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Total Results: 1,528 records

Showing results for "thing".

221. Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/are-we-safer-today
     February 26, 2025 - It is an obvious thing, although the definition can be tricky. … The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43749/psn-pdf
     December 10, 2014 - Alarm management: first things first: using reliable data to eliminate unnecessary alarms. December 10, 2014 Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45. https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary- alarms Spotlightin…

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34861/psn-pdf
     November 11, 2015 - When things go wrong: how health care organizations deal with major failures. November 11, 2015 Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizati…

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33742/psn-pdf
     December 01, 2012 - I talked to various colleagues and the Chief of Medicine and asked, "What's this thing about these older … The other common pitfall in the elderly—I say this over and over—it's usually not caused by just one thing … thoughtfully look through everything and it's probably not going to be solved by just addressing one thing … I said if there is one thing your organization can do is please create a single code for delirium: have

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33764/psn-pdf
     April 01, 2014 - that we are starting to pay for improved quality and safety as opposed to volume, which is a good thing … This rapid transition is a good thing. … Another thing is that we're trying to do so much more to engage and empower patients and make sure they … there's a reasonable amount of respect among the caregivers and the organization wants to do the right thing

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36964/psn-pdf
     March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …

227. Adverse Events, Near Misses, and Errors | PSNet
     psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
     March 30, 2022 - 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

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33694/psn-pdf
     April 01, 2010 - calls for harmonization and that different organizations have their own ways of measuring the same thing … JC: Well, it is, and the other thing is that it's not only daunting, but it has made us realize that … adequate attention can be focused not only on measurement and reporting, but also on the most important thing

229. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet
     psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
     May 08, 2017 - example, including the tension that results from having providers balance their desire to do the right thing

230. Patients use an internet technology to report when things go wrong. | PSNet
     psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
     July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33861/psn-pdf
     July 01, 2018 - GS: The most important thing is for people to measure themselves. … One thing we've learned is that stories are very important. … GS: One thing we've tried to do is consider ways to create the infrastructure to support good cognition … GS: One thing I would just stress is how we need to better learn ways to work with uncertainty in diagnosis

232. In Conversation With…Christine A. Sinsky, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
     February 26, 2025 - As I looked around, I saw that others were experiencing the same thing. … So it could be a negative thing.

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33704/psn-pdf
     December 01, 2010 - professional narcissism, the good kind, where we go into this work because we want to do the right thing … them know that you're going to deal straight with them if they'll deal straight with you.The other thing … combine and create a way of making risk management and patient safety part and parcel of the same thing—to

234. In Conversation with… Edward Tenner, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
     June 01, 2011 - I don't doubt that in preventing surgical errors, operating on the wrong limb, and that kind of thing … that alerts designed to cue people to remember that the patient was allergic to medicine, or to do thing … you can imagine that there probably is someone thinking, "But what about this," or "Isn't this bad thing … I'm not saying that that is necessarily a bad thing; sometimes it's a good thing.

235. In Conversation with...James P. Bagian, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
     September 01, 2006 - So I realized that you can do the right thing. Now was I nervous during this? … JB: Well, the biggest thing was the culture. … But that's not so much the safety thing, the way I would define it. … How do you convince people what the right thing to do is? … We look at the problems, and I think this is the important thing.

236. I-PASS handover system: a decade of evidence demands action. | PSNet
     psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
     July 07, 2021 - February 5, 2014 Making it easier to do the right thing: a modern communication QI agenda

237. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. | PSNet
     psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions
     September 27, 2023 - May 29, 2013 There is no such thing as a "nonjudgmental" debriefing: a theory and method

238. The Safety of Medical Devices | PSNet
     psnet.ahrq.gov/perspective/safety-medical-devices
     June 01, 2011 - I don't doubt that in preventing surgical errors, operating on the wrong limb, and that kind of thing … that alerts designed to cue people to remember that the patient was allergic to medicine, or to do thing … you can imagine that there probably is someone thinking, "But what about this," or "Isn't this bad thing … I'm not saying that that is necessarily a bad thing; sometimes it's a good thing.

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33626/psn-pdf
     January 01, 2006 - Then you also have to adapt this teamwork behavior to your institution; there's no such thing as one-size-fits-all … Probably the most encouraging thing we've heard was from a surgeon who adapted some of these behaviors … It was just a simple thing of including the person on the team.

240. In Conversation With… Eric J. Topol, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
     February 26, 2025 - It is the kind of thing that has made Apple the highest market cap company in the world and led to many … That strikes me as almost the same thing. … That is one thing they should learn. … Actually patients having their data all flowing freely to them, it is a natural thing.