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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - The dreaded thought of missing a cancer diagnosis leads to overtesting. … give talks I ask two questions, have you or someone you know ever had medical care that you or they thought … That tells me many people are thinking about this and being more involved in their medical decision-making … Then I asked him what he thought about these repeated tests after hearing the talk I had given, and he … February 28, 2024
Perspective
Innovation and Lean Thinking
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - Finally, framing effects can significantly influence diagnostic thinking when forming or revising diagnostic … impression for a chest pain scenario when the scenario was framed by the statement that another doctor thought … 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/perspective/conversation-withatul-gawande-md-ma-mph
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. … The transition from clearly thought-out opinion to myth and folklore is easily detectable; the moderator
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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/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/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/issue/association-adverse-effects-medical-treatment-mortality-united-states-secondary-analysis
November 11, 2020 - Although certain patient harms thought to be unavoidable at the time of the report's publication in 1999
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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/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/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/perspective/conversation-susan-smith-md
August 01, 2019 - where is the most burdensome part of the documentation for the physicians and ask faculty what they thought … To figure out how to help offset those costs, we thought about what's the desirable level of RVU [relative … Some people are very directive and templated in their thinking and how they go through a series of questions … RW : For organizations that are thinking about implementing a program, describe how you triaged a limited … We've thought about a variety of different strategies.
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - We spent a lot of time thinking about the four Cs of primary care: contact, continuity, comprehensiveness … You spoke about some examples of high-quality care, and I’m wondering if you have any thoughts on ways … So now, we’ve been thinking about the four Cs and how they relate to quality. … I’d like to transition into discussing patient safety and thinking a little bit more about avoidance … We are always thinking about how to ensure that anything we do for patients may help them and decrease
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
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
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psnet.ahrq.gov/perspective/safety-radiology
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/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing
March 21, 2007 - September 16, 2020
I thought Daniel was safe with the NHS. He wasn't.
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psnet.ahrq.gov/issue/do-cell-phones-belong-operating-room
September 01, 2016 - December 22, 2010
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - March 28, 2018
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - It requires thinking through the right
infrastructure, the right level of education. … RW: It sounds like the doctor is not even thinking about the data other than in real time. … They're not thinking about the potential learning from
aggregating it and analyzing it in new ways. … RW: When you thought about how little we mine of the user's experience in health care versus in retail … Then, thinking through what an ideal solution
would look like and putting it together.
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psnet.ahrq.gov/issue/variations-surgical-outcomes-associated-hospital-compliance-safety-practices
June 14, 2017 - Mortality after inpatient surgery varies widely between hospitals, with much of this variation thought
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psnet.ahrq.gov/issue/outcomes-emergency-department-patients-presenting-adverse-drug-events
April 22, 2011 - with an adverse drug event (ADE) are a source of continued concern , particularly as many ADEs are thought