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Total Results: 1,131 records

Showing results for "thought".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49425/psn-pdf
     November 01, 2003 - If whoever administered the drug confused naloxone with Lanoxin, either because she thought this was … Packaging and look-alike/sound-alike drugs are thought to be important contributing factors.

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33676/psn-pdf
     November 01, 2008 - So I thought that perhaps I could have an impact, even by doing simple types of studies such as trying … RW: I thought that was a very clever study. … The other approach to urinary collection is thinking about whether we can do things to avoid indwelling

363. Clinical dilemmas and a review of strategies to manage drug shortages. | PSNet
     psnet.ahrq.gov/issue/clinical-dilemmas-and-review-strategies-manage-drug-shortages
     August 04, 2021 - August 30, 2017 Patient safety reporting: a qualitative study of thoughts and perceptions

364. An Outpatient 'Zebra' | PSNet
     psnet.ahrq.gov/web-mm/outpatient-zebra
     January 23, 2020 - With the patient’s history of disc disease, the resident thought that there was such a high pretest probability … Because the attending is trying to preserve resident autonomy, she is likely to defer to the thought

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34993/psn-pdf
     June 22, 2009 - Five system barriers to achieving ultrasafe health care. June 22, 2009 Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care This commentary builds on the…

366. Differentiating between detrimental and beneficial interruptions: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
     May 03, 2017 - September 24, 2016 Momentary interruptions can derail the train of thought.

367. Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. | PSNet
     psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system
     January 21, 2015 - November 11, 2015 We thought we would be perfect: medication errors before and after

368. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. | PSNet
     psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety
     January 23, 2017 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought

369. Computerised prescribing for safer medication ordering: still a work in progress. | PSNet
     psnet.ahrq.gov/issue/computerised-prescribing-safer-medication-ordering-still-work-progress
     October 13, 2018 - December 21, 2017 We thought we would be perfect: medication errors before and after

370. Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet
     psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
     September 28, 2017 - February 8, 2023 ‘He thought what he was doing was good for people.’

371. The extent and importance of unintended consequences related to computerized provider order entry. | PSNet
     psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
     May 27, 2011 - September 1, 2016 We thought we would be perfect: medication errors before and after

372. Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. | PSNet
     psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
     February 16, 2022 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought

373. Mental health of staff working in intensive care during COVID-19. | PSNet
     psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
     June 02, 2021 - in intensive care units (ICUs) identified significant rates of probable mental health disorders and thoughts

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47973/psn-pdf
     July 18, 2019 - Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs. July 18, 2019 Rosengart TK, Doherty G, Higgins R, et al. Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs. JAMA Surg. 2019;154(7):647-653. doi:10…

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33869/psn-pdf
     November 01, 2018 - I thought maybe I could do an economic history of hospitalists. … DM: When I originally came up with the idea, I wasn't thinking about that per se. … I was thinking more about whether care would be improved, and if we might lower the total cost of care … DM: When we started out, we thought about machine learning and did some predictive analytics looking … At the same time, our health system was thinking about becoming an accountable care organization and

376. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
     February 01, 2017 - Clinicians seemed to stay in a mechanistic, task-associated mode and did not apply abstract or clinical thinking … Systems and checklists may need to have other ways to support and encourage deeper abstract thought … groupings of lists that are intrinsically safe for all situations, recognizing that users tend not to apply critical … thinking when presented with a series of boxes to tick Published guidelines on the development of standard

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37292/psn-pdf
     May 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a…

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60173/psn-pdf
     March 30, 2020 - The lens that I believe I brought to the panel was how the end-users are thinking about patient safety … I thought that was very helpful. … Thinking back to “To Err is Human,” one of the big things it talked about was creating a patient safety … We thought that was going to be the answer, but later figured out it was not the best approach. … For example, with regards to retained foreign bodies and wrong site surgeries, I remember thinking when

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37787/psn-pdf
     May 28, 2008 - Adoption of health information technology for medication safety in US hospitals, 2006. May 28, 2008 Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi:10.1377/hlthaff.27.3.865. https://ps…

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33878/psn-pdf
     April 01, 2019 - They read it and thought many of the findings could be very useful to the hospitals in Australia because … medical malpractice world, were there analogies in other fields driven by tort law that were useful in thinking … I thought that was an awesome and surprising finding. … Maybe organizations have thought that through and are quite proactive about it.