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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - Given the ongoing shortage of nurses, nursing is going to have to change the way it does its work. … That pressure is going to continue, if anything it's going to get worse. … What we saw through the 1990s was length of stay going down, patient acuity going up, and nursing not … They need to embrace systems in which reimbursement is going to be tied to reduction of never events, … JN : A couple of things are going on.
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - LL: Well, there was a moment when I decided I was going to leave surgery. … You're not going to be able to take care of your patients. … I didn't really know what I was going to do. … But he convinced me that it was going to be a lot more than that, so I signed on. … It's going to take years. But I think it's really moving.
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - LL: Well, there was a moment when I decided I was going to leave surgery. … You're not going to be able to take care of your patients. … I didn't really know what I was going to do. … But he convinced me that it was going to be a lot more than that, so I signed on. … It's going to take years. But I think it's really moving.
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psnet.ahrq.gov/node/33660/psn-pdf
December 01, 2007 - system is having
appropriate measurement in place so that we can actually judge whether things are going … EC: Most solutions are going to be local. … At
each opportunity, the coach encourages the patient to speak up, even going as far as giving them … Again,
the coach isn't going to solve all the discrepancies, but the coach needs at least to be able … EC: We have sought out experts across the country to help us in our thinking, even going as far as
preparing
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psnet.ahrq.gov/node/33704/psn-pdf
December 01, 2010 - If I admit to you that I don't know if I did wrong, or I did do wrong, or we don't know what's going … on, we have a belief system that people are going to sue us. … Somebody's going to find out
and want the story. … One of your employees is going to call somebody at the paper or television station. … And if something goes wrong,
then say, "Well, we're going to work on that, too."
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - We are humans interacting with humans, which means we're going to make mistakes. … We know who's going to be doing the right thing and have the integrity of doing it when
nobody is looking … That person is Sam W., a 21-year-old man who wanted to be a
paramedic and that wasn't going to be an … For
example, instead of having a rehab goal of walking 50 feet with the pulse oximeter not going below … to make a mistake and that mistake is going to harm somebody's mother, brother,
father, sister.
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Really thinking about how population management is going to be done, how telehealth can be integrated … I think there are going to be some potential improvements for patient safety from that perspective. … If you’re bad at that in person, you are going to be worse with telemedicine. … We know that 80% of what is going on with the patient is in the medical history. … On some level, it’s going to be practice dependent and provider dependent.
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - KH: And so for your Learning Lab work, it’s really focused around that first week after going home? … Otherwise, they are not going to call when they're concerned, they're not going to call until it’s a … We're going to do workshops with nurses and providers and then with patients to think about how we’re … going to explain this important stuff—what are the elements and then how are those presented? … Now that you are starting to have these data, what are you going to do with it?
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - KH: And so for your Learning Lab work, it’s really focused around that first week after going home? … Otherwise, they are not going to call when they're concerned, they're not going to call until it’s a … We're going to do workshops with nurses and providers and then with patients to think about how we’re … going to explain this important stuff—what are the elements and then how are those presented? … Now that you are starting to have these data, what are you going to do with it?
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - Even if they're both community hospitals or both academic medical centers, they're going to function … If you were going to build a safety program around some of these principles, what would you recommend … The second thing that we're going to be working on is interhospital transfers. … SH : I think we're going to find what the reasons are for interhospital transfer and how much has to … We're going to find an opportunity to transfer to lower levels of care that we're not picking up from
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - Even if they're both community hospitals or both academic medical centers, they're going to function … If you were going to build a safety program around some of these principles, what would you recommend … The second thing that we're going to be working on is interhospital transfers. … SH : I think we're going to find what the reasons are for interhospital transfer and how much has to … We're going to find an opportunity to transfer to lower levels of care that we're not picking up from
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - If you're going to really do that, then you have to build it into the budgets, you have to make space … They're going to their advisors and saying we need you to help us design and evaluate our telehealth … systems are putting dollars behind this as a way to indicate that they are serious, but they’re also going … A once-a-month PFAC meeting is going to continue because that can be a very good anchor, but we have … Are you going to just start doing this?
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psnet.ahrq.gov/node/38958/psn-pdf
September 16, 2009 - column offers advice for consumers on what personal health and medical information to prepare
before going
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psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - We also don’t understand the connection between hospitals and the ambulatory space and that’s going to … It’s also interesting to think about if we’re going to abandon some practices because they failed. … We thought that was going to be the answer, but later figured out it was not the best approach. … You’re going to turn to it often to see where the state of the art is, and then go deeper from there … BS: I’m going to echo something that Ann said earlier, I think that the delirium piece is undervalued
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - We also don’t understand the connection between hospitals and the ambulatory space and that’s going to … It’s also interesting to think about if we’re going to abandon some practices because they failed. … We thought that was going to be the answer, but later figured out it was not the best approach. … You’re going to turn to it often to see where the state of the art is, and then go deeper from there … BS: I’m going to echo something that Ann said earlier, I think that the delirium piece is undervalued
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - If a safety intervention is going to work, it has to be practical. … Not every single hospital is going to have an extremely motivated and focused team that is going to develop … If something is going to work and people believe it will, then it probably makes sense to mandate its … If a friend or family member of yours calls you, says he or she is going in for surgery and the surgeon … RW : Any sense of where this issue is going to go in the future?
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - The change in paradigm is going to encourage radiologists to slow down and take more time to ensure they … make fewer mistakes, but it’s not going to make the volume of work go away. … AI is not going to be reading an MRI of the abdomen instead of a radiologist any time soon. … KH: Do you think AI is a passing trend that is going to be too overwhelming to adopt in the long-term … That is all to say I don’t think AI is going away. This is here. This is now.
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psnet.ahrq.gov/node/60310/psn-pdf
May 06, 2020 - This
story highlights how patient and family discomfort with going to the emergency room for non-COVID
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psnet.ahrq.gov/node/47795/psn-pdf
February 20, 2019 - The author outlines three laws to ensure safety when
going paperless.
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - Once we had identified these candidate indicators both from literature review and from going through … RW: If you were a patient thinking about going to a hospital, how would you figure out whether it was … It has to be viewed in the context of what's going on in terms of quality
improvement, what's going … Going forward, I think AHRQ is trying to figure out how
to align these different pathways. … I think these trends are converging, and going
forward I'm hoping that it will be easier for hospitals