, "If I came in the unit and everything was quiet—if there
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Sarah Mossburg: It sounds like healthcare leaders should really be thinking about the VIC model as an … example about a night shift supervisor whose issue is to get a nurse to take care of a patient, not thinking
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Sarah Mossburg: It sounds like healthcare leaders should really be thinking about the VIC model as an … example about a night shift supervisor whose issue is to get a nurse to take care of a patient, not thinking
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - As our hospital began to invest in this technology, our research team thought that we would be remiss … There is some thought in the field that if an error is committed early in the medication use process
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Mothers may have thoughts such as, “I don't love my baby,” “I don't look like a mom,” or “On social media … I experienced a perinatal mental health condition myself, and I remember thinking that I must just not
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Mothers may have thoughts such as, “I don't love my baby,” “I don't look like a mom,” or “On social media … I experienced a perinatal mental health condition myself, and I remember thinking that I must just not
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psnet.ahrq.gov/Information/Editor
articles on topics including knowledge management, patient safety, resilience engineering, and systems thinking … She develops content to engage multidisciplinary teams in creative thinking and innovation around knowledge
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - I always thought people communicated better and they paid attention.
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psnet.ahrq.gov/issue/using-nam-diagnostic-process-framework-teach-clinical-reasoning-computerized-case
December 07, 2022 - Study
Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentations to 251 medical students.
Citation Text:
Covin Y, Longo P, Wick N, et al. Using the NAM diagnostic process framework to teach clinical reasoning in computerized case presentatio…
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Sarah Mossburg: I would love to hear your thoughts on regulatory incentives for zero harm. … It's been really interesting, and I appreciate hearing all your thoughts on these issues. … Indeed, these kinds of ambitious goals could be thought of as a type of “Big Hairy Audacious Goal,” a … or stroke. 7 Whether a healthcare organization focuses on bed sores, oversedation, or both may be thought … It may be that health systems following a “Safety I” approach in which harm is thought to arise from
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - This type of thinking involves assessing and planning for rapidly changing situations, forming
mental
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - The engineer mapped the existing workflow of nurses at the bedside and thought about how the monitor … They did leadership rounding every day, they asked what nurses thought about the system, and made adjustments … Sarah Mossburg: Could you give us some thoughts about next steps for the work?
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - MC : Well, it was a long time before we even thought of electronic prescribing. … We thought for sure that many errors that might have happened in the past wouldn't happen. … want really is acknowledgement that you sent them something and that you changed something that they thought
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psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
August 16, 2023 - Non-specific symptoms may be attributed to the pregnancy itself and/or ovarian enlargement and may be thought … Patient safety in palliative care at the end of life from the perspective of complex thinking
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - They read it and thought many of the findings could be very useful to the hospitals in Australia because … medical malpractice world, were there analogies in other fields driven by tort law that were useful in thinking … I thought that was an awesome and surprising finding. … Maybe organizations have thought that through and are quite proactive about it.