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Showing results for "thing".
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33762/psn-pdfMarch 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 -
psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-actionJuly 07, 2021 - February 5, 2014 Making it easier to do the right thing: a modern communication QI agenda
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psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptionsSeptember 27, 2023 - May 29, 2013 There is no such thing as a "nonjudgmental" debriefing: a theory and method
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37009/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866621/psn-pdfAugust 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… -
psnet.ahrq.gov/perspective/conversation-withdonald-norman-phdNovember 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.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43074/psn-pdfDecember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39231/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41314/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33682/psn-pdfApril 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 -
psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safetyJune 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.
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-mdJuly 10, 2024 - Another very interesting thing happened. … The single thought I would leave with your readers is that alignment is a good thing, and synergy is … an even better thing.
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34756/psn-pdfOctober 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… -
psnet.ahrq.gov/perspective/conversation-susan-haas-md-mscMarch 01, 2019 - The second thing that we developed was a pre-affiliation discussion guide . … This PSA [professional services agreement] thing is just enormous. … It's one thing to say we're going to go start robotic prostatectomy at some hospital and there's money … The second thing that we're going to be working on is interhospital transfers. … So that will be another thing that we'll be looking at.
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psnet.ahrq.gov/perspective/safety-culture-emsMay 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
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-networkMarch 01, 2019 - The second thing that we developed was a pre-affiliation discussion guide . … This PSA [professional services agreement] thing is just enormous. … It's one thing to say we're going to go start robotic prostatectomy at some hospital and there's money … The second thing that we're going to be working on is interhospital transfers. … So that will be another thing that we'll be looking at.
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phdDecember 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
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psnet.ahrq.gov/perspective/adverse-events-dentistryDecember 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
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33752/psn-pdfAugust 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M: One thing that you pioneered was a focus on how people interact … complicated than that, but it sure felt good to be able to point to something and say: This is the thing -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33708/psn-pdfMarch 01, 2011 - VA: The major thing we've learned is that handoffs are risky and variable. … VA: I would add one more thing, which is that buried in the 2011 ACGME duty hour recommendations, it
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