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psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
April 26, 2023 - September 22, 2021
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
September 09, 2020 - May 26, 2021
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
April 06, 2022 - December 17, 2020
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department
May 31, 2023 - December 21, 2022
Going to the COVID-19 Gemba: using observation and high reliability
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psnet.ahrq.gov/issue/addiction-disease-isolation-so-pandemic-puts-recovery-risk
May 05, 2021 - May 12, 2021
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
March 15, 2022 - May 12, 2021
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - Part II: where we're going.
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psnet.ahrq.gov/issue/embedded-bias-how-medical-records-sow-discrimination
May 24, 2023 - May 24, 2023
‘You’re going to release him when he was hurting himself?’
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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.
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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.
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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.
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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.
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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.
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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.
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psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
July 24, 2024 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - I think the approach that we are
going to fix specific conditions is a more vertical approach. … We are only going to get so far with siloed,
vertical approaches and we probably need to also implement … In acute care, the questions with regard to
mobility is who is going to ambulate the patient?
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psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience
February 21, 2024 - August 5, 2020
A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - I think it's going to have better outcomes. … It takes a lot of work, but it's work that is mandatory if we’re going to have a successful program and … KH : Going back to the patient and the care partner education, that sounds like a pretty important part … I think anything we can do to help alleviate some of that burden through technology is going to be very … JAM : Kidney disease isn't going away, and I think when we are looking at treatment options, we have
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - You know, that delicate artistic balance between you really know what is going on with the patient, but … Then they realize they're not competent primary surgeons, but they all are going to do a fellowship now … I'm not going to sit there and fight with a patient. … LS : I think it's only going to get more difficult, especially in the procedural fields. … If we don't tackle this now, it's only going to get more difficult.
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - You know, that delicate artistic balance between you really know what is going on with the patient, but … Then they realize they're not competent primary surgeons, but they all are going to do a fellowship now … I'm not going to sit there and fight with a patient. … LS : I think it's only going to get more difficult, especially in the procedural fields. … If we don't tackle this now, it's only going to get more difficult.