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psnet.ahrq.gov/node/837862/psn-pdf
August 17, 2022 - california-mans-painful-and-terrifying-road-monkeypox-diagnosis
https://psnet.ahrq.gov/issue/misdiagnosis-inevitable
https://psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
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psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
October 21, 2015 - Commentary
Systems thinking for managing COVID-19 in health care systems: seven key … Systems thinking for managing COVID-19 in health care systems: seven key messages. … Focusing on nurses and nurse educators, this article emphasizes systems thinking (a way of viewing, … Systems thinking for managing COVID-19 in health care systems: seven key messages. … COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/node/72514/psn-pdf
November 25, 2020 - issue/ai-wrestling-replication-crisis
Lack of transparency of research and development processes are thought
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psnet.ahrq.gov/node/33772/psn-pdf
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 … someone you know
ever declined a treatment option recommended by a physician, because you or they thought … That tells me many people are thinking about this and being more involved in their medical decision- … Then I asked him what he thought about these repeated tests after hearing the talk I had
given, and
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - And then, based on that I thought, we have to see if we can prove this in practice. … RW: I imagine that it's hard for people to hold these thoughts in one brainthat it's mostly about systems … Do you worry about it, to some extent, undermining the message about systems thinking? … I just think it's another set of issues to which we must apply similar thinking. … The ideas of systems thinking and the importance of human factors are now more generally appreciated.
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Sarah Mossburg: I would love to hear your thoughts on regulatory incentives for zero harm. … It's been really interesting, and I appreciate hearing all your thoughts on these issues. … Indeed, these kinds of ambitious goals could be thought of as a type of “Big Hairy Audacious Goal,” a … or stroke. 7 Whether a healthcare organization focuses on bed sores, oversedation, or both may be thought … It may be that health systems following a “Safety I” approach in which harm is thought to arise from
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - The ideas of systems thinking and the importance of human factors are now more generally appreciated. … And then, based on that I thought, we have to see if we can prove this in practice. … RW: I imagine that it's hard for people to hold these thoughts in one brainthat it's mostly about systems … Do you worry about it, to some extent, undermining the message about systems thinking? … I just think it's another set of issues to which we must apply similar thinking.
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psnet.ahrq.gov/node/33807/psn-pdf
May 01, 2016 - But just because they could, they often added
these features without real thought by anybody about what … When I saw that number, I thought there was a mistake—but there wasn't. … RW: In part because of your work, we've thought more about the impact on the nurses of these alarms … She thought the baby was dying and nobody was
coming. … She thought about it for a second and she
said, "If I came in the unit and everything was quiet—if there
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psnet.ahrq.gov/issue/electronic-diagnostic-support-emergency-physician-triage-qualitative-study-thematic-analysis
October 27, 2021 - Notably, some physicians thought the EDS-generated differentials could reduce bias while others suggested … The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking
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psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black
July 26, 2023 - experiences while also acknowledging the additional burden this would place on Black patients, and thought … Patient safety in palliative care at the end of life from the perspective of complex thinking
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psnet.ahrq.gov/issue/animated-stories-medical-error-means-teaching-undergraduates-patient-safety-evaluation-study
June 10, 2020 - animated stories to depict patient safety events and delivered them to 200 medical students, most of whom thought … February 14, 2015
Levels of reflective thinking and patient safety: an investigation
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - We spent a lot of time thinking
about the four Cs of primary care: contact, continuity, comprehensiveness … You
spoke about some examples of high-quality care, and I’m wondering if you have any thoughts on ways … 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/perspective/suicide-prevention
March 24, 2025 - In the past, health systems thought that they only needed to keep people protected while the person was … Sarah Mossburg : That is a helpful outline for folks in the field who are thinking about where they are … For example, if they have intent to act on their suicidal thoughts. … Sarah Mossburg : Thinking back to the incidental appearance of suicide risk for people who are being … Edwin Boudreaux : When we are thinking of high-quality suicide-related care, we often get bogged down
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psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
March 25, 2025 - In the past, health systems thought that they only needed to keep people protected while the person was … Sarah Mossburg : That is a helpful outline for folks in the field who are thinking about where they are … For example, if they have intent to act on their suicidal thoughts. … Sarah Mossburg : Thinking back to the incidental appearance of suicide risk for people who are being … Edwin Boudreaux : When we are thinking of high-quality suicide-related care, we often get bogged down
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psnet.ahrq.gov/node/50708/psn-pdf
December 04, 2019 - identifying-medication-errors-neonatal-intensive-care-units-two-center-study
Medication errors are thought
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psnet.ahrq.gov/node/39097/psn-pdf
May 02, 2012 - shared among UK practices and patients after a
hospital stay and found that 81% of general practices thought
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psnet.ahrq.gov/node/34023/psn-pdf
April 12, 2008 - Recognizing the complexity of the critical care environment, the editors provide access to expert thought
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psnet.ahrq.gov/node/838009/psn-pdf
September 07, 2022 - high-risk-medication-home-care-nursing-delphi-study
Medication errors and other adverse events are thought
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psnet.ahrq.gov/node/50801/psn-pdf
January 15, 2020 - Interviewed mentors also generally thought
the fellowships were important and the resulting research
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psnet.ahrq.gov/node/39469/psn-pdf
June 16, 2019 - from being delivered intravenously, discusses the value of independent double-
checks, and shares thoughts