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psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
September 07, 2016 - Newspaper/Magazine Article
Pregnancy-related deaths: saving women’s lives before, during and after delivery.
Citation Text:
Pregnancy-related deaths: saving women’s lives before, during and after delivery. CDC Vital Signs. May 7, 2019.
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Even though nursing homes rank themselves lower than hospitals, we thought that there was still probably … NC : Actually that is something that I have thought about.
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Even though nursing homes rank themselves lower than hospitals, we thought that there was still probably … NC : Actually that is something that I have thought about.
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psnet.ahrq.gov/issue/when-covid-19-hit-many-elderly-were-left-die
June 24, 2020 - Newspaper/Magazine Article
When COVID-19 hit, many elderly were left to die.
Citation Text:
Stevis-Gridneff M, Apuzzo M, Pronczuk M. When COVID-19 hit, many elderly were left to die. New York Times. 2020;August 8.
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psnet.ahrq.gov/issue/nurses-and-doctors-sick-covid-feel-pressured-get-back-work
October 20, 2021 - Newspaper/Magazine Article
Nurses and doctors sick with COVID feel pressured to get back to work.
Citation Text:
Huetteman E. Nurses and doctors sick with COVID feel pressured to get back to work. Kaiser Health News. 2020;August 12.
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psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
February 13, 2019 - Commentary
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
Citation Text:
Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Those are two major advancements that we have thought about in terms of creating the evidence base we … all learning health systems have the same priorities, which means there are a lot of challenges in thinking … We thought we had these high-performing health care systems, but the data did not look like they were
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - Those are two major advancements that we have thought about in terms of creating the evidence base we … all learning health systems have the same priorities, which means there are a lot of challenges in thinking … We thought we had these high-performing health care systems, but the data did not look like they were
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psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
December 22, 2018 - and personal goals, along with strategies for accessing individual strengths and reframing negative thinking
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled
April 28, 2021 - Study
'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled expe…
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS
August 1, 2009
Also Read an Essay
Citation Text:
In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009.In Conversation with...Steven J. Spear, DBA, MS, MS . PSNet [internet]. Rockville (MD…
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - What were you expecting to accomplish and what's worked the way you thought it would?
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - As early as 1999, Knox and colleagues introduced high-reliability thinking to the inpatient birth setting
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psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
June 14, 2023 - They can also decrease team member anxiety, build confidence, improve response times, enhance critical … thinking skills, and improve teamwork. 12 Mock interventions should be based on the American Heart
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - But, Bob, you get more complaints than 95% of all our colleagues, and I thought you would want to know
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - But, Bob, you get more complaints than 95% of all our colleagues, and I thought you would want to know
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - KH: I’m thinking about it as a patient safety tool, like using it to identify clusters of events, or
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - In addition, anyone can promote systems thinking through language, for example, by using words like
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Schools have developed required courses and hours of training for clinicians to understand systems thinking