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61. Failure to rescue female patients undergoing high-risk surgery. | PSNet
    psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
    October 25, 2017 - Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable

62. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - The idea of having your day in court for corrective justice is a fiction: most plaintiffs never reach … MM : To me, the most attractive is the administrative compensation idea. … It's a big idea to take to a big country like the United States, and understandably there has been a … That idea appeals to me greatly. … That's the idea of most administrative systems.

63. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
    psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - The idea of having your day in court for corrective justice is a fiction: most plaintiffs never reach … MM : To me, the most attractive is the administrative compensation idea. … It's a big idea to take to a big country like the United States, and understandably there has been a … That idea appeals to me greatly. … That's the idea of most administrative systems.

64. Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet
    psnet.ahrq.gov/issue/adoption-patient-centered-care-practices-physicians-results-national-survey
    August 28, 2019 - July 5, 2017 An IDEA: safety training to improve critical thinking by individuals and

65. Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet
    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
    July 22, 2020 - February 17, 2021 An IDEA: safety training to improve critical thinking by individuals

66. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. | PSNet
    psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
    September 02, 2020 - July 29, 2020 An IDEA: safety training to improve critical thinking by individuals and

67. The Role of the Patient in Improving Patient Safety | PSNet
    psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
    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.

68. In Conversation With… Erik Hollnagel, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
    February 26, 2025 - EH : The idea of resilience engineering, and we have something called resilient health care as well … 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

69. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. | PSNet
    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-rewarding-higher
    July 01, 2020 - April 6, 2016 “I had no idea this happened”: electronic feedback on clinical reasoning

70. Perceived bullying among internal medicine residents. | PSNet
    psnet.ahrq.gov/issue/perceived-bullying-among-internal-medicine-residents
    September 25, 2019 - May 15, 2019 “I had no idea this happened”: electronic feedback on clinical reasoning

71. In response to "Failure to Report" (March 2007) | PSNet
    psnet.ahrq.gov/perspective/response-failure-report-march-2007
    June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007  View more articles from the same authors. Citation Text: Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

72. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals. | PSNet
    psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
    November 29, 2023 - August 4, 2021 An IDEA: safety training to improve critical thinking by individuals and

73. Is employee discipline the solution for patient safety? | PSNet
    psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
    September 15, 2011 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea

74. The new patient safety officer: a lifeline for patients, a life jacket for CEOs. | PSNet
    psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
    September 12, 2012 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea

75. The normalization of deviance in healthcare delivery. | PSNet
    psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
    November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea

76. In Conversation With… Maureen Bisognano | PSNet
    psnet.ahrq.gov/perspective/conversation-maureen-bisognano
    February 26, 2025 - 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 worth … RW : What a great idea!

77. In Conversation With… Shantanu Nundy, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
    February 26, 2025 - 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

78. Inappropriate trust in technology: implications for critical care nurses. | PSNet
    psnet.ahrq.gov/issue/inappropriate-trust-technology-implications-critical-care-nurses
    October 07, 2009 - September 19, 2016 An IDEA: safety training to improve critical thinking by individuals

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33866/psn-pdf
    September 01, 2018 - 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.

80. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
    psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
    March 01, 2017 - 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. … This latter insight may strike some as a revolutionary idea; it suggests that different organizations