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effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
January 01, 2012 - Experts believe patient acceptance of the marked pills
would be low, although one expert thought that … Experts thought
that this program would have marked effects on health disparties and would be likely … Experts thought this intervention would have notable impacts
on the way patients are managed because … Most experts expressed thoughts that physicians would be grateful for the support
in caring for patients … In fact, several experts thought this
technology has potential to increase disparities.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/randeree-e-et-al-2007
January 01, 2007 - Findings
Case 1: 'staff spent longer hours interacting with the system and were dismayed because they "thought
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/ptsd-adults-trauma-interventions_research-protocol.pdf
November 08, 2012 - external reminders
Criterion C: Persistent
avoidance and numbing:
(three or more)
• Avoidance of thoughts … It aims to facilitate relearning
thoughts and beliefs generated from a traumatic event and increase … awareness of
dysfunctional trauma-related thoughts and correct or replace those thoughts with more … , attempts, or behaviors
(including suicide)
o Incidence of aggressive or homicidal thoughts, attempts … ,
attempts, and behaviors, and incidence of aggressive or homicidal thoughts, attempts, and
behaviors
-
effectivehealthcare.ahrq.gov/sites/default/files/web-based_osheroff_respondent.pdf
January 01, 2009 - decision
making:
“inform
and
connect”
Slide
4:
Right
Work
(Process/Thought
-
psnet.ahrq.gov/issue/covid-19-reminder-reason
October 24, 2018 - April 29, 2020
For 4 days, the hospital thought he had just pneumonia.
-
psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
July 18, 2018 - September 28, 2022
‘He thought what he was doing was good for people.’
-
psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - August 24, 2022
‘He thought what he was doing was good for people.’
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1306.pdf
July 01, 2013 - Development of obesity was at one time thought to be simply a product of caloric intake that
exceeded … Key Expert Comments: Overall, experts thought that ReShape Duo has potential to fulfill a
large … Experts thought that liraglutide’s
availability for treating obesity might reduce hospitalizations … Key Expert Comments: Experts thought that available clinical data indicated lorcaserin
seemed … Experts thought
that available clinical trial data was promising regarding liraglutide’s ability to
-
psnet.ahrq.gov/node/858167/psn-pdf
December 13, 2023 - A proposed approach to allegations of sexual boundary
violation in health care.
December 13, 2023
Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation
in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcjq.2023.08.006.
https://psnet.a…
-
psnet.ahrq.gov/node/34588/psn-pdf
January 04, 2017 - The Johns Hopkins Hospital: identifying and addressing
risks and safety issues.
January 4, 2017
Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks
and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50.
https://psnet.ahrq.gov/issue/johns-hopkins-hospital-ident…
-
integrationacademy.ahrq.gov/sites/default/files/2020-07/Update%20Geriatric%20Depression%20Scale-30.pdf
January 01, 2020 - Are you bothered by thoughts you can t get out of your head? YES / NO
7.
-
effectivehealthcare.ahrq.gov/sites/default/files/web-based_willis_respondent.pdf
January 01, 2009 - skills
that
enable
long-‐term
shared
decision-‐making
Slide
10:
Final
Thoughts
-
psnet.ahrq.gov/node/34757/psn-pdf
November 18, 2015 - Unity of Mistakes: A Phenomenological Interpretation of
Medical Work.
November 18, 2015
Paget MA. Philadelphia: Temple University Press; 2004.
https://psnet.ahrq.gov/issue/unity-mistakes-phenomenological-interpretation-medical-work
In this often described landmark text on the nature of medical error, Marianne Page…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-health-pregnant-protocol.pdf
August 24, 2023 - of harming the baby, including thoughts of extended suicidea,b
• Adherence to mental health treatmenta … Outcomes:
• Scores on psychological
assessments
• Cure/resolution of symptoms
• Suicidal thoughts … , attempted
suicide, or death by suicide
• Thoughts of harming the
baby, including thoughts of
extended … or death by suicide associated with
various nonpharmacological interventions
● Relative impact on thoughts … of harming the baby, including thoughts of extended suicide
associated with various nonpharmacological
-
psnet.ahrq.gov/node/43819/psn-pdf
July 16, 2015 - Intercepting wrong-patient orders in a computerized
provider order entry system.
July 16, 2015
Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider
order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed.2014.11.017.
https://psnet.ahrq.g…
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_clinician.pdf
May 01, 2016 - .
�� There is an increased risk of suicidal thinking and behavior in
children, adolescents, and young … These patients should be monitored for emergence and worsening of
suicidal thoughts and behaviors. … Cognitive behavioral therapy (CBT)
Psychotherapy that focuses on identifying relationships among
thoughts … , feelings, and behaviors and aims to change negative
thoughts about oneself and the world and, by doing
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/disruptive-behavior-disorder_consumer.pdf
August 01, 2016 - appetite
��Feeling tired or sleepy
��Stomach ache
��Atomoxetine may increase the risk of
suicidal thoughts … Feeling weak
��Stomach ache
��Upset stomach
��Rash
��Divalproex may increase the risk of suicidal
thoughts … ��Cold symptoms (stuffy nose
and sore throat)
��Aripiprazole may increase the risk of suicidal
thoughts
-
psnet.ahrq.gov/node/34868/psn-pdf
February 03, 2011 - Role of computerized physician order entry systems in
facilitating medication errors.
February 3, 2011
Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating
medication errors. JAMA. 2005;293(10):1197-203.
https://psnet.ahrq.gov/issue/role-computerized-physician-ord…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-executive-summary.pdf
March 01, 2019 - Hospitalization
• Mortality
• Seizures
• Serious adverse events
• Suicide/suicide attempt
• Suicidal thoughts … arrhythmia, ECG-QTc, falls, fractures, mortality, serious
ADEAE, seizures, sodium/hyponatremia, suicidal thoughts … placebo 1 RCT23 Any AE, blood pressure, ECG-arrhythmia, mortality, seizures,
serious AE, suicidal thoughts … RCT25
Any AE, blood pressure, cognitive function, ECG-QTc, fractures,
serious AE, sodium, suicidal thoughts … RCT25
Any AE, blood pressure, cognitive function, ECG-QTc, fractures,
serious AE, sodium, suicidal thoughts
-
psnet.ahrq.gov/node/34993/psn-pdf
June 22, 2009 - Five system barriers to achieving ultrasafe health care.
June 22, 2009
Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern
Med. 2005;142(9):756-64.
https://psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
This commentary builds on the…