-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - and safety culture are too often treated as things that can be accomplished and then crossed off the list … A big part of the high reliability mindset is the nature of the talk, the openness, the vulnerability … We need to experiment and try different types of interventions, which is a big barrier. … So, those are some of the big barriers. … Tim Vogus: I am not going to give big, sweeping pronouncements here because of the limitations we talked
-
psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - RW : One of the big policy interventions recently has been Medicare's decision, now being followed by … Nosocomial urinary tract infection is on that list. Should it be on that list? … The other concern about catheter-related urinary tract infection being on this list is that it differs … The Joint Commission recently came out with 2009 safety goals, and preventing infection is a very big
-
psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - We don't have a methodology to avoid alerting clinicians with the kind of list of possible side effects … The second big bucket is in the implementation. … That area is a big safety issue. I don't call it a national patient identifier. … We are just finishing up a mini-collaborative on pick list errors, and we're going to be coming forward … Computerized triggers of big data to detect delays in follow-up of chest imaging results.
-
psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - The ED doc is incredibly busy, forgets to put it on a work list, or puts it on a work list that doesn … That image finding wasn’t on the problem list. … So I think in the oncology space there is an opportunity to use big data and AI to provide value to the
-
psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - and patient safety such as materials put out by the Institute for Safe Medication Practices, ECRI's list … That has been a big surprise. … The other big surprise is how quickly the field transformed from one dominated by people pushing the … RW : Where do you see things going and what do you think might be the next big things in this field? … us to incorporate new knowledge and new competencies into the certification process, but it's also a big
-
psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - Emerging Classic
Serious misdiagnosis-related harms in malpractice claims: the "Big … Emerging Classic
Serious misdiagnosis-related harms in malpractice claims: the "Big … accuracy in their care and provides tactics to help patients prevent diagnostic errors, including a list
-
psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - to explain diagnostic errors—especially things that go wrong in the diagnostic process, which is one big … We've just reviewed all the primary care malpractice cases for the last several years for the two big … You and others in this field pushed for a big national report to focus on the issue of diagnostic errors
-
psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Jim Collins, a popular business book author, identified some companies with goals that he called Big … Sarah Mossburg : Rather than that overarching Big Hairy Audacious Goal, it's better to have marginal … If you come to me tomorrow with a week of abdominal pain, the list of possible causes is extremely long … in an organization's approach to safety, a place where it becomes appropriate for them to set these Big … Indeed, these kinds of ambitious goals could be thought of as a type of “Big Hairy Audacious Goal,” a
-
psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - Another big change is the feedback and assessment that must occur frequently across the entire
curriculum … Sarah Mossburg: How would you expect to see someone demonstrating competency in some of these big
concepts … Under those big broad domain areas that I listed originally, there are very specific behaviors that a
-
psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - We spoke with him about big data and patient safety. Dr. Robert M. … But merging confidential and proprietary data remains a big challenge.
-
psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Computerized triggers of big data to detect delays in follow-up of chest imaging results. … We don't have a methodology to avoid alerting clinicians with the kind of list of possible side effects … The second big bucket is in the implementation. … That area is a big safety issue. I don't call it a national patient identifier. … We are just finishing up a mini-collaborative on pick list errors, and we're going to be coming forward
-
psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - So we did
some pilot studies, and then we set out to do a big study to see if we could find adverse … The agenda there is big. … plus the tremendous
amount of evidence that's come out since that time, we have an ever-expanding list
-
psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Specifically,
when prescribers were forced by the CPOE system to select brand name insulin from a list … However, several experts have observed that the present state of EHRs represents a "big miss," in that
-
psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - Say that we believe that the biggest bang for the buck is simply getting a problem list, a medication … list, and an allergy list, shared. … Obviously there have been two or three big winners. … RW : Another thing you hear about the big companies is, even if it's not framed as "information blocking
-
psnet.ahrq.gov/node/33726/psn-pdf
March 01, 2012 - We weren't just reacting to
some cases that posed big financial risks and other cases that didn't. … That in itself was a big shift
from litigation gamesmanship to a more fundamental question that I knew … Obviously the data has supported that notion, but I think for many
people that was a big surprise. … He said to me, "I was on
faculty here 6 months, at only 6 months I could give you a short list of people
-
psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - explain diagnostic errors—especially things that go wrong in the diagnostic process,
which is one big … We've just reviewed all the primary care malpractice cases for the last several years for
the two big … You and others in this field pushed for a
big national report to focus on the issue of diagnostic errors
-
psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - There was a big one here [at UCSF] where we gave a boy a 39-fold overdose of a medicine in a completely … RW: It's interesting because it would probably come up very high on the list of solutions and causes, … I don't think we used the term big data. There certainly weren't wearable
patient sensors. … Clinical research will be transformed through big data type approaches.
-
psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - That has been a big surprise. … The other big surprise is how quickly the field transformed from one dominated by people pushing the … RW : Where do you see things going and what do you think might be the next big things in this field? … us to incorporate new knowledge and new competencies into the certification process, but it's also a big … and patient safety such as materials put out by the Institute for Safe Medication Practices, ECRI's list
-
psnet.ahrq.gov/primer/electronic-health-records
March 15, 2025 - Specifically, when prescribers were forced by the CPOE system to select brand name insulin from a list … However, several experts have observed that the present state of EHRs represents a "big miss," in that
-
psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - As you
look at the initial list of adverse events on the Medicare list, the number of events that meet … NS: You described several criteria that would allow a condition to be included on this list of preventable … that specific criterion is as to whether an adverse event should or should not be
included on the list … That's particularly important for big academic medical centers.