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Total Results: 1,161 records

Showing results for "thought".

1041. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - This increased risk is thought to be primarily due to the initiation of a triad of factors (Virchow’s

1042. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - The patient stated that he was at a potluck the night before and thought he ate something that made him

1043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - https://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 … 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

1044. 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.

1045. 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

1046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33754/psn-pdf
      September 01, 2013 - And that led to fascinating divergences between what the pilots thought they told the airplane to do … When I've talked about and thought about just culture I've never heard it framed that way—that we're … And your thinking about it actually seems to be much more informed by almost Rawlsian principles of … just culture algorithms or mechanisms has grown on the back of the gradual acceptance of systems thinking … We have systems thinking on the one hand: If you want to understand why things go wrong you've got to

1047. In Conversation With… Mark Graban, MS, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
      January 01, 2015 - In the Lean philosophy, the first thought is to look at the system and processes, unless you can absolutely … I worry when I talk to an organization that is now embracing Lean, and their thought process is often … But that is archaic thinking." … Applying better thinking to the daily practice for anesthesiologists, Dr. … process improvement workshops (multidisciplinary improvement team efforts) helped turn these creative thoughts

1048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33843/psn-pdf
      October 01, 2017 - RW: What have we come to learn from other industries as they have thought about the consequences of … .2015.0994 RW: Given that it has those economic consequences and business is often ahead of health care in thinking … Some of the more forward-thinking businesses are looking at their workplace policies, at their absentee … At my own institution, we were having difficulty getting what we thought were an adequate number of

1049. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
      November 01, 2003 - He thought it must have been removed at that time and theorized that the tip had found its way into a

1050. The impact of eHealth on the quality and safety of health care: a systematic overview. | PSNet
      psnet.ahrq.gov/issue/impact-ehealth-quality-and-safety-health-care-systematic-overview
      December 14, 2016 - Review The impact of eHealth on the quality and safety of health care: a systematic overview. Citation Text: Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed…

1051. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. | PSNet
      psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
      January 15, 2014 - Commentary Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Citation Text: Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …

1052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49624/psn-pdf
      May 01, 2011 - The neurology and neurosurgical teams thought that if the brain swelling had been recognized at the

1053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33689/psn-pdf
      October 01, 2009 - Logo The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety October 1, 2009 Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety Perspe…

1054. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.443_slideshow.ppt
      May 01, 2018 - Spotlight Spotlight Out of Sight, Out of Mind: Out-of-Office Test Result Management 1 Source and Credits This presentation is based on the May 2018 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Eric Poon, MD, MPH, Duke University School o…

1055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49812/psn-pdf
      November 01, 2017 - Specimen Almost Lost November 1, 2017 Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/specimen-almost-lost The Case A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen. She was admitted to the medicine service for further evalu…

1056. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet
      psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
      September 01, 2007 - SPOTLIGHT CASE Out of Sight, Out of Mind: Out-of-Office Test Result Management Citation Text: Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

1057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33768/psn-pdf
      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

1058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - Our Society [SIDM] thought if we could convince the IOM to undertake a major report on diagnostic error … Where did that come out in the committee's deliberations, and what are your thoughts about that? … This is where we document our thoughts, find our information, and communicate with others.

1059. 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

1060. Duty to Disclose Someone Else's Error? | PSNet
      psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
      June 01, 2004 - The neurology and neurosurgical teams thought that if the brain swelling had been recognized at the time