-
psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - and Palliative Care/Hospice Access (2)
The reasons for loss-to-follow-up (LTFU) in patients can be thought
-
psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - cesarean section are at risk for respiratory problems and surgical injury. 14 Cesarean deliveries are thought
-
psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - The reasons for lost-to-follow-up (LTFU) in patients can be thought of in four broad categories: socioeconomic
-
psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - IO lines focused on access through the sternum due to its high composition of red marrow which was thought
-
psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - Really thinking about how population management is going to be done, how telehealth can be integrated … NS : We started thinking about how to ramp up our telehealth capabilities to improve safety early. … For example, thinking through how we could have a specialist do stroke telemedicine in much the same … I think when we come out of all this, you might see thinking evolve around which providers need to be … So it’s important to find ways to train providers to be thinking about that and to be establishing a
-
psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - SPOTLIGHT CASE
Spotlight: Mistaken Attribution, Diagnostic Misstep
Citation Text:
Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citat…
-
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/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…
-
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. …
-
psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - They have to be thinking that. … March 1, 2015
Perspective
Innovation and Lean Thinking
-
psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Really thinking about how population management is going to be done, how telehealth can be integrated … NS : We started thinking about how to ramp up our telehealth capabilities to improve safety early. … For example, thinking through how we could have a specialist do stroke telemedicine in much the same … I think when we come out of all this, you might see thinking evolve around which providers need to be … So it’s important to find ways to train providers to be thinking about that and to be establishing a
-
psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - They have to be thinking that.
-
psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - We started off the process thinking we could just revise the parts of TeamSTEPPS needing updates and … The revised website and curriculum provide value to experienced trainers, people thinking about becoming
-
psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - We started off the process thinking we could just revise the parts of TeamSTEPPS needing updates and … The revised website and curriculum provide value to experienced trainers, people thinking about becoming
-
psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused … happens to a mom's preference about vaginal delivery versus C-section, from sitting in a prenatal visit thinking … I would have thought that all of the variables would be knowable, the size of the head, the contractility
-
psnet.ahrq.gov/perspective/conversation-james-augustine-md
July 28, 2021 - They spent a little time talking with the patient and telling them what they thought might be going on … KH: You know, over the past year we've been paying more and more attention to telemedicine and thinking … We began by thinking EMS was a very important part of the emergency system.
-
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
-
psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - SPOTLIGHT CASE
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts.
Citation Text:
Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case…
-
psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with
End-Stage Renal Disease: A Case for Appropriate
Interruptive Drug-Disease Alerts.
February 1, 2023
Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with
End-Stage Renal Disease: A Case for Appropriate Interruptive D…
-
psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - notes; and we had challenges deciphering individual
consultants' handwriting to know what they were thinking … That was a theme of
my research in thinking about this for a year: the unanticipated consequences of … various parties doing what
they thought was right.