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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - work is extraordinarily relevant to what
we are doing in health care over the past 10 years, as we've thought … organizations and about
particular technologies, that would let people stretch their imaginations in thinking … someone sitting around the table hearing the plan, you can
imagine that there probably is someone thinking … I don't think that they
necessarily thought that they were really creating some danger.
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - of motivation to stay alive) versus active (i.e., has a
desire and plan to kill oneself) suicidal thought … • At that point, the patient should no longer express active suicidal thought and
should have fewer
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - impression for a chest pain scenario if the scenario was framed by the statement that another doctor thought … effective case discussion where clinicians come together to talk about cases should
Highlight clinician's thought … Actively seek information that could refute the current provisional diagnosis
Frame their diagnostic thinking
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - I can't tell you the vast array of design issues that you wouldn’t have even thought about that they … I thought that access to mental healthcare was the primary issue, not access to primary care. … 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/node/854849/psn-pdf
October 31, 2023 - story rich, so that subsequent
readers can understand a patient’s condition, how it evolved, and what thought
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - This thinking aligns with the resilient healthcare and the Safety-II framework , which seeks to define … But more importantly, as I went into that meeting, I thought I was the expert in the room. … Sarah Mossburg: You mentioned partnership at the care level: Do you have thoughts on other levels where … You talked initially about your own evolution in thinking from your early meetings with children and … What are your thoughts on that, and what the pandemic showed us about the impact of family presence?
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - But more importantly, as I went into that meeting, I thought I was the expert in the room. … Sarah Mossburg: You mentioned partnership at the care level: Do you have thoughts on other levels where … You talked initially about your own evolution in thinking from your early meetings with children and … What are your thoughts on that, and what the pandemic showed us about the impact of family presence? … This thinking aligns with the resilient healthcare and the Safety-II framework , which seeks to define
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - In witnessing a practice that he thought might be unsafe and not knowing what to do with his concerns … both surgeons and commercial airline
pilots whether they would want someone to question them if they thought
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psnet.ahrq.gov/issue/personal-protective-equipment-preventing-highly-infectious-diseases-due-exposure-contaminated
April 23, 2014 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
March 02, 2011 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - interventions are rigorously evaluated.( 14,15 ) Our work ahead should also define how to maintain our critical … thinking skills, particularly in an environment of increasingly complex and automated technologies.( … Our Society [SIDM] thought if we could convince the IOM to undertake a major report on diagnostic error … Where did that come out in the committee's deliberations, and what are your thoughts about that? … This is where we document our thoughts, find our information, and communicate with others.
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - How much linkage was there in your thinking about this concept of the second victim and the main theme … AW : I had been thinking about this issue for a few years. … In fact, I began thinking about it when you and I were RWJ Fellows in San Francisco and I did a study … She meant that she had an incident that she thought she should tell me about but couldn't bring herself … RW : You mentioned that you thought the no blame approach was somewhat helpful in terms of mitigating
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - community about the kinds of contextual issues that might be important, there also was not a lot of thinking … analogy to age, gender, New York Heart Association classification, presence of diabetes, etc., when thinking … whether you do it or not might be publicly reported, but it would never be (at least in the present thinking … It's not clear exactly how independent these three are, but all of them in some form or another are thought … So measuring something in those four domains and reporting on it was thought to be an important factor
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - As I thought more about that in context, it became clear that this organization has really been in continuous … I'm not sure what my grandfather would have thought of the modern patient safety movement, with its reliance … that I would go on to become a health economist, but I feel safe in assuming that he would not have thought … I don't believe he would have thought there was much value or legitimacy to allowing regulators and accreditors … I'm sure some readers are, at this point, thinking what a wise man my grandfather must have been.
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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - Jack Barker: Before the advent of CRM, we thought that all you had to do was train the crews how to … There was a lot of pushback, especially from the older captains who thought, "I don't need this. … and start to learn the behaviors and change some of their ways of doing business a lot faster than we thought … organizations and, based on our first days' observations and early surveys, we've identified individuals who we thought … RW: But if you're thinking about going in the team training direction, do you need to spend $100,000
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
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. … In thinking about such a time delay, it is vital to consider what defines a "response" by the primary
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - perspective/getting-patient-safety-personal-story
especially, used for errors and system failures.[1]) In thinking … many in
the Australian anesthesia community thought not), Jeep conceived the idea of creating a foundation … The ideas of systems thinking and the importance of human factors are
now more generally appreciated
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psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
October 26, 2010 - January 1, 2004
Patient safety reporting: a qualitative study of thoughts and perceptions
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psnet.ahrq.gov/node/33835/psn-pdf
June 01, 2017 - Interestingly, when we tried to publish our findings in the BMJ, the paper was rejected because it wasn't
thought … We thought, if it's a real quality of care issue, maybe we would see effects in
indicators other than
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psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
July 19, 2023 - relapse to psychosis.( 10 ) Rather than simply a recurrence of illness, this iatrogenic effect has been thought … Although initially thought to be limited to clozapine, a recent study of patients with schizophrenia