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psnet.ahrq.gov/issue/horror-awakening-during-surgery
October 21, 2010 - December 22, 2010
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - May 16, 2007
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient-safety-group-says
August 24, 2016 - September 24, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide130.html
October 01, 2014 - associated with reports of changes in behavior such as hostility, agitation, depressed mood and suicidal thoughts
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - 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? … TN: I'll give you my personal thoughts about them, because I hesitate to speak for an organization as … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
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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effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Most experts thought the technology would likely not affect health
care disparities, but some thought … Some experts thought that the initial cost of the device
could be offset by long-term savings from … Most experts thought that the
intervention would likely cost somewhat more than injectable exenatide … However, they thought a disparity could emerge if the implantable drug
dispenser is not covered by … However, most
experts thought metabolic surgery could represent a substantially greater disruption
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psnet.ahrq.gov/issue/hazard-impatient-medicine
June 26, 2013 - efficiency mandates and patient-centered care through the example of a cancer patient whose suicidal thoughts
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021769-anderson-final-report-2016.pdf
January 01, 2016 - The PHQ-9 also includes one item that asks the patient about thoughts
of death or hurting themselves … or hurting themselves on the PHQ-9: had these
thoughts worsened, and did their clinician know about … their clinician did not know they were having these thoughts. … No patients indicated these thoughts had
worsened and no patients indicated that their clinician did … not know about these thoughts.
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www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
January 01, 2024 - The overall goal of CBT treatment is to change unhelpful thoughts in order to modify behavior. … This thought pattern underpins the dose escalation that leads to
dependence and addiction. … emotion,
reflecting on the accuracy and usefulness of the thought, and transforming the thought into … Negative thoughts about the procedure and its outcome at the outset may be a good indicator of poor … She began by reminding the audience that, when thinking about addiction, it is important to
remember
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effectivehealthcare.ahrq.gov/sites/default/files/pulmonary-horizon-scan-high-impact-1412.pdf
October 01, 2015 - Blocking these receptors is thought to
inhibit the cycles of inflammation and lung repair that lead … an oral therapy, lumacaftor would not significantly change how
patients are managed, the experts thought … These receptors are thought to be involved in
cycles of inflammation and lung repair that lead to lung … In terms of patient management, experts thought the OCS Lung system has little potential for
disruption … Some experts thought health disparities would not be affected at all.61-63,65,66 Others
concluded that
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/reflective-practice-tool.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Reflective Practice Tool: The Spirit of Inquiry
AHRQ Publication No. 22-0015
TeamSTEPPS® for Diagnosis Improvement
February 2022
TeamSTEPPS® for Diagnosis Improvement
Reflective Practice Tool:
The Spirit of Inquiry
ASK
Questions are the path to discovery and questions convey
…
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … That being said, I think physicians for the foreseeable future are going to continue to do the
thinking … RW: If a hospital was thinking about getting into IT and could buy only one thing or needed to figure … Some of the things that I
thought would be really straightforward and would work really well didn't … We're thinking of trying to
develop a single in-basket so that all the things that come in that you
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pdf
June 02, 2025 - 29 Strategy 1: Patient & Family Advisor Information Session (Tool 5)
Final thoughts
• Your perspectives … Final thoughts
Thank you!
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psnet.ahrq.gov/node/49735/psn-pdf
June 01, 2015 - Finally, framing effects can significantly influence diagnostic thinking when forming or revising diagnostic … could begin with focused efforts to teach trainees and
practicing clinicians about the diagnostic thinking … While clinicians are
limited in their ability to self-monitor their thought processes, their colleagues … case discussion—where clinicians come together to talk about cases should highlight
the clinician's thought … Frame their diagnostic thinking to avoid premature diagnostic labeling and share uncertainty.