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psnet.ahrq.gov/node/33696/psn-pdf
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.
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - The interesting thing about that study , like a lot of other things in quality of health care, was that … The same thing was true for us. … But also from the point of view of being conservative institutions and doing the responsible thing, I … The other thing is that most doctors have been pretty happy to do traditional tort reform, which sounds … Another thing that clearly happened was that the malpractice insurance companies broke into new markets
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - The good
news is that for many health care organizations, handwriting errors are now a thing of the … One thing we underappreciated was the importance of culture. … The final thing is that we were very impatient. Everyone wanted to be able to "fix the problem." … terrific when they
walked through my door and they said, "I'm interested in the safety and quality thing … One thing I found
incredibly gratifying and extraordinarily useful to me personally, but to some extent
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - Culture is one thing I see as being critical to patient safety. … meta very quickly—but nobody ever pointed out to me or to anyone in that era that there was such a thing … But somehow telling somebody this is how you do this thing and this is how other people do this thing … It's the kind of thing people know, but it's very difficult to give voice to because it's dangerous to … So if we're going to implement something, we have to know this thing actually works.
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psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - I don't doubt that in preventing
surgical errors, operating on the wrong limb, and that kind of thing … that alerts designed to cue people to remember that the
patient was allergic to medicine, or to do thing … you can
imagine that there probably is someone thinking, "But what about this," or "Isn't this bad thing … I'm not saying that that is necessarily a bad thing; sometimes it's a good thing.
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - The interesting thing about that study, like a lot of other things in quality of health
care, was that … The same thing was true for us. … But also from the point of view of
being conservative institutions and doing the responsible thing, … The other thing is that most doctors have been pretty happy to do traditional tort reform, which sounds … Another thing that clearly happened was that the
malpractice insurance companies broke into new markets
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - RW: You said one thing that was important was that the complications and hazards had been underappreciated … Another thing we recognized when we published this paper (which was close to 50 pages long) was that … We have tackled culture by making the right thing to do the easy thing to do. … It makes the right thing to do the easy thing to do. … it takes even longer to disseminate that and get past people's instincts about how easy and safe the thing
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
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.
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - 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.
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psnet.ahrq.gov/node/73302/psn-pdf
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 … 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/node/33875/psn-pdf
March 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/node/74239/psn-pdf
January 12, 2022 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
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psnet.ahrq.gov/node/837896/psn-pdf
January 01, 2023 - enhancing-effectiveness-team-debriefings-medical-simulation-more-best-practices
https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
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psnet.ahrq.gov/node/838146/psn-pdf
September 21, 2022 - psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
https://psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - But the most important thing the government did to get IT
up and running, and I think this was actually … So what's the most important thing government could do? … It was the one-more-thing syndrome. … Everyone just
added one more thing, the consequence of that is about a thousand one-more-things, and … Whatever it is, there was something
important about the interpersonal thing, and we've begun to lose
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - One thing commonly done in healthcare is trans-care hormone replacement therapy. … Another thing is to always understand the why, when asking your patients questions. … The number one thing
I can tell providers is to make your intentions of support clear. … We are humans and this tiny thing that is different about
us does not need to take up so much space … But the thing I talk about most is being trans because it is the thing that people do
not understand
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - In the Coroner's Court in Australia and New Zealand, often the families can do a
similar type of thing … The really
interesting thing was that many of these patients described their lawyers as "angels"—that … The thing that was very surprising was that these angel-like lawyers were able to help the patient
and … One great thing about this
research is that we were able to reach back out to that hospital, tell them … The other thing is children who are siblings of an injured child.
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Culture is one thing I see as being critical to patient safety. … meta very quickly—but nobody ever pointed out to me or to anyone in that era that there was such a thing … But somehow telling somebody this is how you do this thing and this is how other people do this thing … It's the kind of thing people know, but it's very difficult to give voice to because it's dangerous to … So if we're going to implement something, we have to know this thing actually works.
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - ES : The first thing is how physicians are trained and educated. … The same thing has happened in health care. … In the military, we also did the same thing with real experts doing real Navy tasks. … The second thing is you need to do an organization readiness assessment. … Experts are good at self-regulation but the other thing experts do is imagine probable outcomes.
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - ES : The first thing is how physicians are trained and educated. … The third thing is the difference in status, which was very prevalent in the military 20 years ago. … The same thing has happened in health care. … In the military, we also did the same thing with real experts doing real Navy tasks. … The second thing is you need to do an organization readiness assessment.