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Total Results: 1,131 records

Showing results for "thought".

301. 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

302. 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

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34864/psn-pdf
     April 24, 2018 - ISMP Medication Safety Alert® Acute Care Edition. April 24, 2018 Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6312. https://psnet.ahrq.gov/issue/ismp-medication-safety-alertr-acute-care-edition The Institute for Safe Medication Practices' (ISMP) signature bi-weekly newsletter recounts ac…

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33704/psn-pdf
     December 01, 2010 - There is also the shift to systems thinking, and away from individual blame for everything. … The whole notion of systems thinking and safety science are huge shifts. … Is that the way they thought and no one else did, or did risk managers not think that way either? … GA: I think many of us thought that way but didn't have the same terminology. … What is your thought about this issue?

305. In Conversation With… Timothy B. McDonald, MD, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
     February 26, 2025 - As a lawyer I saw that and thought it was crazy. The other part is we didn't learn anything. … 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 understand

306. COVID-19 — a reminder to reason | PSNet
     psnet.ahrq.gov/issue/covid-19-reminder-reason
     October 24, 2018 - April 29, 2020 For 4 days, the hospital thought he had just pneumonia.

307. 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.’

308. 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.’

309. 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

310. Debriefing for Clinical Learning | PSNet
     psnet.ahrq.gov/primer/debriefing-clinical-learning
     September 15, 2024 - Its goals are to discuss the actions and thought processes involved in a particular clinical situation … from 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

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60952/psn-pdf
     September 30, 2020 - polymorphic ventricular tachycardia that has a characteristic appearance on electrocardiograms and is thought … Any offending medications that are thought to be the cause of or contributing to the prolongation of … Patients who present with diabetic ketoacidosis are typically thought to have a total body deficiency

312. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet
     psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
     November 18, 2016 - Hospital-acquired conditions (HACs) are thought to be preventable, and the Centers for Medicare and

313. Types and origins of diagnostic errors in primary care settings. | PSNet
     psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
     January 19, 2012 - As in prior research , most errors were thought to be multifactorial, but often related to faulty data

314. In Conversation With… Shantanu Nundy, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
     February 26, 2025 - So, I sat there thinking, this is a huge information problem because someone, somewhere knew what to … She had seen hundreds of doctors, and maybe some had been thinking about rheumatic causes of her fevers … even though she was stationed in Southeast Asia, and most of them thought infectious. … I was just thinking I'm going to put up a website and people are going to use it. … RW : As a computer science major jazzed about diagnostic errors, I would have thought the natural path

315. In Conversation With… Suchi Saria, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
     March 27, 2024 - 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.

316. Psn-Pdf (pdf file)
     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…

317. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. | PSNet
     psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
     October 28, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought

318. I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness. | PSNet
     psnet.ahrq.gov/issue/i-what-you-are-saying-only-if-i-feel-safe-psychological-safety-moderates-relationship-between
     November 18, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought

319. 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

320. Flexibilization of science, cognitive biases, and the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/flexibilization-science-cognitive-biases-and-covid-19-pandemic
     October 26, 2022 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought