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Showing results for "thing".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33639/psn-pdf
    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.

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33843/psn-pdf
    October 01, 2017 - Only recently have people started to wonder whether that is a good thing or not. … The most important thing is good hand hygiene. … I imagine the same thing is true here. … The other thing we should do is educate families. … Is it just a different version of the same thing or is it a very different issue?

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33706/psn-pdf
    February 01, 2011 - I'd come out of an academic background and it just seemed like a natural thing to do. … the next thing you know, you're well past the tipping point. … Here's the funny thing. I tend not to keep the early failures. … And the second funny thing is that I have to work hard to even remember them. … The other thing is that we now have about 40 sister training programs up and running.

44. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33822/psn-pdf
    January 01, 2017 - Another thing that was really important in the case of Alcoa was we had 143,000 people in 43 countries … You know, it's a curious thing that I found really strange. … That is a really good thing. … Another thing in health care: the reporting is terrible. … One thing you have to do is beat back the legal staff who don't want you to tell anybody that there

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33674/psn-pdf
    February 01, 2009 - We can prevent this really bad thing from happening, which, when it happens, is harmful and often costs … So the idea of a policy that creates skin in the game for hospitals to do the right thing and promotes … Do you think we're going to see more conditions added, some of them removed, or the whole thing implode … 10 years is that trying to educate each of the 1000 physicians or 5000 nurses to each do the right thing … Do you think this is a good thing?

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33734/psn-pdf
    August 01, 2012 - Now whether this was a causal thing, whether the Joint Commission facilitated that, or whether those … NC: Yeah, and that's the curious thing. … It wasn't an influx of resources; it was purely a leadership thing. … One thing that happened over time was nursing homes became very medicalized. … But one thing that you really cannot improve is: for many residents this is their last place.

47. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
    psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
    June 01, 2014 - manager's office and was schooled about how it is vital that, at a daily newspaper, there's no such thing … The best thing is, again, when we all act as a partnership—when the clinicians, patients, and families … Then he tells the patient, "Just one thing: if we succeed and you survive, you must drive carefully

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33648/psn-pdf
    March 01, 2007 - It was a system thing. … From what I see and hear, it's constantly a communication thing. … But the more important thing about that story was that the hospital and the family came together and … The second thing I'm most proud of is all the good stuff that we've done since she's died.

49. Adverse outcomes: why bad things happen to good people. | PSNet
    psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
    August 30, 2023 - Commentary Adverse outcomes: why bad things happen to good people. Citation Text: Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. Copy Citation Format: DOI Google Scholar P…

50. In Conversation With… Neel Shah, MD, MPP | PSNet
    psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
    October 30, 2019 - The fork-in-the-road choice is between the right thing to do and the easy thing to do. … to do also the easy thing to do.  … And sometimes the right thing to do is to do a C-section. … But the hardest thing about the C-section problem is that the right answer is not zero. … The only thing it does reliably is increase C-section rates because it can tell us information.

51. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - But the more general point is that, once you decide this thing is prevalent, you stop doing isolated … That's an ethically good thing to do and a wise thing to do. … The initial spike is usually a good thing and shows more engagement and more attention to it. … Some people go into the executive walk rounds with just the PR thing—like let's show that management … With anything else, you could have the same thing achieved other ways.

52. In Conversation With…Kaveh G. Shojania, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - Another thing is that it's a common problem for which there isn't a single great solution, so it's not … But the more general point is that, once you decide this thing is prevalent, you stop doing isolated … That's an ethically good thing to do and a wise thing to do. … The initial spike is usually a good thing and shows more engagement and more attention to it. … With anything else, you could have the same thing achieved other ways.

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853081/psn-pdf
    August 30, 2023 - Another thing I saw in your evaluation was “good catch” measures. … One thing we did was make sure that we identified near- misses, or when somebody caught something before … The other thing is when they do patient education, they can go over things on the big screen. … Kathy Sanford: The only thing that I would add as a barrier is that the cameras cost money. … I would ask those groups, “If you could change one thing in healthcare, what would it be?”

54. When Things Go Wrong: Responding to Adverse Events. | PSNet
    psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
    November 19, 2014 - Book/Report Classic When Things Go Wrong: Responding to Adverse Events. Citation Text: When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. Copy Citation Save …

55. When Things Go Wrong: Voices of Patients and Families. | PSNet
    psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
    November 19, 2015 - Audiovisual When Things Go Wrong: Voices of Patients and Families. Citation Text: When Things Go Wrong: Voices of Patients and Families. CRICO/RMF; Harvard Risk Management Foundation Copy Citation Save Save to your library Print Download PDF Shar…

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33879/psn-pdf
    May 01, 2019 - But emergency medical services (EMS) remained my passion because being in the field is the coolest thing … Let's get to the appropriate center and do the right thing for this guy." "She's having a stroke. … Let's do the right thing." … And that's one thing that makes it really hard, because 1% of the patients they're going to see will … They can decide what the right thing is to do for this patient in this scenario.

57. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet
    psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - The fork-in-the-road choice is between the right thing to do and the easy thing to do. … to do also the easy thing to do.  … And sometimes the right thing to do is to do a C-section. … But the hardest thing about the C-section problem is that the right answer is not zero. … The only thing it does reliably is increase C-section rates because it can tell us information.

58. In Conversation With… Sigall K. Bell, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
    February 26, 2025 - That's a good thing for medicine, because these are problems that we should be addressing before they … So change may not necessarily be a bad thing. … The second thing we've seen with safety is what patients find in notes, as you were alluding to. … For one thing, there's a lot you can learn from patients. … The second thing that I've been intrigued by is the idea of OpenNotes as a visit extender.

59. Error | PSNet
    psnet.ahrq.gov/taxonomy/term/3475
    September 15, 2025 - Error An act of commission (doing something wrong) or omission (failing to do the right thing) that

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33760/psn-pdf
    February 01, 2014 - It's quite possible to be talking about one thing and looking at a something different, to multitask … One thing that mitigates risk is how much of the primary task context is available when you resume it … You can just put your hand up or shake your head, "I'm on the phone," that sort of thing. … The second thing you can do is to quickly note down the state of the world you're in, which might be … For example, computer designers know that it is a really bad thing to have an alert window pop up and