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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
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/node/49683/psn-pdf
April 01, 2013 - 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
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - When we started to hear in the mid to late 1990s that we could use opioids more safely than we
thought—we … The natural response, which we're taught to do by thought leaders, is to increase the opioid doses. … RW: I was thinking that as you said, "If you identify the right patient, it's reasonable to try it." … And there are a lot more than we
thought.
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - We spoke with him about new thinking in high reliability.
Dr. Robert M. … What's gone faster or slower than you thought? … MC: Nothing has gone faster than I thought, except the enthusiasm. … Because what we thought was not preventable 5 years ago,
today is preventable.
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - ) This article will focus on some of the newer ideas about workforce safety, which emerged from our thinking … RW : Once you started getting interested in health care, what were your thoughts about patient safety … The nurses themselves discovered that, because they had all gone to different nursing schools and thought … RW : Did you find any fundamental differences in health care that shaped your thinking? … I thought people will now see this, they will look at their own place, and they will adopt these ideas
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - RW : Once you started getting interested in health care, what were your thoughts about patient safety … The nurses themselves discovered that, because they had all gone to different nursing schools and thought … RW : Did you find any fundamental differences in health care that shaped your thinking? … I thought people will now see this, they will look at their own place, and they will adopt these ideas … ) This article will focus on some of the newer ideas about workforce safety, which emerged from our thinking
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - What were your thoughts of what it could do for health care and for training?
Dr. … I really thought
that we'd be much further along in terms of the physical simulation of tissue and of … I also
thought that the underlying physiologic models would allow animatronic human patients that you … We are interested in using cognitive engineering methods to really get at
what people are thinking when
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psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work
June 26, 2019 - Book/Report
Classic
Unity of Mistakes: A Phenomenological Interpretation of Medical Work.
Citation Text:
Unity of Mistakes: A Phenomenological Interpretation of Medical Work. Paget MA. Philadelphia: Temple University Press; 2004.
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - But that is archaic thinking." … Applying better thinking to the daily practice for anesthesiologists, Dr. … process improvement workshops (multidisciplinary improvement team efforts) helped turn these creative thoughts … In the Lean philosophy, the first thought is to look at the system and processes, unless you can absolutely … I worry when I talk to an organization that is now embracing Lean, and their thought process is often
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - This schedule was thought to improve patient adherence, facilitate dosage adjustment, and permit more … to commit suicide, patients with suicidal ideation will generally tell their physicians about such thoughts … drug cannot be tolerated or produces no benefit; there are signs of severe depression with possible thought … disorder (e.g., psychosis, disorganized thinking) or suicidal ideation; the patient is interested in
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psnet.ahrq.gov/node/40186/psn-pdf
April 21, 2011 - The impact of eHealth on the quality and safety of health
care: a systematic overview.
April 21, 2011
Black AD, Car J, Pagliari C, et al. The impact of eHealth on the quality and safety of health care: a
systematic overview. PLoS Med. 2011;8(1):e1000387. doi:10.1371/journal.pmed.1000387.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/ismp-medication-safety-alertr-acute-care-edition
March 26, 2015 - Newsletter/Journal
ISMP Medication Safety Alert® Acute Care Edition.
Citation Text:
ISMP Medication Safety Alert® Acute Care Edition. Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6312.
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - 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/node/846915/psn-pdf
March 29, 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 or
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - The engineer mapped the existing workflow of nurses at the bedside and thought about
how the monitor … They did leadership rounding every day,
they asked what nurses thought about the system, and made adjustments … Sarah Mossburg: Could you give us some thoughts about next steps for the work?
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January … Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. … But that is archaic thinking." … Applying better thinking to the daily practice for anesthesiologists, Dr. … process improvement workshops (multidisciplinary
improvement team efforts) helped turn these creative thoughts
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Preventing Diagnostic Errors
Given that many diagnostic errors are caused by subtle biases in clinicians' thought … The principal goal is to engage clinicians in "meta-cognition" (reflecting on their own thinking),
with
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - I always thought the physical exam was quite fascinating. … I thought it was the fun part of medicine and easy pickings. … Most important to me is the issue of safety and basically the disappointing thought that we might actually … AV : Actually one of the big surprises is that I thought I would get a lot of pushback from people saying … Can you describe your thinking about that and how that dovetails with the physical exam?
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - Mindful recognition of how physicians think and the ways in which their thinking fails (meta-cognition … a multidisciplinary provider team may warrant strategies specifically to promote slower “analytic” thought … over quicker “intuitive” thinking. 7 For example, daily multidisciplinary ICU rounds is a well-accepted
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - 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