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Showing results for "thing".

81. Psn-Pdf (pdf file)
    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

82. Psn-Pdf (pdf file)
    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.

83. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
    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.

84. Psn-Pdf (pdf file)
    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.

85. Lesson from the VA's Team Training Program | PSNet
    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.

86. In Conversation With… Eduardo Salas, PhD | PSNet
    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.

87. 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

88. Things You Should Know Before Entering the Hospital. | PSNet
    psnet.ahrq.gov/issue/things-you-should-know-entering-hospital
    October 11, 2017 - Audiovisual Things You Should Know Before Entering the Hospital. Citation Text: Chicago IL: Four Leaf Enterprises; 2005. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Nove…

89. 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 …

90. 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…

91. 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.

92. 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

93. 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.

94. 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

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36596/psn-pdf
    May 20, 2015 - The authors agree that fully disclosing errors is "the right thing to do," but caution that the financial

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44462/psn-pdf
    January 22, 2016 - pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47000/psn-pdf
    May 09, 2018 - sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47613/psn-pdf
    December 05, 2018 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing

99. 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

100. 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