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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar5/aspire_webinar5.pptx
June 02, 2025 - Tool 11)
Develop “Referral Pathways” to Ensure Effective Linkage to Services
Make doing the right thing … the easy thing for staff
Cross Continuum Coordination – Getting Started
If you are just getting
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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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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
September 01, 2019 - Then, the second thing is they have to read
whatever invitation letter there is and click on the URL … Again, what we did, the similar thing ... … The other thing we did was we looked at the ratings from the web panel across age, gender, education, … So, weeding those out is probably not a good thing either. … I've got a similar kind of thing.
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Rating_the_Raters_2011_06_15_Transcript.pdf
January 01, 2011 - Lise Rybowski
What about on the physician and medical group side, could you say the same thing? … So I recognize it’s not an easy thing to do; this is hard and I
think we’re learning and I can see the … Carol Cronin
Well it’s not an easy thing to do. … So it’s not an easy thing. … The other thing I found in terms of nursing homes is that there’s often levels of review,
there’s often
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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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www.ahrq.gov/patient-safety/reports/engage/warmhandoff.html
April 01, 2018 - Settings by Engaging Patients and Families
Warm Handoff Plus
“ Sometimes during a warm handoff thing
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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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cdsic.ahrq.gov/cdsic/clinicians
May 22, 2025 - decision support (CDS) tools can help clinicians practice evidence-based medicine by making the right thing … to do the easiest thing to do.
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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.
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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.
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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