-
psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - doctors, pharmacists, Gilbert talked about how
wonderful his caregivers were, and how he loved the idea … I believe leaders need to take an idea like a ventilator
bundle or an idea that they see is perhaps … RW: What a great idea!
-
psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
https://psnet.ahrq.gov//#1
Diagnostic excellence is an emerging idea
-
psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - This idea certainly has intuitive appeal. … Proponents of this idea, including me, believe that when a group of physicians is dissatisfied, stressed
-
psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - What gave you or your colleagues the idea of doing it?
Dr. … Part of it is driven by the idea
that if you don't use a checklist then things are disorganized, and … There's probably an infinite number of things that you
could do that at least someone believes is a good idea … I don't dispute that it's a good idea to adopt tools
like this.
-
psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - same time, I
don't think that people who were tweaking and improving processes in health care had any idea … try to
solve that with a generic tool or by throwing everything at folks—that's generally not a good idea … What do you think about that idea? … BS: The idea of the checklist became the symbol of how it happened.
-
psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - The first point is that having a quiet environment is a good idea irrespective of how people are organized … I don't see how people can argue that
trying to standardize is not a good idea.
-
psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - BB: The nurses that I have talked to have been very high on the idea of being able to call an urgent … We cannot hide incompetent practice behind the idea of systems,
but we must recognize that systems play
-
psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - This latter insight may strike some as a revolutionary idea; it suggests that different organizations … To a social scientist, the idea that you would say systems don't include people seems extraordinary—it's … is a real danger that you take a construct like accountability, and you return to a really unhelpful idea … That seems positive to me because the idea that error and harm are directly linked was probably one of … So the idea that error is the appropriate target has been left behind.
-
psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - DdB: This is an area where people tend to have the idea that if we install the computer everything's … I love the idea of a browser plug-in where you could mouse over a word and have something pop up and … The underlying idea here is that the patient and family can indeed be either direct observers of, or
-
psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - So the general idea is to use leverage to change the world. … Many of them then had to walk the idea through their own boards. So that was amazing to me. … In terms of Rapid Response Teams, the real hard problem here is not whether it's a good idea to spot … I'm not sure we need a tremendous amount of evidence to shore up that idea. … Is this a good idea?
Resources are scarce—especially for personnel.
-
psnet.ahrq.gov/node/867769/psn-pdf
March 12, 2025 - Lessons from Event Reports.
March 12, 2025
Lessons from Event Reports. Patient Safety Authority.
https://psnet.ahrq.gov/issue/lessons-event-reports
Small successes can inform and motivate actions leading to sustainable, evidence-based change. This
searchable collection of projects initiated in response to event re…
-
psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - Is this a good idea?
Resources are scarce—especially for personnel. … So the general idea is to use leverage to change the world. … Many of them then had to walk the idea through their own boards. So that was amazing to me. … In terms of Rapid Response Teams, the real hard problem here is not whether it's a good idea to spot … I'm not sure we need a tremendous amount of evidence to shore up that idea.
-
psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - Long story short, I was a second-year medical student, and I had this crazy idea to start a website called … The idea was that there ought to be a place where doctors can post cases in a way that's
searchable, … The second one is I had a simple idea around how
do you index these cases by different ages, genders … The idea is to create this as a tool for primary care doctors in the front lines of safety net
practices
-
psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - We became frustrated after we realized in the last several years that we had no idea if we were making … For example, the idea of washing hands, it's not something we think about at all, until I realized that
-
psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-quality
February 04, 2015 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea
-
psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
February 03, 2011 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea
-
psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
February 17, 2017 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea
-
psnet.ahrq.gov/issue/how-effective-are-patient-safety-initiatives-retrospective-patient-record-review-study
March 18, 2013 - It also advances the idea that the results highlight some of the limitations of adverse events as a measure
-
psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals
August 03, 2022 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea
-
psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - As a result, no one ever really focused on this issue until it
was forced upon us, because the idea … issues where you have little common ground, the new admission, for example, who the
receiver has no idea … RW: So we've moved away from the idea that there's one way to do handoffs. … VA: Yes, that's very consistent with this idea, and as you allude to, the ACGME 2011 Common Program