-
psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - Charles Vincent : I suppose the most striking thing was how little was written about it. … The main thing that emerged from that report and the National Patient Safety Agency was a huge reporting … The second thing is, the biggest problem is that the reporting system is endlessly and still tediously … CV : I'm not sure I'd single out one thing.
-
psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - The other thing is that in aviation and engineering in general, the symptoms are what we see. … squishy, I can tell you that, after literally more than a million submissions, it's not that difficult a thing … How do you deal with a large volume of cases and have all these groups running around doing their thing … It's not a political thing. Write down the risk matrix that you use to prioritize.
-
psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - But emergency medical services (EMS) remained my passion because being in the field is the coolest thing … Let's get to the appropriate center and do the right thing for this guy." "She's having a stroke. … Let's do the right thing." … And that's one thing that makes it really hard, because 1% of the patients they're going to see will … They can decide what the right thing is to do for this patient in this scenario.
-
psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - Let's get to the appropriate center and do the right thing for this guy." "She's having a stroke. … Let's do the right thing." … And that's one thing that makes it really hard, because 1% of the patients they're going to see will … The most important thing they can do is to take the patient to the right destination and to make sure … They can decide what the right thing is to do for this patient in this scenario.
-
psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - The thing that we're really leaning into is that there is this common data standard,
and we know we … Remle Crowe: It's a really good question, and you know, I don't think there's one thing that is driving … get to just reiterate that those are out there to be used and
encourage their use is a really great thing
-
psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
February 26, 2025 - Almost a decade later, one of my good friends was starting this thing, which at that time was called … One thing I learned is that everything takes pi plus 2x longer than you think it's going to take. … One is we just think it's the right thing to do. … People have this sense of I'm part of something big, and the success of this big thing is my success. … about it, but when we're in a room with a patient and they're coming in with this, that, and the other thing—we're
-
psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Another thing I saw in your evaluation was “good catch” measures. … One thing we did was make sure that we identified near-misses, or when somebody caught something before … The other thing is when they do patient education, they can go over things on the big screen. … Kathy Sanford: The only thing that I would add as a barrier is that the cameras cost money. … I would ask those groups, “If you could change one thing in healthcare, what would it be?”
-
psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Another thing I saw in your evaluation was “good catch” measures. … The other thing is when they do patient education, they can go over things on the big screen. … Kathy Sanford: The only thing that I would add as a barrier is that the cameras cost money. … We got some resistance from some of our colleagues who just didn’t see it as an important thing to do … I would ask those groups, “If you could change one thing in healthcare, what would it be?”
-
psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - premise of our mission, vision, and values is that every person comes to work every day to do the right thing … event is not the best story, there are things that went right, and people were trying to do the right thing … Some organizations just ask, What is one thing you do to keep your patient safe?
-
psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - premise of our mission, vision, and values is that every person comes to work every day to do the right thing … event is not the best story, there are things that went right, and people were trying to do the right thing … Some organizations just ask, What is one thing you do to keep your patient safe?
-
psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - premise
of our mission, vision, and values is that every person comes to work every day to do the right thing … event is not the best story, there are things that went right, and people were trying to do
the right thing … Some organizations just ask, What is one thing you do to keep your patient safe?
-
psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - 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. … 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.
-
psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - 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
-
psnet.ahrq.gov/node/40171/psn-pdf
May 30, 2011 - focused heavily on the development of systems that support, or
often force, providers to do the right thing
-
psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - It's quite possible to be talking about one thing and looking at a something different, to multitask. … One thing that mitigates risk is how much of the primary task context is available when you resume it … You can just put your hand up or shake your head, "I'm on the phone," that sort of thing. … The second thing you can do is to quickly note down the state of the world you're in, which might be … For example, computer designers know that it is a really bad thing to have an alert window pop up and
-
psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - Maybe things are a little different in California than in Pennsylvania, but it's a pretty rare thing … Is that accurate and do you think is that a good thing or a bad thing? … MC : For one thing, I'd like to see pharmacists paid in a different way. … Another thing, in research published in the Journal of the American Pharmacists Association , we did
-
psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - That might seem like a weird thing to want to do, but the word “reliability” carries less baggage than … 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.
-
psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - That might seem like a weird thing to want to do, but the word “reliability” carries less baggage than … 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.
-
psnet.ahrq.gov/node/37910/psn-pdf
February 28, 2011 - example, including the tension that results from having providers balance their
desire to do the right thing
-
psnet.ahrq.gov/node/47613/psn-pdf
December 05, 2018 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing