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psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
April 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M : Tell us how your thinking about duty hours and patient safety has … In terms of how my thinking has changed, for one thing, we know a lot more now than we did 10 years ago … In my view, this thinking is wrong. … CL : I have a couple of thoughts about that.
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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
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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
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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…
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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. …
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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
-
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…
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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…
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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…
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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.
…
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - I thought it would be interesting to challenge that notion and see whether we could address this issue … RW: Given the importance of training the next generation of physicians and nurses, as you were thinking
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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
-
psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - was no pneumothorax from the line they had placed but did not “see” the retained sponge because they thought … February 1, 2003
Thinking in three's: changing surgical patient safety practices
-
psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - I thought it would be interesting to challenge that notion and see whether we could address this issue … RW: Given the importance of training the next generation of physicians and nurses, as you were thinking
-
psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - At the end I thought, it's unacceptable that the mortality in the Bristol children's heart unit was 30%
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - was no pneumothorax from
the line they had placed but did not “see” the retained sponge because they thought
-
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
-
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.
-
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
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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