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  1. psnet.ahrq.gov/issue/association-hospitalist-years-experience-mortality-hospitalized-medicare-population
    May 11, 2022 - May 27, 2011 View More Related Resources “I had no idea this happened
  2. psnet.ahrq.gov/issue/diagnostic-disparities-and-strategies-enhancing-diagnostic-equity-hospital-medicine
    April 12, 2023 - October 13, 2018 View More Related Resources “I had no idea this
  3. psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
    September 16, 2020 - October 13, 2018 View More Related Resources “I had no idea this
  4. psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
    April 12, 2023 - April 24, 2018 View More Related Resources “I had no idea this
  5. psnet.ahrq.gov/issue/identifying-and-classifying-diagnostic-errors-acute-care-across-hospitals-early-lessons
    April 12, 2023 - May 19, 2021 View More Related Resources “I had no idea this happened
  6. psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
    November 16, 2016 - Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022 An IDEA
  7. psnet.ahrq.gov/issue/how-do-we-learn-about-error-cross-sectional-study-urology-trainees
    October 21, 2010 - September 19, 2016 An IDEA: safety training to improve critical thinking by individuals
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33810/psn-pdf
    June 01, 2016 - Having staff on the council maximizes idea sharing.
  9. 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!
  10. 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
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33641/psn-pdf
    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
  12. psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
    December 01, 2005 - John Eisenberg, conceived the idea of a web-based morbidity and mortality (M&M) conference soon after … The idea was to post anonymously submitted cases of medical errors or near misses, with those cases accompanied
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33712/psn-pdf
    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 memory … ET: I like the idea of checklists up to a point.
  14. 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.
  15. 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
  16. Psn-Pdf (pdf file)

    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…
  17. psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
    February 26, 2025 - 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.
  18. psnet.ahrq.gov/perspective/safety-culture-ems
    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
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37423/psn-pdf
    December 19, 2007 - Patient Safety. December 19, 2007 Intern J Health Care Qual Assur. 2007;20(7):555-632. https://psnet.ahrq.gov/issue/patient-safety-5 This special issue includes articles by authors from Australia, Israel, France, Iran, and Belgium that explore ideas such as building a culture of safety, replacing medical equipment…
  20. psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
    June 12, 2019 - 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.

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