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psnet.ahrq.gov/issue/lessons-event-reports
January 16, 2025 - searchable collection of projects initiated in response to event reports supports the spread of good ideas
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psnet.ahrq.gov/node/867769/psn-pdf
March 12, 2025 - searchable collection of projects initiated in response to event reports supports the spread of good ideas
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psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
January 16, 2025 - monitoring tools to track suggested actions and progress could enhance implementation of improvement ideas
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - of this Unit is to have a team focused on systematically identifying and implementing high priority ideas … nudges have the potential to reduce unnecessary care. 9
Planning and Development Process
Solicit ideas … Nudge Unit has demonstrated that the frontline clinical staff are the best source of suitable project ideas … Take a systematic approach to understanding the problem and identifying solutions. 3
Identify ideas
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - new system for all staff
Opportunities for cross-functional representatives to build trust, share ideas … Innovative Activity
While WellSpan’s Sepsis Quality Initiative team generated and fine-tuned their ideas … new system for all staff
Opportunities for cross-functional representatives to build trust, share ideas
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - The hard part is having the ideas that illustrate the real world of decision-making and morbidity, having … ideas that cast that struggle in a new way. … Number two is that the answer is no, because what I really feel I struggle for are ideas. … There are plenty of patients or stories or cases that test whether the ideas are strong or weak. … That's what I hope my writing does, that it tests the ideas in the real world.
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psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
May 13, 2020 - They close by presenting ideas for minimizing iatrogenic illness , with the caveat that it can never
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psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Study
“I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists.
Citation Text:
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Applicable tools and practical ideas couch the concepts in concrete experience.
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psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
May 16, 2012 - Psychological safety is foundational to sharing ideas , reporting errors , and raising concerns .
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psnet.ahrq.gov/issue/checklists-safety-my-culture-and-me
June 19, 2019 - April 22, 2011
Have we gone too far in translating ideas from aviation to patient safety
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psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
October 20, 2021 - of healthcare teams can improve patient safety by encouraging workers to speak up about concerns or ideas
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - That may be because it is tough to keep
multiple ideas active simultaneously, especially for healthcare … Keeping more ideas in play might seem at loggerheads with
that. … that I have done with Brian Hilligoss on this has been about habits--how do you make
these complex ideas … Sarah Mossburg: So, leaders are critical, but also building these ideas into specific structures and
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psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
May 28, 2014 - , and midwives was largest with regard to perceived openness to sharing opinions and discussing new ideas
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - Gordon Schiff,1,2 for approaching such diagnostically
challenging situations is to consider three ideas … Considering these ideas prompts clinicians and patients to break out of diagnostic
momentum that could
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - members trust and support each other, defects and problems are easily surfaced and never hidden, and new ideas … framework suggesting that it takes will on the part of organizational leaders, open dialogue about ideas … Insights and ideas gained from many frontline workers should become goals for the work setting and inform
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psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - Related Resources From the Same Author(s)
Have we gone too far in translating ideas
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psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549
February 23, 2009 - February 17, 2011
Have we gone too far in translating ideas from aviation to patient
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Everybody has ideas to bring forward about improving their own work. … from time to time, manage the risks inherent in trying out new things, learn from failure, and develop ideas … Standardization provides a stable substrate on which to generate and experiment with innovative ideas … become sort of automatic and it gives you the benefit of time and energy that you can invest in new ideas
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - from time to time, manage the risks inherent in trying out new things, learn from failure, and develop ideas … Standardization provides a stable substrate on which to generate and experiment with innovative ideas … become sort of automatic and it gives you the benefit of time and energy that you can invest in new ideas … Everybody has ideas to bring forward about improving their own work.