Results

Total Results: 1,528 records

Showing results for "thing".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33762/psn-pdf
     March 01, 2014 - The useful thing about the mandatory requirements was the strong external positive reinforcement provided … of trying to move people along and give them feedback versus saying as a system, "You must do this thing … The other thing that needs to be recognized is the importance of clinical leaders and those clinical

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36625/psn-pdf
     November 21, 2016 - When Things Go Wrong: Voices of Patients and Families. November 21, 2016 CRICO/RMF; Harvard Risk Management Foundation https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families This educational video shares patient and family perspectives on how medical error affected their lives. https://psne…

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33750/psn-pdf
     May 01, 2013 - inspired by something bigger than financial incentives, who are going to do this because it's the right thing … The single biggest thing we need is more clinical data because right now we're primarily using administrative … If I could invest in one thing in patient safety, it would be in coming up with high-quality reliable … For example, if I really thought electronic health records were the latest and greatest thing and that

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40280/psn-pdf
     June 10, 2018 - That’s the way we do things around here! June 10, 2018 ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2. https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here This piece discusses the effects of personal behaviors and peer interactions on an organization’s safety culture. https…

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37009/psn-pdf
     March 18, 2010 - Doing the "right" things to correct wrong-site surgery. March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggesti…

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866621/psn-pdf
     August 28, 2024 - Application of Safety-II Principles August 28, 2024 Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/application-safety-ii-principles Traditional approaches to patient safety have often been reactive rather than proactive, seeki…

247. In Conversation With...Donald A. Norman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
     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.

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39231/psn-pdf
     January 13, 2010 - The Checklist Manifesto: How to Get Things Right. January 13, 2010 Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748. https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through his art…

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43074/psn-pdf
     December 18, 2014 - Graded autonomy in medical education—managing things that go bump in the night. December 18, 2014 Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. https://psnet.ahrq.gov/issue/graded-autonomy-medic…

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33682/psn-pdf
     April 01, 2009 - Mark Chassin: The most surprising and gratifying thing that I discovered is that, despite the longevity … The measures should be identical when they are measuring the same thing. … RW: One thing that strikes me about the position of accreditor or regulator is that they may not get

251. What Do We Know About Emergency Department Safety? | PSNet
     psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
     June 01, 2010 - Thinking critically and clearly, especially in an environment like emergency medicine, is not an easy thing … The critical thing for me is to provide the best care here and not to allow my emotions to intrude. … PC: The major thing that we did was to change the nature of our M&M rounds. … Diagnostic acumen, for example, is the one thing that physicians hold very dear. … It's the most important thing to them.

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41314/psn-pdf
     September 27, 2016 - The Medical Apology: Making It Right When Things Go Wrong. September 27, 2016 Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46. https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong Articles in this special issue highlight lessons learned from disclosure and apology in health c…

253. Safety Culture in EMS | PSNet
     psnet.ahrq.gov/perspective/safety-culture-ems
     May 26, 2021 - There are organizations where I’ve had a patient fall in my care and the first thing I had to do was … It's a horrible thing for me to have to sit here and say that an organization is going to retaliate against … I know that I need to do the right thing, but I don't want to be seen as not trustworthy to my crewmates … feel that, “this is my organization, I'm the chief of this organization, the buck stops here” kind of thing … However, that's the thing too—just because you develop a tool, you’ve still got to get people to use

254. More than words: patients' views on apology and disclosure when things go wrong in cancer care. | PSNet
     psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
     May 29, 2012 - Study More than words: patients' views on apology and disclosure when things go wrong in cancer care. Citation Text: 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…

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34756/psn-pdf
     October 12, 2016 - The Design of Everyday Things. October 12, 2016 Norman DA. New York, NY: Doubleday; 1988. ISBN: 9780385267748. https://psnet.ahrq.gov/issue/design-everyday-things Norman, a cognitive psychologist, outlines the elements of effective user-centered design, which include making the inner workings of devices visible, e…

256. Increasing patient safety and surgical team communication by using a count/time out board. | PSNet
     psnet.ahrq.gov/issue/increasing-patient-safety-and-surgical-team-communication-using-counttime-out-board
     February 22, 2012 - 17, 2017 The normalization of deviance: do we (un)knowingly accept doing the wrong thing

257. Are you using checklists? Check! | PSNet
     psnet.ahrq.gov/issue/are-you-using-checklists-check
     September 13, 2010 - Related Resources From the Same Author(s) Disclosure of medical errors: the right thing

258. Surgical count practice variability and the potential for retained surgical items. | PSNet
     psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
     October 20, 2010 - 17, 2017 The normalization of deviance: do we (un)knowingly accept doing the wrong thing

259. Adverse Events in Dentistry | PSNet
     psnet.ahrq.gov/perspective/adverse-events-dentistry
     December 22, 2020 - The good thing about large academic institutions and many of the 50-60 dental schools in the US is that … I'll just add that the other thing that we were expecting to find was a lot of (foreign body) aspirations … The good thing is that simulations are very integrated into the dentistry curriculum, but it is very

260. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
     December 22, 2020 - The good thing about large academic institutions and many of the 50-60 dental schools in the US is that … I'll just add that the other thing that we were expecting to find was a lot of (foreign body) aspirations … The good thing is that simulations are very integrated into the dentistry curriculum, but it is very