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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
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, and
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - TM: The primary thing that I saw was how harmful their traditional "delay, deny, and defend" strategy
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - RW: Another thing you hear about the big companies is, even if it's not framed as "information blocking … That's the kind of thing we just have to do, which is admit to ourselves that privacy and security is
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psnet.ahrq.gov/node/44483/psn-pdf
September 09, 2015 - Learning Not Blaming.
September 9, 2015
Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN:
9781474123716.
https://psnet.ahrq.gov/issue/learning-not-blaming
The National Health Service (NHS) has a history of sharing analyses of problems in its system. This
publication contain…
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psnet.ahrq.gov/node/37903/psn-pdf
May 09, 2013 - Safe Surgery.
May 9, 2013
World Health Organization.
https://psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
This initiative provides a surgical safety checklist and related educational and training materials building on
the Second Global Patient Safety Challenge vision to enco…
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psnet.ahrq.gov/node/33643/psn-pdf
December 01, 2006 - BS: Well, I would go so far as to say for the most part there's just no such thing as institutional safety … variability within institutions that I look forward to the day when we can say that there really is such
a thing
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - It would be one thing if
there was not enough work for radiologists, but that’s not the case. … Important structured, and
unstructured data right are your fingertips and that is the first thing that
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psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Newspaper/Magazine Article
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages.
Citation Text:
The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. Noguchi Y. Health Shots and All Things Considered. National Public Ra…
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
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 … us combine and create a way of making risk management and patient safety part and parcel of the same thing—to
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - RW : One thing I've taken from your writing is there's something about copy and paste that is operational … by hand, the tradition was you would then commit yourself to say: I think this is the most likely thing … , here's maybe the second or the third likely thing, and I propose addressing this by doing such and … They just repeat the same thing day after day.
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - That has been the most rewarding thing in my professional lifeto play some part in getting a tremendous … But it's been obvious to me that there are other people who can do that sort of thing better, not the … LL: I think the exciting thing is that people now talk about safety all the time, and they're gradually
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures are the holy grail in any risky industry. Like all holy grails, th…
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
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
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - Or was it kind of doing one thing leading to the next thing leading to the next thing? … MG: The first thing was finding people who shared our interest in diagnostic error and were willing to
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - However, one thing to keep in mind is that we had some long-standing relationships with our rural area … Lots of protocols have been suggested or talked about, and it’s one thing when it’s at the thirty-thousand … Obviously, temperature is a big thing in the COVID-19 era, and you can get either a digital thermometer … IDHI: Find somebody that’s doing it and talk to them, that's the first thing.
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psnet.ahrq.gov/node/37292/psn-pdf
May 24, 2015 - Guilty, afraid, and alone — struggling with medical error.
May 24, 2015
Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med.
2007;357(17):1682-3.
https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
Disclosure of medical errors remains an important a…
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - The other thing is that clinicians want to find one size fits all. … That needs to be the next thing to be talked about.
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - RW : One thing I've taken from your writing is there's something about copy and paste that is operational … by hand, the tradition was you would then commit yourself to say: I think this is the most likely thing … , here's maybe the second or the third likely thing, and I propose addressing this by doing such and … They just repeat the same thing day after day.
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - TM : The primary thing that I saw was how harmful their traditional "delay, deny, and defend" strategy
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psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
March 21, 2017 - Study
Classic
Patients' and physicians' attitudes regarding the disclosure of medical errors.
Citation Text:
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7.
…