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Showing results for "thing".

61. Psn-Pdf (pdf file)
    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

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50614/psn-pdf
    October 30, 2019 - 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 … in different circumstances to scaling that and making sure that people are always doing the right thing … 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. 

63. Psn-Pdf (pdf file)
    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.

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

65. Psn-Pdf (pdf file)
    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

66. 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…

67. In Conversation with…Troyen A. Brennan, MD, JD, MPH | PSNet
    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

68. Psn-Pdf (pdf file)
    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.

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/862126/psn-pdf
    February 07, 2024 - using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions https://psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal

70. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
    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.

71. Psn-Pdf (pdf file)
    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

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/61093/psn-pdf
    November 04, 2020 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing

73. 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

74. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet
    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.

75. Psn-Pdf (pdf file)
    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.

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/847532/psn-pdf
    April 12, 2023 - impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm https://psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/848314/psn-pdf
    May 03, 2023 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing

78. In Conversation With… Vineet Chopra, MD, MSc | PSNet
    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

79. Psn-Pdf (pdf file)
    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

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33659/psn-pdf
    October 01, 2007 - If a person makes an error, he/she knew the right thing to do, intended to do the right thing, and followed … If a person engages in at-risk behavior, he/she knows the right thing to do, but does otherwise because … Now, let's say a nurse does exactly the same thing as the nurse in the first scenario.