-
psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
March 09, 2022 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
-
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
-
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
-
psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
February 15, 2023 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
-
psnet.ahrq.gov/issue/engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care
September 02, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
-
psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
June 08, 2022 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
-
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
-
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/node/43819/psn-pdf
July 16, 2015 - Intercepting wrong-patient orders in a computerized
provider order entry system.
July 16, 2015
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider
order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … TN: I'll give you my personal thoughts about them, because I hesitate to speak for an organization as … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's a tendency to build … In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
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
-
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
-
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
-
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
-
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.
-
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-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
-
psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
-
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.