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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - The idea is recognizing that people are going to do that and educating them about what can they do to … People said, "I cannot stay out the extra day because I'm going to have to go spend money to go to my … Also, it can help an institution in that, if people are going to their own health care facility, they … RW : Some who read or listen to this will say this is more evidence that medicine is going to hell in … These readers may say "Sure, this is all fine if you're going to work in a box store, but medicine is
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - If somebody is speaking a different language from you, you’re not going to understand. … It’s going to look different by necessity but can all result in cultural and linguistic competence. … Where are we going and where should we be going? … For example, there is a hospital that I know of that decided they were going to measure whether there … Is that going to be the right time period? Who knows!
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - If somebody is speaking a different language from you, you’re not going to understand. … It’s going to look different by necessity but can all result in cultural and linguistic competence. … Where are we going and where should we be going? … For example, there is a hospital that I know of that decided they were going to measure whether there … Is that going to be the right time period? Who knows!
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - wrong, it's probably because someone didn't execute on the answers in the
proper way," you are not going … I have some thoughts about how we might get started, and your expertise is going to be
invaluable. … More snooping might enable a return to the 1950s where I'm the
boss and I know what's going on the floor … RW: And that adds another layer because the team now more explicitly is going to include the patient, … The cost trends cannot keep going the way they've been going.
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - So if you're going
to advocate for this adversarial system, it must be on the basis of deterrence. … It's one thing to do this where
the insurer knows that they're going to pay on this claim eventually … We're going to continue to take care of patients." … Everybody is going to get there eventually, and the question is how do we
prepare for that transition … to be what constitutes reasonable care going forward.
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - Suddenly there appeared to be very strong evidence that going through a checklist before a
surgical … 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 … If something is going to work and people believe it will, then it
probably makes sense to mandate its … RW: Any sense of where this issue is going to go in the future?
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - saving time and into doing
something that they knew wasn't right but they did it anyway, I'm still going … We're going out to ask a specific set of questions. Each particular walk has a
theme. … It's going to
take time to build up even just a basic level of comfort let alone building up trust to … It's going to take longer and
maybe be more expensive upfront, but there's a great Lean lesson from … Unless they're going to take a
different approach with Lean, I don't know why they would expect more
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Maybe we were observing that people were going
home in a transient state of generalized vulnerability … They went into a patient's
room and said, "10 people are going to introduce themselves at discharge: … Or we can say you are punch-drunk from everything we have done to
you, and now we're going to set an … For example, on the consult service, we don't tell
people when we're going to visit them. … HK: The digital revolution is going to be transformative in health care.
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - On the other hand, if you feel like
you're going to be ignored or labeled as a problem or seen as a … And they all answer the question for
themselves: Are you going to feel supported socially and emotionally … nurse in Unit X doesn't really care what the hospital says, so much as how his or
her actions are going … So for the
hospital with 5000 caregivers, the denominator is not going to be 5000, it's going to be … They have researchers who put on their "publish or
perish" research hats and say, "We're going to add
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psnet.ahrq.gov/node/33635/psn-pdf
July 01, 2006 - They're also going to make sure that feedback occurs, so that these actions get
back to the providers … AF: If you're in a small organization you're going to wear multiple hats. … But to develop the decision support that enables the rules that are going to show
up as alerts and so … I'm not going to let the media?nor, quite frankly, the lawyers? … In terms of keeping people's morale up, I would obviously describe that differently if I was going to
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - The idea is
recognizing that people are going to do that and educating them about what can they do to … People
said, "I cannot stay out the extra day because I'm going to have to go spend money to go to my … Also, it can help an
institution in that, if people are going to their own health care facility, they … RW: Some who read or listen to this will say this is more evidence that medicine is going to hell in … These readers may say "Sure, this is all fine if you're going to work
in a box store, but medicine is
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - We were going to give the money to cancer research for children, build a playground for kids with cancer … These systems are eventually going to break down and something is going to happen that wasn't that doctor's … But something bad is going to happen and it's going to look like it's that person's fault or that person … is going to feel like it was their fault that they hurt this patient. … That's why we keep going on with what we're doing.
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - They may think, "I'm not going to put up with scrutiny any longer. … I'm leaving and
going someplace where my technical skills will be appreciated." … RW: I'm going to focus on a few external drivers of all this. … when we are invited to partner with an organization,
someone always says, "I already know who you're going … We need to commit to the patient that not only
are we going to try and make it right, we're going to
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - It's hard to know about what things are going wrong. … US : I'm going to go out on a limb and say one size fits all here. … Primary care transformation is going to vastly improve patient safety. … I am very optimistic because we're going to be in a much better place because of these. … Those forces are going to all collectively improve safety.
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - They're not going to do that 100 times a year, they're probably not even going to do it 40 times a year … So, it's sort of pointless to do a full court press on multiple investigations if you're not going to … Otherwise, how are you going to see a latent problem that's come up over and over again? … What they don't want to do is fill out 20 different questions on exactly what was going on and do you … They're going to need a whole group to go to the company and say, "Redesign your pump."
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - It's hard to know about what things are going wrong. … US : I'm going to go out on a limb and say one size fits all here. … Primary care transformation is going to vastly improve patient safety. … I am very optimistic because we're going to be in a much better place because of these. … Those forces are going to all collectively improve safety.
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - They're not going to do that 100 times a year, they're probably not even going to do it 40 times a year … So, it's sort of pointless to do a full court press on multiple investigations if you're not going to … Otherwise, how are you going to see a latent problem that's come up over and over again? … What they don't want to do is fill out 20 different questions on exactly what was going on and do you … They're going to need a whole group to go to the company and say, "Redesign your pump."
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - Do we have ways to check if we are going off the rails built into the
process? … Not every organization is
going to have that kind of leader. … We looked at
implementations of high reliability in a system that did not go great, but in not going … will scale up
to being a highly reliable hospital,” we have to work on how we are going to marshal … People feel like their organization is going to help everyone move forward, which can help restore faith
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - And what I discovered is that they were never going to change because of me. … They were never going to respond to Intermountain. … I can't tell you how gratified I feel to see my students going out and changing the world. … This is one of those tipping point phenomena, and it's going to pick up a lot more speed as it moves … But that as your education level comes up, fundamentally, senior management doesn't know what's going
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - At the same time, if we have leaders who are punitive in their response to events, we are not going … At the same time, when we go out and interview staff
in those organizations, they are not going to tell … As a
patient safety manager, it’s not the right approach to say “I’m going to change the way that we … do root
cause analysis, but I’m not going to talk to the risk management staff because they probably … If we have staff that
feel harmed emotionally and physically, they are not going to be able to take