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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - The fork-in-the-road choice is
between the right thing to do and the easy thing to do. … to do
also the easy thing to do. … And sometimes the right thing to do is to do a C-section. … But the hardest thing about the C-section problem is that the right answer is not zero. … The only thing it does reliably is increase
C-section rates because it can tell us information.
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psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery
October 21, 2020 - Newspaper/Magazine Article
Doing the "right" things to correct wrong-site surgery.
Citation Text:
Doing the "right" things to correct wrong-site surgery. Patient Safety Advisory
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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - Because I'm sure in Canada they thought they were doing a good thing.
LL: Exactly. … and tried to do the right thing. … LL: I'm one of those people that really thinks the Affordable Care Act was a good thing. … It's done because people think it's the
right thing to do. … That it was self-evidently a good thing. How can anybody not want to get rid of
mistakes?
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psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
March 01, 2023 - 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/45895/psn-pdf
February 22, 2017 - 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/perspective/conversation-kaveh-shojania-md
February 26, 2025 - The main thing I didn't anticipate, which was a pleasant surprise, is how much multidisciplinary research … and bad if it turns out to be a bad thing. … Then POISE came out and overturned the whole thing. … I'm trying to do the same thing now, and I'm struggling with coming up with as many big paradigm shifts … The central line bundle is a wonderful thing that Peter Pronovost has championed.
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - One thing that does concern me a lot is that most of the studies have been done on homegrown systems. … So, for example, perhaps the first thing you should do is put in results reporting. … Electronic charting is probably the last thing that you should do because it's the most difficult. … 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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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - One thing that does concern me a lot is that most of the studies have been done on homegrown systems. … So, for example, perhaps the first thing you should do is put in results reporting. … Electronic charting is probably the last thing that you should do because it's the most difficult. … 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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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - I'd come out of an academic background and it just seemed like a natural thing to do. … next thing you know, you're well past the tipping point. … Here's the funny thing. I tend not to keep the early failures. … And the second funny thing is that I have to work hard to even remember them. … The other thing is that we now have about 40 sister training programs up and running.
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - JB: Error disclosure is obviously the ethical thing to do. … What is the first thing that you do? … It is both the right thing to do and what patients expect of us. … "Johns Hopkins did the right thing. … You'll feel better knowing that you did the right thing.
Albert W.
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - ES: The first thing is how physicians are trained and educated. … The third thing is the difference in status, which was very prevalent in the military 20 years ago. … The same thing has
happened in health care. … In the military, we also did the same thing with real experts doing real Navy tasks. … The second thing is you need
to do an organization readiness assessment.
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - The main thing I didn't anticipate, which was a pleasant
surprise, is how much multidisciplinary research … quickly and disseminating it faster than other clinical practices, and that's
good if it's a good thing … and bad if it turns out to be a bad thing. … Then POISE came out and overturned the whole thing. … The central line bundle is a wonderful thing that Peter Pronovost has
championed.
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - started learning about errors, how they happen, and how complex and
multi-factorial they often are, one thing … RW: In your role as an ethicist, is there a tension between doing it because it's the right thing to … JB: Error disclosure is obviously the ethical thing to do. … RW: The line of reasoning that disclosure is not only the right thing ethically, but may very well be … do you balance that issue, or,
at the end of the day, is this really mostly about doing the right thing
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - Newspaper/Magazine Article
That’s the way we do things around here!
Citation Text:
That’s the way we do things around here! ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2.
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Book/Report
Classic
The Checklist Manifesto: How to Get Things Right.
Citation Text:
The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - Culture is one
thing I see as being critical to patient safety. … But somehow telling somebody this is how you do this thing and this is how other people do this
thing … It's the
kind of thing people know, but it's very difficult to give voice to because it's dangerous … A more subtle thing could be that there is no forum for raising
concerns that will actually convert … So if we're going to implement
something, we have to know this thing actually works.
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psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - Only recently have people started to wonder whether that is a good thing or not. … The most important thing is good hand hygiene. … I imagine the same thing is true here. … The other thing we should do is educate families. … Is it just a different version of the same thing or is it a very different issue?
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - What is the first thing that you do? … We learned this in medical
ethics, and we know in our hearts that it is the right thing to do.(1) Still … It is both the right thing to do and what patients expect of us. … "Johns Hopkins did the right thing. … You'll feel better knowing that you did the right thing.
Albert W.