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psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
February 16, 2022 - Post-implementation, 92% of staff felt the department practiced a no-blame culture, and nearly half thought
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - 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/issue/changes-hospital-acquired-conditions-and-mortality-associated-hospital-acquired-condition
July 24, 2019 - Hospital-acquired conditions (HACs) are thought to be preventable , and the Centers for Medicare & Medicaid
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psnet.ahrq.gov/node/33822/psn-pdf
January 01, 2017 - RW: Once you started getting interested in health care, what were your thoughts about patient safety … The nurses themselves discovered that, because they had all gone to different nursing
schools and thought … Which was a demonstration in a real place, in real time, with real people that with the right kind of
thought … RW: Did you find any fundamental differences in health care that shaped your thinking? … I thought
people will now see this, they will look at their own place, and they will adopt these ideas
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psnet.ahrq.gov/issue/project-jessica
September 16, 2020 - August 4, 2021
View More
Related Resources
‘He thought what he
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - deaths in
2022, a 36% rise since 2000.1 In addition, over 13 million Americans experience suicidal thoughts … Health Questionnaire-9 (PHQ-9), which is a measure of
depression that has an item that screens for thoughts … providers recognizing risk factors upfront, which may lead to missed opportunities if a patient’s suicidal
thoughts … Healthcare providers should be comfortable having
discussions about suicidal thoughts and behaviors
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - In the story you mentioned from the book, the resident thought there was
something wrong with this elderly … But in surgery, our dominant way of thinking still emphasizes individual
conscientiousness. … My thought about it is that if you gave people a choice about whether they'd
like to be learned upon … AG: There is this palpable feel of a difference in results-oriented thinking. … paper or have a conversation with someone, and it opens up a whole new set of ideas
that I hadn't thought
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psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
April 29, 2020 - However, a recent article suggested that wrong-site procedures may be more common than previously thought
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - Falls is a really easy one to
apply that thinking to. … LP: When we went into lockdown, we thought, it is going to slow down, we are going to come out of it; … LP: I’ve thought about this a lot. … preventionist within the nursing home is often an LPN and, as good as they are, they are not
trained with the critical … thinking capacity to do that job in a pandemic.
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psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
January 17, 2024 - Medication administration errors (MAEs) are thought to be common in neonatal intensive care units
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psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
January 09, 2018 - Adverse events are thought to be common in patients receiving home health care.
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psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
November 04, 2014 - disclosure-and-apology discussion simulation than colleagues who were provided as much time as they thought
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psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
February 16, 2011 - Most participants considered the workshop valuable for professional training and thought that it should
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psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices
November 14, 2011 - organization devices provide compartments to help sort patients' medications by days of the week and are thought
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psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
March 25, 2015 - Communication between hospital-based and outpatient physicians is often suboptimal , and is thought
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psnet.ahrq.gov/issue/horror-awakening-during-surgery
October 21, 2010 - December 22, 2010
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/many-mass-hospitals-will-pay-errors
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - May 16, 2007
Fires during surgeries a bigger risk than thought.