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psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
September 13, 2010 - Commentary
Disclosure of medical errors: the right thing to do. … Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9. … Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9.
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psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
May 23, 2018 - Commentary
The normalization of deviance: do we (un)knowingly accept doing the wrong thing … The normalization of deviance: do we (un)knowingly accept doing the wrong thing? … The normalization of deviance: do we (un)knowingly accept doing the wrong thing?
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psnet.ahrq.gov/node/73571/psn-pdf
August 04, 2021 - "My whole room went into chaos because of that thing in
the corner": unintended consequences of a central … “My whole room went into chaos because of that thing in the
corner”: unintended consequences of a central … https://psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences- … https://psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal … https://psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
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psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
January 20, 2016 - Commentary
Making it easier to do the right thing: a modern communication QI agenda … Making it easier to do the right thing: a modern communication QI agenda. … Making it easier to do the right thing: a modern communication QI agenda.
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psnet.ahrq.gov/node/35843/psn-pdf
September 16, 2015 - There is no such thing as a "nonjudgmental" debriefing: a
theory and method for debriefing with good … There's no such thing as "nonjudgmental" debriefing: a theory
and method for debriefing with good judgment … https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing … https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment … https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
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psnet.ahrq.gov/node/39941/psn-pdf
October 20, 2010 - The normalization of deviance: do we (un)knowingly
accept doing the wrong thing? … The normalization of deviance: do we (un)knowingly accept doing
the wrong thing? … https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
This … https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
https:
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psnet.ahrq.gov/node/41584/psn-pdf
October 11, 2012 - Making it easier to do the right thing: a modern
communication QI agenda. … Making it easier to do the right thing: a modern communication QI agenda. … https://psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
This commentary … https://psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-communication-qi-agenda
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39811/psn-pdf
September 13, 2010 - Disclosure of medical errors: the right thing to do. … Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9. … https://psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
This article discusses medical … https://psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
https://psnet.ahrq.gov/primer/disclosure-errors
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing? … High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? … psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-
wrong-thing … psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
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psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
December 19, 2014 - Commentary
There is no such thing as a "nonjudgmental" debriefing: a theory and method … There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment … There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment
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psnet.ahrq.gov/issue/design-everyday-things
August 01, 2012 - Book/Report
Classic
The Design of Everyday Things.
Citation Text:
The Design of Everyday Things. Norman DA. New York, NY: Doubleday; 1988. ISBN: 9780385267748.
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S…
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psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
May 18, 2022 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? … High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing?
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www.ahrq.gov/ncepcr/tools/self-mgmt/why-script.html
February 01, 2016 - (Video Transcript)
Self-Management Support
The thing that really sold me on patient self management … Most long-term primary care practices are about chronic care management and this is the kind of thing … That's a wonderful thing to hear from patients. They see that it's a positive team approach.
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psnet.ahrq.gov/node/844542/psn-pdf
February 15, 2023 - human-factors-anaesthesia-narrative-review
Human factors science focuses on designing systems that make it easy for workers to do the right thing … and difficult to do the wrong thing.
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - One thing that does concern me a
lot is that most of the studies have been done on homegrown systems … One thing we've learned is that how to do it best does vary a lot by the specific
clinical situation … So, for example, perhaps the first thing you should do is put in results reporting. … DB: The single thing that I would look for is computerized physician order entry. … But that's the kind of thing that a well-
designed information system can really help you with.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-brady-sops-action-planning-tool.pdf
February 05, 2019 - improvements
• Improve communication and engagement
between clinicians and patients
• Make the safe thing … the easy thing to do
8
National Steering Committee on
Patient Safety
• AHRQ is co-leading
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psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
February 15, 2023 - Study
"My whole room went into chaos because of that thing in the corner": unintended … “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central … “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
February 07, 2019 - improvements
• Improve communication and engagement
between clinicians and patients
• Make the safe thing … the easy thing to do
8
National Steering Committee on
Patient Safety
• Convened by the Institute
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
January 01, 2018 - improvements
• Improve communication and engagement
between clinicians and patients
• Make the safe thing … the easy thing to do
7
AHRQ’s Center for Quality Improvement
and Patient Safety (CQUIPS)
• Conducts
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psnet.ahrq.gov/issue/when-things-go-wrong
October 29, 2008 - Image/Poster
When things go wrong.
Citation Text:
Institute for Healthcare Improvement; IHI.
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October 1, 2008
Institute fo…