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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - We're going to turn it on, and it's going to transform everything. … Understanding that deeply, as I came to do, convinced me that health care is going through the same phase … You're going to see solutions coming from companies that we don't think of as health care companies. … Sometimes that's going to be reimagining some new technology that we have to develop or bolt on. … Sometimes it's going to be us saying, "I didn't expect that we would stop going down to radiology now
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psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
August 01, 2009 - And it's going to go wrong because what you're trying to do is so complex that your understanding has … And because they're still there, they're going to cause a problem for somebody else. … If you look at the financial market, what will happen is that for all the finger pointing that's going … to go on, we're going to find very few people who broke the law. … Is it going to send patients to places that suffer a very high incidence of never events or is it going
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - We're going to turn it on, and it's going to transform everything. … Understanding that deeply, as I came to do, convinced me that health care is going through the same phase … You're going to see solutions coming from companies that we don't think of as health care companies. … Sometimes that's going to be reimagining some new technology that we have to develop or bolt on. … Sometimes it's going to be us saying, "I didn't expect that we would stop going down to radiology now
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Or examples of things going right that seem very obvious to me, in the same ways we don't learn about … So if we're going to implement something, we have to know this thing actually works. … No two interventions are going to be exactly the same in how you implement them. … MDW : That is, in fact, where my current research program is going. … RW : I guess the question going forward is the same scaling question.
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - We still see that here at our place, "Simulation is fine, but I'm not going to let this resident leave … There will be a move that way for new trainees, and those folks are then going to be more comfortable … I'm going to give a beta blocker." … Two other advances that we're just beginning to see are going to be really exciting. … That's something patients are going to want.
RW : I'd want that. That sounds good.
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - And it's going to go wrong because what you're trying to do is so complex that your understanding has … And because they're still there, they're going to cause a problem for somebody else. … If you look at the financial market, what will happen is that for all the finger pointing that's going … to go on, we're going to find very few people who broke the law. … Is it going to send patients to places that suffer a very high incidence of never events or is it going
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - I would also inform them that a
letter describing their behavior was going to be placed in their credentials … Impressively, the CMO acted promptly, by calling the resident and physically going to the
radiology
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Our data continually inform us of what is
going on across Pennsylvania, and then we can tailor our feedback … That is where our challenge really is going forward.
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - Going back to what you suggested: that the current energy or motivation for
hospital administrations … This is what they should do: Sit back and think very, very carefully about
who is going to be involved
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
June 01, 2021 - Slide 1
Objectives
SAY:
In this presentation, we are going to discuss some scenarios that may occur … You also engage the family members: “If you’re going to be here for a while, maybe you can encourage
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - knowing what the patient’s plan is through briefings and team management,
· being aware of what is going … preoperatively, prior to incision, at end of case prior to transfer to recovery); being aware of what is going
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www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
January 01, 2024 - physician/nurse dyad
described how participating in the study would change their communication practices going … physician/nurse dyad
described how participating in the study would change their communication practices going
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - I don’t think we’re going to reinvent science here at this hospital and I think we should adopt these … reasonable surgeon…If you come in and you’re an internist… into a group of surgeons…the first thing we’re going
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
November 24, 2020 - Ask patients what they think is going on
Conduct a thorough history and physical examination
Set a … Our team is going to conduct a baseline evaluation that we are asking all of you to participate in.
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digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
September 13, 2018 - You can wait until most of their prescriptions are going to be up for
renewal, and therefore will not … My guess is that in the real world, there will be both types of patients that
we’re going to want to
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psnet.ahrq.gov/node/43937/psn-pdf
May 05, 2018 - /issue/targeted-medication-safety-best-practices-hospitals
https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
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psnet.ahrq.gov/node/46915/psn-pdf
April 16, 2018 - review discusses the
development of the RIGHTT mnemonic (Risk for adverse event, Insight into pain, Going
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - RW: I might have envisioned trying to have your own people going into all these surgeons' ORs to film … removing all of the measurement noise associated with some cases being harder than
others and some cases going … well and others going poorly. … the surgeons that agreed to
participate in this study went into this study thinking that they were going … RW: If you were a patient and you saw those videos, you would be quite scared that you were going to
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - You're not doing anyone a favor by rigorously evaluating something that's not going to work. … Then if it looks like it's
promising—if it's going to be an accreditation standard or some other widely … RW: I have residents in our M&M say that "Here's what I thought was going on, but I was worried that … In the late
1980s, it seemed like we were going to try to make everyone into Gordon Guyatt or David … But what are you going to do if you're in patient safety?
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digital.ahrq.gov/2019-year-review/research-summary/using-aviation-technology-prevent-healthcare-errors-health-it
January 01, 2019 - And if they are not getting studied and understood, then we are never going to be able to design them … 20, 30, 40 times a day, and now all of a sudden they're in what we call automaticity mode, they're going