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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - How does the work of registry data collection and analysis change, and where is that going over the next … also the practicality of that—would there be less engagement with these systems if you knew it was going … If you don't have the skills, you're not going to do hepatobiliary surgery. … You're going to go do something more straightforward. … The decision by them not to dilate his abdomen was tantamount to gross neglect.… I'm now going to turn
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - What's going to be acceptable? And then we look at assets in the community. … If we're not going to reimburse, it's just not going to happen. … They know what's going on. … when patients come to the community health worker with a sore throat or a cold and they are used to going … Some states are going back to the requirement that telemedicine is done with video, and this will result
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - analysis and it was consuming all of their time, and they were not sure in the end what the result was going … to be—whether it was going to actually help their institution to improve quality or safety. … They then use experts in patient safety to look at what may be a signal and to help interpret what's going … individual hospitals and groups of hospitals and hospital systems, where they exist, should track what's going
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - particularly in physician-owned practices, it was the group deciding the
balance of how they were going … thinking about joy in practice, I'm thinking about getting up in the morning and being
enthused about going … One of the challenges has always been that it's going to take efforts
at all different levels within … CS: I do think that they are related and that focusing on professional satisfaction is going to be one … autonomy, mastery, and purpose and making this job a series of rigid metrics and "nastygrams," that's not
going
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - context of ambulatory care, in which the patient is the primary driver of safety and 99% of the care is going … We often jump to thinking about how are we going to speak more clearly
and more nicely to the patient … The teach-back method is simply asking patients to report, in their own words,
what they're going to … "When you go home
and your grandchild asks you what the doctor said about your heart, how are you going … , because then the patient is almost
universally going to say, "Yes, that was great."
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - CL: This was a concern going into the study, but it turned out to be less of a problem than we had thought … If you are going to
implement these types of schedules broadly, where you need four interns instead … We're going to have to see how
this actually plays out, and what works best may vary from unit to unit … There has been pressure within the nursing
community to keep shifts limited because of data, going back
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psnet.ahrq.gov/node/33816/psn-pdf
October 01, 2016 - of IT systems to find data, even when it's recorded in
different places and in different ways, is going … If the data aren't captured or there's
no more record of how it got to be the way it is, then we're going … So the system fired off signals of an outbreak when in fact nothing
had been going on. … How is that going?
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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
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - I can't imagine going anywhere else, because I am trans and am
unsure about the care I would receive … A lot of the fear that LGBTQ+ have when going to providers
is—am I going to be seen as a human? … Am I going to get the care I need? … the imaging in your organization is of straight, white people, only straight, white people
are truly going
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - point as an
opportunity to actually improve safety rather than thinking of it as a point where they’re going … In any project, there are going to
be surprises. … We don’t know what they are, but we know that stuff is going to happen. … Whether it’s going to get implemented in other systems I don’t know. … A lot of it is probably going to be also diffused through other mechanisms, such as
publications, presentations
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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/perspective/conversation-edward-kelley-phd
December 01, 2014 - same thing you've been trying to do which is give people the best quality care possible, but we're going … In some countries that's going to mean putting electronic health records in people's hands, giving them … It's just not going to happen, or not going to happen easily. … Now I see in many countries there's going to be a big global focus on what the international community … Every new hospital that they opened would start with discussions from the patients that were going to
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
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 the … Again, the coach isn't going to solve all the discrepancies, but the coach needs at least to be able … hospital team automatically make a whole series of assumptions about what that family member's role is going
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psnet.ahrq.gov/perspective/care-transitions
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 the … Again, the coach isn't going to solve all the discrepancies, but the coach needs at least to be able … hospital team automatically make a whole series of assumptions about what that family member's role is going
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - The strong organizations are going to be able to look at all that data and cycle it through operations … 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 … 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/perspective/disclosure-medical-error
January 01, 2009 - We are going to do what it takes to make you better and make sure the same thing does not happen again … If you're going to offer an apology, should it be an expression of regret ("I'm sorry about what happened … This is a shift we're going to see over the next few years—more and more disclosure being considered … It involves going in, quickly ascertaining what the patient knows about what's happened, and then, in … Then let the patient know we're going to look into this event carefully and we'll be back in touch to
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - If you're going to offer an apology, should it be an expression of regret ("I'm sorry about what happened … This is a shift we're going to see over the next few years—more and more disclosure being considered … It involves going in, quickly ascertaining what the patient knows about what's happened, and then, in … Then let the patient know we're going to look into this event carefully and we'll be back in touch to … We are going to do what it takes to make you better and make sure the same thing does not happen again
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - The strong organizations are going to be able to look at all that data and cycle it through operations … 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 … 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/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - same thing you've been trying to do which is give people the best quality care possible, but we're going … In some countries that's going to mean putting electronic health records in people's hands, giving them … It's just not going to happen, or not going to happen easily. … Now I see in many countries there's going to be a big global focus on what the international community … Every new hospital that they opened would start with discussions from the patients that were going to
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
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 … Tim Vogus: I am not going to give big, sweeping pronouncements here because of the limitations we talked … will scale up to being a highly reliable hospital,” we have to work on how we are going to marshal tools