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Showing results for "thing".

81. 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.

82. 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

83. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
    February 26, 2025 - 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.

84. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    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.

85. 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

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33732/psn-pdf
    July 01, 2012 - A study published in Health Affairs 2 or 3 years later more or less said the same thing. … Clinicians will just be talking to their patients and the whole thing will be recorded, synthesized, … So that was one important thing. … I figured that IT was a pretty benign, white hat kind of thing, but not everyone thought that way. … One thing we need help with is figuring out how to create huge functional, flexible nimble information

87. In Conversation with…Robert M. Wachter, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
    October 01, 2008 - 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 … Do you think this is a good thing? … The policies are just scaffolding on which you hang the evidence-based science for doing the right thing

88. 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

89. 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

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33688/psn-pdf
    October 01, 2009 - RW: You mentioned that there was a second thing that happened? … CO: The second thing that had us interested in the hospitals was less to do with direct patient care. … have to face up to the harsh reality that a mistake was made, patients may have died, and the key thing … The other thing that's important for reporters is not just to say when a particularly bad case happens … RW: Was there some moment when you shifted on your thinking and felt like the best thing to do was to

91. In Conversation With… Rebecca Lawton, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
    March 24, 2025 - safety incidents where the immediate reaction of managers is often to write a rule to prevent that same thing … RW : If you're taking the manager's world view, that seems like a sensible thing to do. … When we set out to explore whether patients would provide feedback, one thing we were very sensitive … One thing we might consider doing is involving the patients in making the changes happen. … RL : One thing that perhaps is obvious but worth saying: To support patient involvement in patient safety

92. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
    psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    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.

93. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    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.

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866848/psn-pdf
    September 25, 2024 - and punishments, or even just external rewards, reduce people's intrinsic motivation to do the right thing … But when it comes to this kind of zero harm goal, I would just repeat that I think it is not a good thing … We're working together to try to do this safely, quickly, and efficiently, but it's not the kind of thing

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33837/psn-pdf
    July 01, 2017 - How did the dynamic of that relationship change when the patient safety field became a thing 15 years … The other thing that has challenged malpractice plaintiffs in recovering compensation is that, with the … It's one thing to do this where the insurer knows that they're going to pay on this claim eventually … And that is a wonderful thing. … On balance, at this point few think that EHRs are a bad thing or that we've gone in the wrong direction

96. In Conversation With… Erik Hollnagel, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
    February 26, 2025 - complexity, part of it is the time pressure, part of it is that, while you're trying to do this complicated thing … The important thing is to see how they develop these workarounds to see how you could better manage the … The important thing is to make people realize that there are things that they don't know and things that

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33881/psn-pdf
    August 01, 2019 - complexity, part of it is the time pressure, part of it is that, while you're trying to do this complicated thing … The important thing is to see how they develop these workarounds to see how you could better manage … The important thing is to make people realize that there are things that they don't know and things

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43957/psn-pdf
    June 21, 2015 - debriefing-medical-teams-12-evidence-based-best-practices-and-tips https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment

99. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
    February 26, 2025 - Let's say I was the manager of patient safety in the VA and I was reading about some new great thing … If the latter is the case for the patient safety practice, I'd want to know whether this thing looked … a way in my system to get the leadership behind it, which may be a crucial factor for getting this thing

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33883/psn-pdf
     July 01, 2019 - How do humans process gobs of data to figure out what is the right thing to do in any number of situations … records we have of other patients into account to learn in that very specific context what the right thing … making it possible to deliver care—that you're focused on your patient and trying to do the right thing … and being enabled to know what's the right thing to do.