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psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
November 01, 2012 - I always thought the physical exam was quite fascinating. … I thought it was the fun part of medicine and easy pickings. … Most important to me is the issue of safety and basically the disappointing thought that we might actually … Can you describe your thinking about that and how that dovetails with the physical exam? … June 21, 2023
Developing critical thinking skills for delivering optimal care
July
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psnet.ahrq.gov/issue/unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
September 16, 2020 - August 17, 2022
‘He thought what he was doing was good for people.’
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - I'm not sure what my grandfather would have thought of the modern patient safety movement, with its … that I would go
on to become a health economist, but I feel safe in assuming that he would not have thought … I don't believe he would have thought there was
much value or legitimacy to allowing regulators and … I'm sure some readers are, at this point, thinking what a wise man my grandfather must have been.
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psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
December 18, 2019 - October 7, 2020
I thought Daniel was safe with the NHS. He wasn't.
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psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
July 29, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
March 09, 2022 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
March 03, 2011 - such as teaching status and percentage of minority patients) and geographic characteristics , both thought
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psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
November 18, 2009 - all levels are encouraged to report errors, openly discuss mistakes, and contribute to solutions, is thought
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psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
February 24, 2011 - Responses are framed with discussion of six thought processes that must occur at an organization for
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psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
July 25, 2011 - Nearly all (93%) participants thought that the training would help them provide safer care. Dr.
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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
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - Or was it surprising that everybody had higher doses than you thought might be necessary? … When I was a resident you wouldn't get a CT scan in a pregnant woman without really, really, really thinking … So as the doses went up, we were thinking about this problem less, and when attention came to this issue … are thrilled that it's been found, and they feel that they're saved even when you as a physician are thinking … I thought that this was a great educational opportunity but he also set the stage.
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - potentially unnecessary procedures or diagnostic tests to avoid the threat of malpractice liability —is thought
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psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
March 03, 2011 - fully audited 3422 deaths and identified 226 cases involving a clinical decision-making incident (CDMI) thought
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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/33866/psn-pdf
September 01, 2018 - RW: As you thought about the gaps in patient communication and patient engagement, a big part of that … Did you have a sense of which
of those you thought were going to be the most important things to tackle … About 20% to 30% of clinicians said they have given more thought or changed the way that they document … That is a bigger concern for us to be thinking about from the
safety standpoint. … More Wikipedia kind of models or different ways of
thinking about this.
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psnet.ahrq.gov/node/34588/psn-pdf
January 04, 2017 - The Johns Hopkins Hospital: identifying and addressing
risks and safety issues.
January 4, 2017
Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks
and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50.
https://psnet.ahrq.gov/issue/johns-hopkins-hospital-ident…
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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
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psnet.ahrq.gov/node/858167/psn-pdf
December 13, 2023 - A proposed approach to allegations of sexual boundary
violation in health care.
December 13, 2023
Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation
in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcjq.2023.08.006.
https://psnet.a…
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - When I first looked at it, I thought there must be something wrong with this study. … Because I'm sure in Canada they thought they were doing a good thing.
LL: Exactly. … It will be more costly than we thought because of the kinds
of changes that are needed. … And we
were pretty naÏve in thinking that (a) they would believe us, and (b) that they could make those … If we'd have been a little smarter about thinking about what the culture
changes would be and what would