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Showing results for "thought".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39068/psn-pdf
    October 28, 2009 - four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation- overdose This news piece describes communication gaps following a radiation overdose incident thought

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60844/psn-pdf
    August 26, 2020 - Nearly all respondents thought error recovery was a key competency, yet only one-third felt they were

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47755/psn-pdf
    July 24, 2019 - animated stories to depict patient safety events and delivered them to 200 medical students, most of whom thought

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36754/psn-pdf
    August 09, 2011 - Surveys revealed that staff thought these rounds improved communication and patient safety.

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42829/psn-pdf
    December 18, 2013 - make-hospitals-less-deadly-dose-data Preventable adverse events may result in more harm than previously thought

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850673/psn-pdf
    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 the range of abilities family members might bring to bear on how involved … What are your thoughts on that, and what the pandemic showed us about the impact of family presence?

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867082/psn-pdf
    November 06, 2024 - Post-implementation, 92% of staff felt the department practiced a no-blame culture, and nearly half thought

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860719/psn-pdf
    January 17, 2024 - Despite the error rate, authors still thought that large language models (LLMs) could be helpful to

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33626/psn-pdf
    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. … start to learn the behaviors and change some of their ways of doing business a lot faster than we thought … 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

90. Diagnostic heuristics in dermatology—part 1 and part 2. | PSNet
    psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
    June 24, 2010 - The second recommends techniques for improving decision making and self-awareness of thought processes … May 10, 2017 The ethical imperative to think about thinking.

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50803/psn-pdf
    January 15, 2020 - measuring-errors-and-adverse-events-health-care https://psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73881/psn-pdf
    September 29, 2021 - changes-hospital-acquired-conditions-and-mortality-associated-hospital- acquired-condition Hospital-acquired conditions (HACs) are thought

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841478/psn-pdf
    December 14, 2022 - prevalence-causes-and-severity-medication-administration-errors-neonatal- intensive-care-unit Medication administration errors (MAEs) are thought

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/840147/psn-pdf
    November 16, 2022 - Notably, some physicians thought the EDS-generated differentials could reduce bias while others suggested

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43096/psn-pdf
    August 22, 2016 - disclosure-and-apology discussion simulation than colleagues who were provided as much time as they thought

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47496/psn-pdf
    June 15, 2019 - audited 3422 deaths and identified 226 cases involving a clinical decision-making incident (CDMI) thought

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34749/psn-pdf
    January 09, 2017 - Patient Safety and the "Just Culture": A Primer for Health Care Executives. January 9, 2017 Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY: Trustees of Columbia University; 2001. https://psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-execu…

98. In Conversation With… Kaveh Shojania, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
    February 26, 2025 - My early thoughts were that the role of research would be to test some of these putative interventions … The way my thinking has changed is that there's much more of a role for first making sure that the patient … It is possible to marry those two perspectives in a way that I hadn't thought possible 15 years ago. … Our understanding of IT, thinking about rather than talking about errors so much, talking about harms … RW : I have residents in our M&M say that "Here's what I thought was going on, but I was worried that

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/847731/psn-pdf
    April 19, 2023 - This commentary shares thoughts from a variety of experts in response to a 2023 analysis of adverse

100. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
     psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
     September 24, 2024 - People, including me, sometimes conflate those two ways of thinking about or defining zero harm. … What are some of your thoughts on zero harm as a goal? … Given your thoughts in this conversation, I am wondering what your reaction is to CMS putting a public … Indeed, these kinds of ambitious goals could be thought of as a type of “Big Hairy Audacious Goal,” a … It may be that health systems following a “Safety I” approach in which harm is thought to arise from