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psnet.ahrq.gov/node/33622/psn-pdf
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.
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psnet.ahrq.gov/node/44342/psn-pdf
November 03, 2015 - It also advances the idea that the results highlight some of the
limitations of adverse events as a
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psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
May 13, 2020 - efforts to engage patients in safety work are becoming more widespread, some have criticized the idea
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psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency
July 14, 2021 - The " July Effect " refers to the idea there may be an increase in medical errors in July when newly
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psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home
August 11, 2021 - parental knowledge as the main contributor to medication errors, and most pediatricians supported the idea
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - The idea is that there are four risk factors that underlie many of our hospital acquired
conditions, … The idea is that functional decline related to hospitalization may be independent from the disease process … One of
the buzz words in recent years is this idea— or concept– of de-prescribing.
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psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
April 24, 2018 - Psychological safety is the idea that team members can take risks, such as voicing concerns or putting
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psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
June 19, 2019 - September 30, 2014
“I had no idea this happened”: electronic feedback on clinical reasoning
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - To a social scientist, the idea that you would say systems don't include people seems extraordinary—it's … 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 … So the idea
that error is the appropriate target has been left behind. … We're currently
looking at successful examples of this positive deviance idea where they're getting
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psnet.ahrq.gov/node/33802/psn-pdf
February 01, 2016 - This idea certainly has intuitive appeal. … Proponents of this idea, including me, believe that when a group of physicians is
dissatisfied, stressed
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psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
January 22, 2017 - Full disclosure of medical errors has been described as both a great idea and an impractical risk
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psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
July 24, 2013 - wrestle with as they steer their organizations and patients toward understanding and accepting the idea
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psnet.ahrq.gov/issue/using-simulation-improve-systems-0
July 22, 2020 - Healthcare and the Safety-I and Safety-II Frameworks
December 14, 2022
An IDEA
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - Was it your idea, their idea, or did it come to both of you at the same time? … Sorrel King: It definitely wasn't their idea. … Before that time, I had no idea that people died from medical errors.
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - you talked to a hundred doctors or nurses, I'd guess that they'd all say engaging patients is a good idea … I think the idea of engaging patients is broadly endorsed, but the devil is in the details. … The idea was rather than just invite patients to read their notes passively, we ask them to actively … The second thing that I've been intrigued by is the idea of OpenNotes as a visit extender. … The idea of creating a flipped clinic has a lot of potential but is really just in its infancy.
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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - EH: The idea of resilience engineering, and we have something called resilient health care as well, which … The basic idea is that even when something goes wrong,
people were trying to do what they thought was … The idea about work-as-imagined and work-as-done is that we all know
how our own work is done and we
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - The infrastructure
of VMPS again helped turned this idea from a provocative question in daily work
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - CC: I think it really depends on the organization and how much this idea of a Just Culture has taken … How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a … As leaders, we have to shift the mentality from the idea that the workforce works for me, to the idea … So, while I love the idea of initial education to talk about the importance of reporting, the leaders
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psnet.ahrq.gov/issue/whos-sorry-now
January 04, 2019 - May 27, 2009
Full disclosure and apology—an idea whose time has come.
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psnet.ahrq.gov/issue/sorry-works-coalition-making-case-full-disclosure
May 18, 2022 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea