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psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
June 24, 2010 - The second recommends techniques for improving decision making and self-awareness of thought processes … May 10, 2017
The ethical imperative to think about thinking.
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psnet.ahrq.gov/node/34814/psn-pdf
January 01, 2015 - Factors thought to contribute to adverse drug events are discussed, including multiple drug therapy,
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psnet.ahrq.gov/node/45412/psn-pdf
November 18, 2016 - multidisciplinary-approach-gi-cancer-results-change-diagnosis-and-
management-patients
Multidisciplinary team discussions are thought
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psnet.ahrq.gov/node/35588/psn-pdf
February 03, 2011 - Responses
are framed with discussion of six thought processes that must occur at an organization for
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psnet.ahrq.gov/node/40145/psn-pdf
November 14, 2011 - This
variation is, in part, thought to be due to failure to rescue—delays in recognition and treatment
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psnet.ahrq.gov/node/38662/psn-pdf
April 12, 2011 - behavior such as failing to
attend an appointment, and mental errors, which are errors of patients' thought
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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - organization devices provide compartments to help sort patients' medications by days of the
week and are thought
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psnet.ahrq.gov/node/42586/psn-pdf
September 11, 2013 - efficiency mandates and patient-centered
care through the example of a cancer patient whose suicidal thoughts
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psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation-overdose
November 11, 2015 - This news piece describes communication gaps following a radiation overdose incident thought to involve
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - The ideas of systems thinking and the importance of human factors are now more generally appreciated. … And then, based on that I thought, we have to see if we can prove this in practice. … RW: I imagine that it's hard for people to hold these thoughts in one brainthat it's mostly about systems … Do you worry about it, to some extent, undermining the message about systems thinking? … I just think it's another set of issues to which we must apply similar thinking.
-
psnet.ahrq.gov/node/47407/psn-pdf
January 01, 2020 - resource-based-view-safety-cultures-influence-hospital-performance-
moderating-role-electronic
Safety culture is thought
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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's
a tendency to build … In the
past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's
thoughts? … extensive evolving body of literature indicates
that it is even more complicated than we had originally thought
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - Jack Barker: Before the advent of CRM, we thought that all you had to do was train the crews how to … There was a lot of pushback, especially from the older captains who thought, "I
don't need this. … start to learn the behaviors and change some of their ways of doing business a lot faster than we thought … and, based on our first days' observations and early
surveys, we've identified individuals who we thought … RW: But if you're thinking about going in the team training direction, do you need to spend $100,000
-
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/46732/psn-pdf
June 07, 2018 - sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose
https://psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
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psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Challenges with implementation are
thought to explain varying efficacy of checklists in clinical practice
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psnet.ahrq.gov/node/40291/psn-pdf
September 09, 2011 - with an adverse drug event (ADE) are a source of
continued concern, particularly as many ADEs are thought
-
psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - We spent a lot of time thinking
about the four Cs of primary care: contact, continuity, comprehensiveness … You
spoke about some examples of high-quality care, and I’m wondering if you have any thoughts on ways … So now, we’ve been thinking about the four
Cs and how they relate to quality. … I’d like to
transition into discussing patient safety and thinking a little bit more about avoidance … We are always thinking about how to
ensure that anything we do for patients may help them and decrease
-
psnet.ahrq.gov/node/40436/psn-pdf
August 25, 2011 - hospital-discharge-documentation-and-risk-rehospitalisation
Communication between hospital-based and outpatient physicians is often suboptimal, and is thought
-
psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Despite this, most parents in this study thought such medications were entirely
appropriate for their