-
psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
January 22, 2016 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
-
psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - September 1, 2021
‘You’re going to release him when he was hurting himself?’
-
psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
January 03, 2017 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
-
psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - about 45 cents of every insurance premium dollar ending up in the hands of patients, with the rest going … Finding the solution is going to require firm evidence and more research on comprehensive reforms. … We are going to great lengths to identify those outliers based on provable metrics that are relevant … We need to be robust enough to start asking those harder questions if we're going to make a difference … I don't think we're going to fix this until we realize that we need to protect doctors.
-
psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - We are going to great lengths to identify those outliers based on provable metrics that are relevant … We need to be robust enough to start asking those harder questions if we're going to make a difference … I think talking to leadership and making sure that you're not going to get your head handed to you the … I don't think we're going to fix this until we realize that we need to protect doctors. … Finding the solution is going to require firm evidence and more research on comprehensive reforms.
-
psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - July 22, 2020
A nursing home’s 64-day Covid siege: ‘They’re all going to die’.
-
psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
-
psnet.ahrq.gov/issue/ades-and-automation
January 15, 2014 - May 23, 2013
What's going well: a qualitative analysis of positive patient and family
-
psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - Part II: where we're going.
November 13, 2018
The 2016 John M.
-
psnet.ahrq.gov/issue/medication-administration-time-study-mats-nursing-staff-performance-medication-administration
February 21, 2018 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
-
psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - May 26, 2021
‘You’re going to release him when he was hurting himself?’
-
psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - That approach by health care professionals is not going to keep people safe. … It's not going to result in the best outcomes. … A clinician can say, "I'm going to be talking about some options and teaching our trainees." … But it is also that they can and should, I'm going to say confront for lack of a more delicate word, … me that I cared more about my health than anyone else, and that I needed to be careful about who was going
-
psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - RW: Some places that have read about your work are going to try to begin a service that looks like yours … based on where the patients are located, how hard it is to move them, and what kind of procedure we're going … right, how to adapt, and what other maneuvers or adjustments you can do so that the procedure ends up going … This is just my opinion, but I think if you drop down below 50% of your time doing procedures, you're going … morning in the ICU, if a patient is crashing and needs a line for pressors or blood products, it's going
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - training on how cognition works, how easily it goes astray, and how you might be able to
prevent it from going … Watson beat the Jeopardy champions a few years ago, you couldn't help but say, "I
know how this is going … How good
am I going to be at diagnosing a disease that I may have only seen once in my lifetime, or … We could start in medical school to ask students, how well do you think you're going to
do on this test … You outlined some important recommendations, this is terrific, and we're
going to get started.
-
psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - Or is it the
malpractice issue, with everybody going to their own corner after an error? … Did you have a sense of which
of those you thought were going to be the most important things to tackle … At the end of the day, some patients are going to call or email their doctors about a perceived problem … The reporting tool adds a formal flow so that it's landing in the same box and going
through a step-by-step … It also offloads the clinicians, because the messages come through a
central mechanism rather than going
-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - We are going to great lengths to identify those outliers based on
provable metrics that are relevant … We need to be robust enough to start asking those harder questions if we're going to
make a difference … I think talking to leadership and
making sure that you're not going to get your head handed to you the … and say that there's one other thing
that I think we need to pay attention to if nationally we're going … I don't think we're going to fix this until we realize that we need to protect doctors.
-
psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Canadian astronaut Chris Hadfield
summarized this best in a TED talk entitled, "What I learned from going … And
we don't just practice things going right, we practice things going wrong all the time.... … What I learned from going blind in space. TED2014.
-
psnet.ahrq.gov/issue/power-regret
February 17, 2011 - Related Resources From the Same Author(s)
Off the record — avoiding the pitfalls of going
-
psnet.ahrq.gov/issue/nursing-perception-impact-medication-carts-patient-safety-and-ergonomics-teaching-health-care
May 29, 2014 - September 26, 2016
Going blank: factors contributing to interruptions to nurses' work
-
psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
July 08, 2009 - November 10, 2021
Going to the COVID-19 Gemba: using observation and high reliability