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psnet.ahrq.gov/node/33807/psn-pdf
May 01, 2016 - they could, they often added
these features without real thought by anybody about what is this all going … RW: In part because of your work, we've thought more about the impact on the nurses of these alarms
going … What does it feel like to be a patient or a family member in a room where these are going off
every … We're so worried about
missing something that the idea that people are going to get 100 false alarms … and lab work and tries to create a predictive algorithm about whether you as a
patient are stable or going
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psnet.ahrq.gov/issue/pulse-symposium-2023
October 08, 2023 - symposium on the theme of " The Current Landscape of Patient Safety: Where We’ve Been, Where We’re Going
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - health care management purchased a very expensive system and thought, as a result of that, doctors were going … You cannot manage something based on what you think is going on. … people in charge of managing health care from a distance don't have a good understanding of what's going … You have to spend time now thinking about what you're going to do later, otherwise you won't be able
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - Unfortunately,
people can miss things, and they are certainly not going to pick up on all associated … KH: Is there going be a role at some point for the FDA for ensuring connected, networked technologies … Or is it going to be up to the device manufacturers to put in place safeguards?
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - There’s exciting work going on right now to ensure diversity in
advisory councils. … It is essential to teach and share information about medications for the
transition of going home. … I’m confident we’re going to do better going forward. … I’m going to shift your question a little bit. … Going forward, I believe that we will see a hybrid
model for many PFACs because it is easier for many
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psnet.ahrq.gov/node/837784/psn-pdf
August 05, 2022 - Sarah Mossburg (SM): I’m going to kick us off and ask you to please tell us a little bit about yourself … There was a lost opportunity to engage with our patients more on what’s going on
with their health condition … For example, if we’re going to start a patient on a blood thinner
medication to prevent stroke and want … nonclinical team is not providing medical care at bedside, not interacting with patients, and not going … The
MiCORE study showed that patients who used Corrie had a 52% lower risk of going back to the hospital
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - If you do not know patients’ allergies or medication interactions, you are potentially going to cause … John Riggi: It's going to be pretty obvious. It’s just like a blackout. … Some organizations have designated an office of clinical continuity because it's going to be very hard … The executives are going to have to make a lot of “battlefield decisions” in the face of an adversary … This is crisis leadership, and they are going to have to make decisions that the FBI is not going to
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - If you do not know patients’ allergies or medication interactions, you are potentially going to cause … John Riggi: It's going to be pretty obvious. It’s just like a blackout. … Some organizations have designated an office of clinical continuity because it's going to be very hard … The executives are going to have to make a lot of “battlefield decisions” in the face of an adversary … This is crisis leadership, and they are going to have to make decisions that the FBI is not going to
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - Did the pharmaceutical industry
recognize a market opportunity, or was there something more going on … Going up to 80 or 100
or 200 is the wrong thing to do, although we did it quite a lot. … The problem is that we cannot identify a priori which patients are going to be
benefitted more than … There's no way of identifying who is not going to be harmed. … listen, in the
first few weeks of therapy if it's clear that you aren't a whole lot better, we're going
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - front of the patient and staff that, "All you anesthesiologists want to do is cancel cases and you're going … with the items on the checklist and the nurse speaks up and the doctor wantonly says, "No, I'm not going … I don't think that writing guidelines every 3 to 5 years is going to be the answer. … work, certainly stories or qualitative data are informative—especially for things that we're never going … It's not going to happen just by encouraging people to do better.
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - They worried that people were going to be so scared about errors that they were never going to come into … They know we're not going to identify them. … We're never going to call a state board or anything like that. … Talk about where you think the field is and where it's going. … The MacArthur Foundation—I mean nobody is going to cook up something like that.
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - truly believe that this is the right thing to do, and there's a humbleness that I'm human, we're never going … front of the patient and staff that, "All you anesthesiologists want to do is cancel cases and you're going … with the items on the checklist and the nurse speaks up and the doctor wantonly says, "No, I'm not going … I don't think that writing guidelines every 3 to 5 years is going to be the answer. … It's not going to happen just by encouraging people to do better.
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - RW : Was there a moment where you realized you were going to make it? … I am always thinking about what's next and how are we going to support future research. … That means that there's going to be some tension between the acts of research in improvement and the … What are the things that keep you going? … But it's going to take some time for all of this to come to fruition so I hope to be busy for years to
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - RW : Was there a moment where you realized you were going to make it? … I am always thinking about what's next and how are we going to support future research. … That means that there's going to be some tension between the acts of research in improvement and the … What are the things that keep you going? … But it's going to take some time for all of this to come to fruition so I hope to be busy for years to
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psnet.ahrq.gov/issue/action-against-medical-accidents
February 19, 2020 - April 24, 2013
Going to the COVID-19 Gemba: using observation and high reliability strategies
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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - leaders visiting hospital wards to hear directly from frontline staff about concerns and what is going
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psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - ensure that those targets were being delivered—without, frankly, a huge amount of thought to how we were going … We weren't going to performance manage against these targets in the traditional sense. … I'm probably not going to start now. … Because you're absolutely right, 160 people at IHI just aren't going to tackle that agenda that we laid … think what they get from health care currently is a multiplicity of perspectives on what it's really going
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psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain
November 01, 2023 - November 4, 2020
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap
September 20, 2023 - October 28, 2020
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - to focus on clinical outcomes without
making the business case for why these improvements are also going … So we study nurses as informants of everything going
on in hospitals and other clinical settings because … RW: So 10 years from now how is all of this going to look? … for resources, I can see why
managers would want to know if they make an investment in x that y is going