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221. In Conversation with…Vineet Arora, MD, MA | PSNet
     psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
     March 01, 2011 - As a result, no one ever really focused on this issue until it was forced upon us, because the idea that … 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

222. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
     February 26, 2025 - This happened in aviation in the 1970s and 1980s, when pilots resisted the idea of the importance of … That's a bit hyperbolic, but essentially the idea that it's okay for me to choose not to follow a safety

223. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
     psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
     February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

224. Quality and the health system: becoming a high reliability organization. | PSNet
     psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
     November 16, 2022 - Review Quality and the health system: becoming a high reliability organization. Citation Text: Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. Copy Citation …

225. Finding antecedents of psychological safety: a step toward quality improvement. | PSNet
     psnet.ahrq.gov/issue/finding-antecedents-psychological-safety-step-toward-quality-improvement
     October 02, 2013 - Review Finding antecedents of psychological safety: a step toward quality improvement. Citation Text: Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. Copy Citation …

226. What's the difference between a hospital and a bottling factory? | PSNet
     psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
     October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49864/psn-pdf
     June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019 Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…

228. Imagining improved interactions: patients' designs to address implicit bias. | PSNet
     psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias
     March 27, 2019 - Study Imagining improved interactions: patients' designs to address implicit bias. Citation Text: Imagining improved interactions: patients' designs to address implicit bias. Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. Copy Citation Sav…

229. In Conversation with… Edward Tenner, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
     June 01, 2011 - ET : I don't think it's necessarily a bad idea. … RW : Checklists are a very hot issue in health care, the idea that things that we've relied on human … ET : I like the idea of checklists up to a point.

230. In Conversation With...Donald A. Norman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
     November 01, 2006 - So one idea is to try to introduce naturalistic sounds and peripheral displays into electronic devices … basis.( 10 ) The business literature on using surprise as a catalyst for creativity is in line with the idea … Lau, a human factors engineer at VA National Center for Patient Safety, provided the author with the idea

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33878/psn-pdf
     April 01, 2019 - This all taps into this idea of trying to address the needs of the injured or harmed person. … The patients and families were not sympathetic to that idea at all.

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840256/psn-pdf
     November 16, 2022 - A key part of our patient safety learning lab is based on the SEIPS 3.0 idea of the patient journey. … Our patient safety learning lab started off with this idea of understanding the system, doing a work

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72613/psn-pdf
     December 22, 2020 - That’s where we got this whole idea of looking at dentistry harm from a system’s level and starting … everyday/dental/ “BigMouth,” that was a big challenge because we had all this procedure data but had no idea

234. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
     July 10, 2024 - The idea was to aggregate the existing reporting systems and learn lessons nationally. … One is the idea that you can manage things entirely by top-down control.

235. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
     psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
     November 01, 2006 - basis.( 10 ) The business literature on using surprise as a catalyst for creativity is in line with the idea … Lau, a human factors engineer at VA National Center for Patient Safety, provided the author with the idea … So one idea is to try to introduce naturalistic sounds and peripheral displays into electronic devices

236. The Safety of Medical Devices | PSNet
     psnet.ahrq.gov/perspective/safety-medical-devices
     June 01, 2011 - ET : I don't think it's necessarily a bad idea. … RW : Checklists are a very hot issue in health care, the idea that things that we've relied on human … ET : I like the idea of checklists up to a point.

237. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet
     psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
     February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

238. Patient safety strategies: are we on the same team? | PSNet
     psnet.ahrq.gov/issue/patient-safety-strategies-are-we-same-team
     September 24, 2014 - Commentary Patient safety strategies: are we on the same team? Citation Text: Moffatt-Bruce SD, Funai EF, Nash M, et al. Patient safety strategies: are we on the same team? Obstet Gynecol. 2012;120(4):743-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33885/psn-pdf
     August 01, 2019 - Once we started having a scribe for physicians, the idea that we were going to take away the scribe … Any idea of how the patients accept this?

240. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33635/psn-pdf
     July 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006 In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withallan-frankel-md Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about how you became interested in this kind of work. Dr. Allan …