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psnet.ahrq.gov/issue/safety-critical-care-medicine
July 14, 2021 - Recognizing the complexity of the critical care environment, the editors provide access to expert thought … July 14, 2021
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Eight thought leaders participated in an exercise of envisioning patient safety in the year 2025. … The first task simply called for the
invited thought leaders to envision patient safety in the year … All the invited thought leaders accepted the invitation. … To develop those new ways of thinking and better understanding, three fundamental changes
must occur … Systems thinking does not come naturally
but must be learned and practiced.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
May 01, 2011 - An example of the emotions and thoughts that can occur at this stage from a second-victim are in the … following quote from an anonymous second-victim: “I started to doubt myself… I thought maybe if I’d have … I thought, ‘These people are never going to trust me again.’”
… The thoughts and feelings a second-victim might experience during this stage are described in the following … Statements include: “I was questioning myself over and over again… but then I thought… I’ve just had
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/recognizing-success-transcript.docx
May 01, 2017 - And one day, one of the physicians who was adamant about not using the checklist—he just thought it was … he just did not want to use it—saw the bulletin board and was just looking at all the pictures and thought
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - RW: As you thought about what certification, and I guess by extension, what training would look like … How have you thought about teaching that and how have you thought about testing that as part of the … RW: When you and the other leaders began thinking about patient safety, the American health care system … How does that change the thinking about the content
and the methods of both training and certification … Some of our early approaches we thought, "This is a good idea.
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www.ahrq.gov/talkingquality/translate/compare/choose/benchmark.html
March 01, 2016 - Comparing Quality Scores to a Benchmark
Although the term “benchmark” is often thought to mean
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - A patient safety mindset should be in place in hospitals where everyone is thinking about how to make … What are your thoughts on why falls continue to be a challenge in healthcare settings? … Sarah Mossburg: Do you have any thoughts about why that is? … Providers thought it took more time than allowed in a single visit to support these conversations. … We found that providers thought that it was feasible to implement this in the context of a visit.
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - A patient safety mindset should be in place in hospitals where everyone is thinking about how to make … What are your thoughts on why falls continue to be a challenge in healthcare settings? … Sarah Mossburg: Do you have any thoughts about why that is? … Providers thought it took more time than allowed in a single visit to support these conversations. … We found that providers thought that it was feasible to implement this in the context of a visit.
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - With regard to mechanical ventilation, 37% of respondents
thought that ventilated patients could talk … , 20% thought ventilators were oxygen tanks, and 20% thought
that people on ventilators are always comatose … The following day, the patient was alert and was able to express her thoughts about the events of the … The
patient thought that initiation of intubation was synonymous with permanent respiratory support, … and stated
that she thought the discussion was about whether she would want to be kept alive if she
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
September 01, 2015 - Teacher: Often thought to be a “holder of wisdom” and expected to impart that wisdom and knowledge to … learning for themselves by highlighting points for consideration, then letting the learners form their own thoughts
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psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's
a tendency to build … In the
past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's
thoughts? … extensive evolving body of literature indicates
that it is even more complicated than we had originally thought
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psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
August 19, 2020 - s)
COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought … COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - Components of patient safety have been expressed by thought leaders, and models have been
presented. … Limiting Blame
The first quantum leap defined patient safety’s entry into health care thought. … Systems Thinking
Thought leaders in health care offered persuasive arguments that errors could be reduced … Thus, health
care had to be seen as an open, not closed, system, and policy too began to be thought … Thought leaders began to examine their different assumptions.
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - I thought the electronic medical record would end that, and indeed it has. … The thought process has been squeezed out of electronic notes. … But I like that because my fingers never get ahead of my thinking. … But you wonder how deeply are they thinking about it. … Their thought is everything I need to know is in the computer.
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www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/index.html
October 01, 2024 - Discussion Appendix A: Meeting Agenda Appendix B: Meeting Attendees’ Biographical Sketches Thought
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psnet.ahrq.gov/node/33885/psn-pdf
August 01, 2019 - where is the most burdensome part of the documentation for the
physicians and ask faculty what they thought … Some people are very directive and templated in their thinking and how they go through a series
of questions … RW: For organizations that are thinking about implementing a program, describe how you triaged a limited … We've thought about a variety of different strategies. … We thought about whether we could measure the complexity
of dictation and documentation to allocate
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psnet.ahrq.gov/issue/managing-patients-medicines-after-discharge-hospital
February 08, 2017 - shared among UK practices and patients after a hospital stay and found that 81% of general practices thought … Thinking About Learning for Improvement in Health Care.
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - 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 … It's been really interesting, and I appreciate hearing all your thoughts on these issues. … 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?
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - With regard to mechanical ventilation, 37% of respondents thought that ventilated patients could talk … , 20% thought ventilators were oxygen tanks, and 20% thought that people on ventilators are always comatose … The following day, the patient was alert and was able to express her thoughts about the events of the … The patient thought that initiation of intubation was synonymous with permanent respiratory support, … and stated that she thought the discussion was about whether she would want to be kept alive if she was
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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - Sarah Mossburg: I’m thinking back to the point you made earlier: that you can predict who’s at risk, … The clinician is looking at this
patient thinking, “I don’t think so….” … I
remember presenting the algorithm to my clinical mentor and my mentor asked what I thought should … We live in a pretty heterogeneous society, and the diversity of thought
also conveys into the health … Sarah Mossburg: Do you have any thoughts around how models can be validated and monitored to
ensure