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psnet.ahrq.gov/node/60751/psn-pdf
January 01, 2021 - psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
https://psnet.ahrq.gov/issue/going-covid
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psnet.ahrq.gov/node/73243/psn-pdf
May 12, 2021 - issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-syndemic-approach
https://psnet.ahrq.gov/issue/going-covid
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psnet.ahrq.gov/node/837334/psn-pdf
June 08, 2022 - Despite three interventions over five years (education, on-going
feedback, accountability), CLC remained
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psnet.ahrq.gov/perspective/conversation-richard-hoppmann-md
June 01, 2018 - We also made it clear from the beginning that this was going to be about education. … AI is going to be a tool we will use, and we should apply the technology to both education and clinical … Where people are in some ways going beyond what either they or the technology are capable of doing? … What is going to take more extensive training? … We know some practitioners are going to extend their practice beyond their knowledge and skill levels
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-transcript-081811.pdf
June 16, 2021 - This is
something I think Kate is going to touch on and a very, very important issue, the lack of … So with that I’m going to turn the
presentation over to Terry and she will continue with describing … This is going to sound familiar to
you. … And now we are going to hear
from. Dr. … So at this time we’re going to move
into a Q&A session.
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psnet.ahrq.gov/node/37128/psn-pdf
February 24, 2011 - structured sign-out skills to interns and found that participants
were more comfortable with sign-out after going
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - problem analysis and resolution; 5 , 15 and (iv) provision of follow-up, patient education, and on-going … Once I became aware of things that were going wrong, I began to look outside of medicine and to other … What's going through your brain that's not going through that person's brain? … PC: When I came into emergency medicine, nobody sat me down and said, this is what your life is going … To be frank with people and let them know what's coming and the sorts of failures that they're going
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - So if the hospital is going to be tagged with an adverse event that happened at another place, that's … So we're going to have to have the equivalent of the Hertz guy walking around the patients looking at … I don't think that's what Medicare intends, but I think that's the risk of going too far and too fast … RW: The overall policy direction is so sensible that I cannot see it going away. … That's where we need to be investing if we're going to promote patient safety.
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
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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digital.ahrq.gov/sites/default/files/docs/quality-metrics-transcript-042811.pdf
December 31, 2007 - Now we are going to hear from
Andrew Hamilton. Mr. … That is what I am going to share with you today. … I am going to share some of the results of that data in just a moment. … with certain conditions are
going to be given different thresholds. … Yes at this time we are going to open up the floor to
questions.
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - Which one is going to be lethal tomorrow? … So if you're going to use an outcome as a valid
measure of quality, you must have a proven relationship … Ultimately, that is what it is going to take if we are going to meet
the expectations of the public, … RW: One of the things I hear from hospitals is that they understand they are going to be measured,
accredited
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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - And what
I discovered is that they were never going to change because of me. … They were never going to respond to
Intermountain. … I can't tell you how gratified I feel to see my
students going out and changing the world. … This is one of those tipping point phenomena, and it's
going to pick up a lot more speed as it moves … But that as your education level
comes up, fundamentally, senior management doesn't know what's going
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digital.ahrq.gov/sites/default/files/docs/page/2006EmaniGarberFisher_052411comp.pdf
June 16, 2021 - but we all
know that if there is a security system out there, there is a
hacker out there that’s going … • I really don’t want to tell the receptionist my personal what
ever is going on with me.
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digital.ahrq.gov/sites/default/files/docs/Event%20Transcipt%20August.pdf
August 27, 2009 - He's going to speak on the impact that e-prescribing is having and will continue to have
for patients … He will also talk about future directions, where we are
going with research on this, as well as some … of the challenges that we're going to face as we
move forward in this field. … I am going to stop there and say thanks. There will be time for questions at the end. … Certainly that pharmacy information going
back to the prescriber at the points of care.
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psnet.ahrq.gov/node/42687/psn-pdf
September 29, 2017 - safety-checklist-compliance-and-false-sense-safety-new-directions-research
https://psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - DB: I still think that computers are essentially going to be aids for providers. … That being said, I think physicians for the foreseeable future are going to continue to do the thinking … to need some federal or governmental investment if we're going to achieve clinical data exchange on … RW: What are some of the things that you think are going to be especially beneficial in the future? … I think smart monitoring is going to make a really big difference, and we'll start to see a lot of work
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - Second, how do you decide then whether the intervention is going to have a net positive effect? … RW : We're going to segue into health care; let me do it via aviation, which is a common theme in patient … As we think about improving and changing systems, are we always going to be empirically measuring these … dependent not on a single body of doctrine or a textbook but on experience in many examples of things going … RW : I think the socio-cultural phenomenon that you've observed in other industries is what we're going
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - DB: I still think that computers are essentially going to be aids for providers. … That being said, I think physicians for the foreseeable future are going to continue to do the thinking … to need some federal or governmental investment if we're going to achieve clinical data exchange on … RW: Does it drive a more competitive market because the cost of leaving one system and going to another … RW: What are some of the things that you think are going to be especially beneficial in the future?
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Second, how do you decide then whether the intervention is going to have a net positive effect? … RW : We're going to segue into health care; let me do it via aviation, which is a common theme in patient … As we think about improving and changing systems, are we always going to be empirically measuring these … dependent not on a single body of doctrine or a textbook but on experience in many examples of things going … RW : I think the socio-cultural phenomenon that you've observed in other industries is what we're going
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psnet.ahrq.gov/node/854249/psn-pdf
January 01, 2014 - https://psnet.ahrq.gov/issue/what-safety-science
https://psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety