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241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74252/psn-pdf
     January 12, 2022 - And when there was a challenge to patient safety, there was action to resolve it, and no idea was a … bad idea.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33730/psn-pdf
     June 01, 2012 - 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.

243. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. | PSNet
     psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
     October 20, 2021 - Review The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. Citation Text: Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health …

244. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
     February 26, 2025 - 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.

245. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? | PSNet
     psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
     May 28, 2014 - Study Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? Citation Text: Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…

246. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
     November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

247. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
     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

248. What Have We Learned About Safe Inpatient Handovers? | PSNet
     psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
     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

249. Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. | PSNet
     psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
     September 11, 2019 - Study Classic Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. Citation Text: Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be strai…

250. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
     psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
     January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout Citation Text: 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]. Rockville (MD): Agency for Healthcare Research and …

251. Flying lessons for clinicians: developing system 2 practice. | PSNet
     psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
     April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…

252. Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet
     psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
     January 20, 2016 - Study Repeat prescribing of medications: a system-centred risk management model for primary care organisations. Citation Text: Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33776/psn-pdf
     January 01, 2015 - Toyota talks about one of their core pillars being the idea of "respect for people" and realizing that … The idea was that at some periodicity the leader would come out of the office and https://psnet.ahrq.gov

254. In Conversation with…Robert M. Wachter, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
     October 01, 2008 - Robert Wachter : The idea makes a lot of sense. … I actually think the policy is a good idea. … So the idea of a policy that creates skin in the game for hospitals to do the right thing and promotes

255. In Conversation With... Barbara Drew, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
     May 01, 2016 - But none of us had any idea that there were so many alarms. … We're so worried about missing something that the idea that people are going to get 100 false alarms … I've talked to monitor manufacturers about this idea of making it contextual.

256. In Conversation With… Neel Shah, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
     October 30, 2019 - C-sections are largely a reflection of the capacity of the hospital to support labor, which is a nuanced idea … Any idea what determines that? NS: We don't know. … I look at the 15-minute clinic visit, and the idea that the physician will somehow be able to explain

257. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
     psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
     May 01, 2016 - But none of us had any idea that there were so many alarms. … We're so worried about missing something that the idea that people are going to get 100 false alarms … I've talked to monitor manufacturers about this idea of making it contextual.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33799/psn-pdf
     January 01, 2015 - These results support the idea that the odds of achieving the so-called Triple Aim (improving the patient

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33664/psn-pdf
     March 01, 2008 - Whose idea was the procedure service, and what forces motivated you to think about doing this? Dr. … Rosen: The idea behind Procedure Center came in 1990, and it preceded any grand plan to create a new

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33849/psn-pdf
     January 01, 2018 - What gave you the idea to do that? Dr. Robert Hirschtick: Reading electronic notes every day. … People now are getting used to the idea that the chart will contain a mix of fiction and nonfiction.