-
psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 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.
-
psnet.ahrq.gov/node/33708/psn-pdf
March 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
-
psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - particularly people feeling like they have been
working very hard at these things and it's just one thing … safety field was
founded on the principle that it's largely about good people trying to do the right thing
-
psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - People know what's at stake, and they want to do the right thing. That was largely similar. … One thing they shouldn't have to contend with is variation in how the organization labels or does
things … And one thing that we must avoid is having technology
come between the clinician and the patients,
-
psnet.ahrq.gov/node/33752/psn-pdf
August 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
-
psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - One thing that has
surprised me is the degree to which it appears to be about changing the relationship … It's one thing to teach a technique, it's another to take someone who has
been successful by virtue … or
7 years, and then people get disheartened, say that doesn't work, and then move on to the next thing … The other thing that we're still
really trying to get across is don't blame people.
-
psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - 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.
-
psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - Because if it's not in your heart and if you don't truly
believe that this is the right thing to do, … way of making it clear that there are
real patients who are being harmed if we don't do the right thing
-
psnet.ahrq.gov/node/35786/psn-pdf
May 07, 2007 - When Things Go Wrong: Responding to Adverse Events.
May 7, 2007
Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk manage…
-
psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
July 29, 2009 - Newspaper/Magazine Article
Alarm management: first things first: using reliable data to eliminate unnecessary alarms.
Citation Text:
Alarm management: first things first: using reliable data to eliminate unnecessary alarms. Vanderveen T. Patient Saf Qual Healthc. November/December 2014;1…
-
psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - The final thing that I think is helpful is that we are identifying the setting that the patient safety … SH: What would be the one thing that you recommend somebody to read from the report? … , I remember thinking when the WHO checklist came out that finally the whole world can agree on one thing
-
psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - That was one thing that
contributed to the calls in the mid to late 1990s for more study of patient
-
psnet.ahrq.gov/node/44140/psn-pdf
July 15, 2015 - Openness and Honesty When Things Go Wrong: the
Professional Duty of Candour.
July 15, 2015
London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015.
https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
Open and honest discussion with patie…
-
psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
November 15, 2018 - January 3, 2017
Making it easier to do the right thing: a modern communication QI agenda
-
psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
August 12, 2020 - Study
Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things.
Citation Text:
Grytnes R, Nielsen ML, Jørgensen A, et al. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things…
-
psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
April 27, 2019 - February 15, 2023
"My whole room went into chaos because of that thing in the corner"
-
psnet.ahrq.gov/issue/nonopioid-directives-unintended-consequences-operating-room
September 07, 2022 - December 21, 2022
"My whole room went into chaos because of that thing in the corner"
-
psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
March 22, 2023 - December 21, 2011
Making it easier to do the right thing: a modern communication QI agenda
-
psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
August 08, 2012 - October 11, 2016
Making it easier to do the right thing: a modern communication QI agenda
-
psnet.ahrq.gov/issue/health-literacy-and-communication-quality-health-care-organizations
November 26, 2014 - January 3, 2017
Making it easier to do the right thing: a modern communication QI agenda