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Total Results: 2,840 records

Showing results for "going".

321. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
     February 26, 2025 - At the same time, if we have leaders who are punitive in their response to events, we are not going to … At the same time, when we go out and interview staff in those organizations, they are not going to tell … We have individuals going out into individual homes, where some serious events occur, like patient falls … 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

322. The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/evolution-root-cause-analysis
     February 26, 2025 - At the same time, if we have leaders who are punitive in their response to events, we are not going to … At the same time, when we go out and interview staff in those organizations, they are not going to tell … We have individuals going out into individual homes, where some serious events occur, like patient falls … 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

323. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
     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

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33615/psn-pdf
     June 01, 2005 - What are we going to do differently? … tool), educate on the science of safety, and then ask your front-line workers how they think they are going … He or she needs to review the staff's concerns about how they are going to harm patients, and then commit

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49649/psn-pdf
     March 01, 2012 - specifically cultural-related symptoms including nhuc nahn, shame and dishonor, and muon dien len, going … Going through a DSM-IV checklist for depression is not sufficient to establish a diagnosis of depression … include unique cultural symptoms such as feeling shameful and dishonored and feeling as though one is "going

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73553/psn-pdf
     July 28, 2021 - KH: For the quality assurance aspect of this, would that be you going back through and doing audits … They spent a little time talking with the patient and telling them what they thought might be going … simulations has been critically important and allows us to go through circumstances that the providers are going … encounter very, very rarely—for example, childbirth, which is not something that most EMS providers are going … Most providers are only going to see that once in their career.

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838222/psn-pdf
     September 28, 2022 - practices and clinicians to occasionally look out over the windowsill, open the door, and look at what’s going … What’s going on in the neighborhoods related to education, employment, transportation, and housing, … I think when you say “patient safety,” oftentimes people hear “medical errors” and you’re going to point … That’s what it gets down to—that if we’re going to work on behalf of our patients, we should be leading … That’s a needle going into the skin that’s painful, but it’s not a major life-threatening medical mistake

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33756/psn-pdf
     October 01, 2013 - generally true, it is also true that the benefits tend to plateau: after you reach a certain dose, going … RSB: You would think that if you're going to develop and promote higher dose multiphase studies that … There's some work going on to engage physicians and patients in shared decision-making about imaging … We're going to be doing this to you and this could be causing cancer as opposed to finding it. … But going forward all of us need to start doing this.

329. Development and implementation of an oral sign-out skills curriculum. | PSNet
     psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculum
     February 15, 2011 - structured sign-out skills to interns and found that participants were more comfortable with sign-out after going

330. ISMP Medication Safety Intensive. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-safety-intensive
     February 05, 2025 - Part II: where we're going.

331. How America’s health care system fails women in pain. | PSNet
     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?’

332. An E.R. kicks the habit of opioids for pain. | PSNet
     psnet.ahrq.gov/issue/er-kicks-habit-opioids-pain
     May 27, 2020 - May 27, 2020 A nursing home’s 64-day Covid siege: ‘They’re all going to die’.

333. Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant. | PSNet
     psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant
     September 22, 2021 - March 25, 2020 ‘You’re going to release him when he was hurting himself?’

334. Dennis Quaid files suit over drug mishap. | PSNet
     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?’

335. Patient Safety During Hospital Discharge | PSNet
     psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
     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.

336. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
     psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
     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.

337. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
     psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
     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.

338. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
     psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
     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.

339. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
     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.

340. In Conversation With… Sharon K. Inouye, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
     December 01, 2012 - They're a little hyponatremic, going into renal failure, and on medications that maybe the doctor has … You have to very thoughtfully look through everything and it's probably not going to be solved by just … But right now the only way to reliably identify the delirium is from someone going to the bedside. … We're going to have national guidelines for delirium within 2 years. … So there is a lot of stuff going on. It's just as you know, a very, very slow process.