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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
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - to treat acetaminophen overdoses and bronchitis.( 1 ) When I asked a nephrologist colleague what he thought
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
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/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - There was no reason why the system architect should have thought to tell us or even annotate the system
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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/web-mm/stroke-error
February 01, 2016 - Dysarthria: If patient is thought to be normal, an adequate sample of speech must be obtained by asking
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - IO lines focused on access through the sternum due to its high composition
of red marrow which was thought
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psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - The reasons for lost-to-follow-up (LTFU) in patients can be thought of in four broad categories:
socioeconomic
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - to treat acetaminophen overdoses and bronchitis.( 1 ) When I asked a nephrologist colleague what he thought
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - 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 … Changing the "routine care" paradigm requires a cultural shift and a reorientation of thinking focused
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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
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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - people in the U.S. yearly.2 Diagnostic errors are often rooted in cognitive biases within a
clinician’s thought
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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
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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
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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
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - cesarean section are at risk for respiratory problems and surgical injury.14 Cesarean deliveries are thought
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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…
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - Biases in the Diagnostic Process
Clinician decision-making often relies on cognitive thought processes—called … It entails switching
from “automatic thinking” (also called “intuitive” or System 1 reasoning) to more … “reflective thinking” (also
called “analytical” or System 2 reasoning), informed by communication with
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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
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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