-
psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Finally, framing effects can significantly influence diagnostic thinking when forming or revising diagnostic … could begin with focused efforts to teach trainees and
practicing clinicians about the diagnostic thinking … While clinicians are
limited in their ability to self-monitor their thought processes, their colleagues … case discussion—where clinicians come together to talk about cases should highlight
the clinician's thought … Frame their diagnostic thinking to avoid premature diagnostic labeling and share uncertainty.
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psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game
July 07, 2021 - October 21, 2020
I thought Daniel was safe with the NHS. He wasn't.
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psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
March 15, 2022 - June 7, 2016
We thought we would be perfect: medication errors before and after the initiation
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psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures
March 10, 2021 - March 10, 2021
‘He thought what he was doing was good for people.’
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psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic
November 17, 2021 - Safety culture is thought to be a precursor to full implementation of evidence-based safety practices
-
psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - I remember debate as being a really intriguing entree into thinking hard
about public policy. … I
wondered whether you ever thought about going into either politics or the clergy. … I've not thought about the sources of that, but it does make me think about
three things. … DB: I guess a couple of thoughts.
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - But just because they could, they often added these features without real thought by anybody about what … When I saw that number, I thought there was a mistake—but there wasn't. … RW : In part because of your work, we've thought more about the impact on the nurses of these alarms … She thought the baby was dying and nobody was coming. … She thought about it for a second and she said, "If I came in the unit and everything was quiet—if there
-
psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - With the patient’s history of disc disease, the resident thought that there was such a high
pretest … Because the
attending is trying to preserve resident autonomy, she is likely to defer to the thought
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - What are your thoughts on
how organizations can do so? … What are your thoughts on other ways to measure patient
safety and how we can understand if patient … It’s very
different from thinking about safety through a focus on reacting to and fixing errors and … recommend creating sustainable safety systems and
how does that differ from how we have historically thought … Aligned with our work to radically reorient our thinking and approach to safety to place more emphasis
-
psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - Landrigan, an Assistant Professor of Pediatrics at Harvard Medical School, about his research and his thoughts … observers to which schedule was being studied, we had them use a pretty broad capture of anything they thought … CL: This was a concern going into the study, but it turned out to be less of a problem than we had thought … If the observer thought the issue was a little less emergent, then he or she could bring it back to the
-
psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
May 01, 2016 - But just because they could, they often added these features without real thought by anybody about what … When I saw that number, I thought there was a mistake—but there wasn't. … RW : In part because of your work, we've thought more about the impact on the nurses of these alarms … She thought the baby was dying and nobody was coming. … She thought about it for a second and she said, "If I came in the unit and everything was quiet—if there
-
psnet.ahrq.gov/issue/nurse-accidentally-kills-premature-son-swine-flu-victim-spain
July 17, 2013 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
June 08, 2011 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
August 24, 2016 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/clash-name-care
April 27, 2016 - August 9, 2017
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
April 06, 2016 - July 10, 2024
‘He thought what he was doing was good for people.’
-
psnet.ahrq.gov/issue/rethinking-hospital-restraints
May 04, 2011 - August 22, 2018
‘He thought what he was doing was good for people.’
-
psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - August 9, 2017
Fires during surgeries a bigger risk than thought.
-
psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
May 01, 2019 - This commentary shares thoughts from a variety of experts in response to a 2023 analysis of adverse
-
psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - As a lawyer I saw that and thought it was crazy. … RW: People have obviously thought about the dysfunction in practice for many decades before the IOM … And always these cases we thought were horrible, it would be 3–6 months before the trial date, and
defense … I was a little naïve early on thinking that physicians would understand the numbers, and they would