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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/perspective/application-safety-ii-principles
August 28, 2024 - often not psychological safety to speak up because of the focus on what went wrong and “What are we going … we can do to enhance learning and bring the walls down, such as a shift in language, is what we're going … instances when they happen, but we should also really be mindful that the learning from those situations is going … sometimes tend to filter and say, “But that's not how we do it” or “I thought we said this is what we were going … And third, it’s important to understand that what has gotten us to this point is not possibly going to
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - often not psychological safety to speak up because of the focus on what went wrong and “What are we going … we can do to enhance learning and bring the walls down, such as a shift in language, is what we're going … instances when they happen, but we should also really be mindful that the learning from those situations is going … sometimes tend to filter and say, “But that's not how we do it” or “I thought we said this is what we were going … And third, it’s important to understand that what has gotten us to this point is not possibly going to
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
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/issue/adverse-events-expecting-too-much-nurses-and-too-little-nursing-research
December 01, 2010 - November 12, 2014
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Going blank: factors
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psnet.ahrq.gov/issue/many-covid-19-survivors-will-be-left-traumatized-their-icu-experience
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A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
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psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
September 18, 2024 - August 31, 2022
Going to the COVID-19 Gemba: using observation and high reliability strategies
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - For the most part, the medical devices are accurate, and the values are going to be similar. … Neal Sikka : On the protocol side, patient selection is important on the front end: Who is really going … From there, you need to know what types of trained staff are going to monitor that data. … We had staff in place and knew this was going to be different from hypertension monitoring where you … had to be very hands-on because we did not know what the course of illness for COVID infection was going
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - For the most part, the medical devices are accurate, and the values are going to be similar. … Neal Sikka : On the protocol side, patient selection is important on the front end: Who is really going … From there, you need to know what types of trained staff are going to monitor that data. … We had staff in place and knew this was going to be different from hypertension monitoring where you … had to be very hands-on because we did not know what the course of illness for COVID infection was going
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psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
October 28, 2020 - Nursing homes have slowly become aware that things like fee-for-service are going away and they need … LP : When we went into lockdown, we thought, it is going to slow down, we are going to come out of it … We’re going to see more deaths from isolation than COVID-19. … If we have another big spike, is the supply chain going forward going to remain sufficient? … And the one party you forget about is the one that is going to screw you up the most.
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - Nursing homes have slowly become aware that things like fee-for-service are going away and they need … LP : When we went into lockdown, we thought, it is going to slow down, we are going to come out of it … We’re going to see more deaths from isolation than COVID-19. … If we have another big spike, is the supply chain going forward going to remain sufficient? … And the one party you forget about is the one that is going to screw you up the most.
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psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
October 19, 2022 - July 19, 2023
Going blank: factors contributing to interruptions to nurses' work and
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psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected-predator-more-20-years
May 31, 2023 - August 17, 2022
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
August 12, 2020 - Part II: where we're going.
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psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
September 09, 2020 - January 18, 2023
‘You’re going to release him when he was hurting himself?’
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psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
May 26, 2021 - Part II: where we're going.
November 13, 2018
The 2016 John M.
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - July 22, 2020
A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
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psnet.ahrq.gov/issue/coronavirus-ravaged-nursing-homes-inspectors-were-not-being-tested
October 14, 2020 - July 22, 2020
A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - January 18, 2023
Going to the COVID-19 Gemba: using observation and high reliability
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
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