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Showing results for "thing".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33710/psn-pdf
     May 01, 2011 - 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.

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33654/psn-pdf
     August 01, 2007 - The second thing that happened in many hospitals was that they had a shocking incident. … Well, it turns out that one thing they do is promote a conversation between members of the board and … over to other aspects of quality as well, not just the safety agenda, which frankly would be a great thing

143. The things we carry: the scope and impact of second victim syndrome. | PSNet
     psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
     November 12, 2014 - Commentary The things we carry: the scope and impact of second victim syndrome. Citation Text: Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. Copy Citation …

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40707/psn-pdf
     March 11, 2013 - More than words: patients' views on apology and disclosure when things go wrong in cancer care. March 11, 2013 Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346. doi:10.1016/j.pec.2011.07.010…

145. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet
     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?”

146. In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing | PSNet
     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?”

147. In Conversation With… Shantanu Nundy, MD | PSNet
     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

148. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     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.

149. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     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.

150. Making Just Culture a Reality: One Organization's Approach | PSNet
     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.

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844785/psn-pdf
     September 11, 2019 - Information flow during pediatric trauma care transitions: things falling through the cracks. September 11, 2019 Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797-805. doi:10.1007/s11739-019-0…

152. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet
     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

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39604/psn-pdf
     November 23, 2016 - Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. November 23, 2016 Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. Acad Med. 2010;85(6):1010-1017.…

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843080/psn-pdf
     January 25, 2023 - Bad things can happen: are medical students aware of patient centered care and safety? January 25, 2023 Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072. https://psnet.ahr…

155. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet
     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

156. In Conversation With… Suchi Saria, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
     March 27, 2024 - 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 … and 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.

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33726/psn-pdf
     March 01, 2012 - RW: Was your theory in moving in this direction that not only was this the right thing to do but there … The one thing I would twist a little bit is that I think the notion that was very popular a few years … When I said that I started small, that's the first thing that I did. … So it's a complex and not always easy thing to do. … Let me back up a little bit upstream and say that there's one other thing that I think we need to pay

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60865/psn-pdf
     August 31, 2020 - The other thing I’d like to discuss is this link between person and family engagement and its impact … We know who's going to be doing the right thing and have the integrity of doing it when nobody is looking … I know this same type of thing has happened in other nursing teams as I talk to other CNOs. … We may have to try five things, fifty things, before you get to the right thing for this, and then what's

159. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
     October 06, 2021 - I think the most exciting thing for me in our work has been our inpatient filming of the postnatal unit … I think the other thing that we really realized is that we need to do a better job of explaining what … Latina, and probably 10 to 15% of our patients are Spanish-speaking, and so it's not like it's a rare thing

160. Health Equity and Maternal Health | PSNet
     psnet.ahrq.gov/perspective/health-equity-and-maternal-health
     October 06, 2021 - I think the most exciting thing for me in our work has been our inpatient filming of the postnatal unit … I think the other thing that we really realized is that we need to do a better job of explaining what … Latina, and probably 10 to 15% of our patients are Spanish-speaking, and so it's not like it's a rare thing