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Total Results: 1,528 records

Showing results for "thing".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33883/psn-pdf
     July 01, 2019 - How do humans process gobs of data to figure out what is the right thing to do in any number of situations … records we have of other patients into account to learn in that very specific context what the right thing … making it possible to deliver care—that you're focused on your patient and trying to do the right thing … and being enabled to know what's the right thing to do.

102. In Conversation With… Erik Hollnagel, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
     February 26, 2025 - complexity, part of it is the time pressure, part of it is that, while you're trying to do this complicated thing … The important thing is to see how they develop these workarounds to see how you could better manage the … The important thing is to make people realize that there are things that they don't know and things that

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33881/psn-pdf
     August 01, 2019 - complexity, part of it is the time pressure, part of it is that, while you're trying to do this complicated thing … The important thing is to see how they develop these workarounds to see how you could better manage … The important thing is to make people realize that there are things that they don't know and things

104. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
     February 26, 2025 - Let's say I was the manager of patient safety in the VA and I was reading about some new great thing … If the latter is the case for the patient safety practice, I'd want to know whether this thing looked … a way in my system to get the leadership behind it, which may be a crucial factor for getting this thing

105. In Conversation with...David Marx, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
     October 01, 2007 - But the reality is that some policy violations are going to be the right thing to do. … The same thing is happening with time outs. Initially, we said time outs are really important. … You see the same thing on the road, where speeding turns into reckless driving. … If a person makes an error , he/she knew the right thing to do, intended to do the right thing, and … Now, let's say a nurse does exactly the same thing as the nurse in the first scenario.

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33746/psn-pdf
     March 01, 2013 - done, and we have seen a lot of "paralysis by analysis" as people try to figure out what the ideal thing … Simulation is a perfect thing to do for that interactive and experiential component where we do not … have the Star Trek Holodeck—virtual environments so realistic that you cannot tell them from the real thing—able … One thing to remember is no one doing simulation is suggesting that simulation can replace the traditional … One thing we can do for trainees with simulation is we can allow them to be "it."

107. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     October 01, 2008 - We can prevent this really bad thing from happening, which, when it happens, is harmful and often costs … So the idea of a policy that creates skin in the game for hospitals to do the right thing and promotes … Do you think we're going to see more conditions added, some of them removed, or the whole thing implode … Do you think this is a good thing? … The policies are just scaffolding on which you hang the evidence-based science for doing the right thing

108. Workplace Safety in Health Care | PSNet
     psnet.ahrq.gov/perspective/workplace-safety-health-care
     January 01, 2017 - You know, it's a curious thing that I found really strange. … That is a really good thing. … PO : One thing that helped drive me on this issue in the forest product and in the aluminum industry … One thing I've learned in health and medical care is they have this wonderful dodge; if you hurt your … Another thing in health care: the reporting is terrible.

109. In Conversation With… Paul H. O'Neill, MPA | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
     January 01, 2017 - Another thing that was really important in the case of Alcoa was we had 143,000 people in 43 countries … You know, it's a curious thing that I found really strange. … That is a really good thing. … PO : One thing that helped drive me on this issue in the forest product and in the aluminum industry … Another thing in health care: the reporting is terrible.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867850/psn-pdf
     February 26, 2025 - conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and https://psnet.ahrq.gov/primer/high-reliability weird thing … Doing this one thing, optimizing this one outcome. … Same thing with resilience; people need to learn as they go in chaotic situations. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded.

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33642/psn-pdf
     November 01, 2006 - Now anybody who designs anything has a problem of understanding the thing they're designing too well … We have situations in which there are two different brands of a device, both of which do the same thing … The other thing is that we learn a lot by mistakes and errors that do not lead to harm. … So all of us in everyday life forget things, make mistakes, or occasionally do the wrong thing.

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33865/psn-pdf
     September 01, 2018 - safety incidents where the immediate reaction of managers is often to write a rule to prevent that same thing … RW: If you're taking the manager's world view, that seems like a sensible thing to do. … When we set out to explore whether patients would provide feedback, one thing we were very sensitive … One thing we might consider doing is involving the patients in making the changes happen. … RL: One thing that perhaps is obvious but worth saying: To support patient involvement in patient safety

113. In Conversation with…Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
     March 24, 2025 - This is not a systems problem, you blew it in some way, and that may be obviously the last thing that … When something goes badly wrong for any of us, we spend lots of time ruminating and turning the thing … You're doing it because it's the right thing to do, and there should be no, what she calls "cheap grace … And besides that, it's the right thing to do.

114. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
     May 01, 2004 - efficacy and effectiveness with regards to results of clinical trials Case: Too Much of a Good Thing … insulin has NOT been examined in the non-critically ill population Case (cont.): Too Much of a Good Thing … cmd=Retrieve&db=PubMed&list_uids=11242719&dopt=Abstract   Case (cont.): Too Much of a Good Thing

115. In Conversation with...Albert Wu, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
     February 26, 2025 - Another thing that the country of England and large states like Pennsylvania have discovered is that … One thing that is necessary is to have patient safety experts skilled in root cause analysis and in handling … Another thing is to try to collect data from other sources.

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47000/psn-pdf
     May 09, 2018 - sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44462/psn-pdf
     January 22, 2016 - pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36596/psn-pdf
     May 20, 2015 - The authors agree that fully disclosing errors is "the right thing to do," but caution that the financial

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33592/psn-pdf
     December 15, 2024 - are defined as "an act of commission (doing something wrong) or omission (failing to do the right thing … term referring to any act of commission (doing something wrong) or omission (failing to do the right thing

120. Becoming a Certified Professional in Patient Safety—A Registered Nurse's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
     June 01, 2016 - The good news is that for many health care organizations, handwriting errors are now a thing of the past … One thing we underappreciated was the importance of culture. … The final thing is that we were very impatient. Everyone wanted to be able to "fix the problem." … terrific when they walked through my door and they said, "I'm interested in the safety and quality thing … One thing I found incredibly gratifying and extraordinarily useful to me personally, but to some extent