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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - I became aware that we were not going to be able to summarize this area the way we
typically summarize … these HIT
data, it became apparent that there was no way to summarize this in a simple way that was going … to be
meaningful to all users, because the information was going to be so highly dependent on the individual … I think that these same kinds of so-called softer
measures are going to be improved most quickly if … Because what's really going to be most interesting to people who are reading
about it is knowing how
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psnet.ahrq.gov/node/33664/psn-pdf
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
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - to learn that having enough faculty and
frontline providers on board to engage in that process was going … But even before this degree of involvement—and even before we knew that we were going to have the
federal … AS: The concern was that it was going to take a lot longer. … I
foresee that's going to continue to improve with time. … That's always going to be an
important piece. We can't get rid of people!
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psnet.ahrq.gov/node/47795/psn-pdf
February 20, 2019 - The author outlines three laws to ensure safety when
going paperless.
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
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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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
April 01, 2006 - They worried that people were going to be so scared about errors that they were never going to come into … They know we're not going to identify them. … We're never going to call a state board or anything like that. … Talk about where you think the field is and where it's going. … The MacArthur Foundation—I mean nobody is going to cook up something like that.
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - That's why we put the very important modifier in the
goal that we were going to achieve a 40% reduction … When I was in practice in the 1990s, it always seemed that information was going in one direction—that … We realized
that the data from the field was going to be hard to analyze. … We
were going for large-scale and quick results, and we allowed flexibility. … does that change your thinking and the Agency's thinking about
the way to structure these programs going
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - MW : During my fellowship, I realized that it was early in the development of the field, and it was going … We still see that here at our place, "Simulation is fine, but I'm not going to let this resident leave … 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/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/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/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/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
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hcup-us.ahrq.gov/db/state/siddist/HCUP-US2013NMSID.pdf
January 01, 2013 - As part of the on-going HCUP quality management program, we have identified an issue with
the 2013 New