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Total Results: 1,161 records

Showing results for "thought".

281. Delayed Diagnosis of Mesenteric Ischemia | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
     March 31, 2021 - The pain is thought to be due to an inability to meet the increased blood flow demands of the postprandial … Nature of Diagnostic Errors Diagnostic errors in healthcare are thought to be a widespread, but difficult … 13  Based on a wide-ranging review of studies, the rate of diagnostic error in clinical medicine is thought … Diagnostic errors are an underappreciated source of medical error and are thought to result from both

282. Losing Laura. | PSNet
     psnet.ahrq.gov/issue/losing-laura
     June 06, 2018 - March 28, 2018 Fires during surgeries a bigger risk than thought.

283. Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. | PSNet
     psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
     July 18, 2018 - September 28, 2022 ‘He thought what he was doing was good for people.’

284. Before mea culpa, Children’s was confident its air systems weren’t source of infection | PSNet
     psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
     July 19, 2010 - August 24, 2022 ‘He thought what he was doing was good for people.’

285. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
     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

286. Lessons from health care leaders: rethinking and reinvesting in patient safety. | PSNet
     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

287. Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study. | PSNet
     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

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33724/psn-pdf
     February 01, 2012 - Robert Wachter, Editor, AHRQ WebM&M: As you thought about the way residents were supervised when you … group of residents who do the work but intellectually don't feel on the line and responsible for the thinking … hospital creating a job description for the hospitalists that serves a set of needs that no one even thought … technology of residency training, because the residents are not necessarily in the right place to learn critical … thinking in their field.

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34757/psn-pdf
     November 18, 2015 - Unity of Mistakes: A Phenomenological Interpretation of Medical Work. November 18, 2015 Paget MA. Philadelphia: Temple University Press; 2004. https://psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work In this often described landmark text on the nature of medical error, Marianne Page…

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33668/psn-pdf
     May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … That being said, I think physicians for the foreseeable future are going to continue to do the thinking … RW: If a hospital was thinking about getting into IT and could buy only one thing or needed to figure … Some of the things that I thought would be really straightforward and would work really well didn't … We're thinking of trying to develop a single in-basket so that all the things that come in that you

291. Variations in surgical outcomes associated with hospital compliance with safety practices. | PSNet
     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

292. Outcomes of emergency department patients presenting with adverse drug events. | PSNet
     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

293. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet
     psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
     June 13, 2011 - Computerized provider order entry is thought to reduce prescribing errors, but it has not specifically

294. Psn-Pdf (pdf file)
     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.

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33594/psn-pdf
     November 18, 2021 - Its goals are to discuss the actions and thought processes involved in a particular clinical situation … post-mission analysis of military or police actions and grew to include use in critical incidents thought … professionals.4 Debriefing has now been widely adopted in the simulation and education fields and is thought … during this phase, and moderators may need to actively facilitate team members sharing what they were thinking … debriefing is designed to identify and summarize the main learning points, connect them with real-world thinking

296. Do some surgical implants do more harm than good? | PSNet
     psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
     January 14, 2011 - March 30, 2022 ‘He thought what he was doing was good for people.’

297. Barbers of civility. | PSNet
     psnet.ahrq.gov/issue/barbers-civility
     October 07, 2015 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought

298. Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet
     psnet.ahrq.gov/issue/separating-residents-inpatient-and-outpatient-responsibilities-improving-patient-safety
     September 04, 2016 - continuity (the proportion of visits for which residents saw their own patients); heightened continuity is thought

299. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
     September 26, 2017 - medications from being delivered intravenously, discusses the value of independent double-checks, and shares thoughts

300. COVID-19: to be or not to be; that is the diagnostic question. | PSNet
     psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question
     September 02, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought