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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
May 13, 2014 - And one thing to remember about change is that it’s all the same. … The other thing to note here is that it doesn’t go to zero. … That’s a great thing you’re doing for that person. … So we shared our final data and as kind of a positive thing we were presented award certificates. … We had big projects rolling out as well, and plus the anxiety of a new thing coming.
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - The driving force behind the TRiP methodology is the core belief that clinicians want to do the right thing … Providers want to do the right thing, but it may be too hard to do the right thing. … We need to build a system that makes it easier for providers to do the right thing and harder for providers … to do the wrong thing. … ASK:
How can you standardize work to make it easier for providers to do the right thing?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
June 02, 2025 - By standardizing procedures with the checklist, you can make sure the team is doing the same thing for
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-self-management.pdf
June 02, 2025 - Do at least one thing each day that brings you joy
On the way
⧠ Imagine that you are tobacco
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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
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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
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integrationacademy.ahrq.gov/sites/default/files/2020-07/frank_degruy.docx
January 01, 2020 - So that we’re talking about the same thing when we use the same words.
Second, it’s a community.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - Consistently use what terminology that's clear to you, but they're really all the same thing. … We like to do ours first thing in the morning, about 7 o'clock, when the nurses are coming off shift … I think the last thing to talk about when we talk about this CUSP tool is Appendix E from the CUSP toolkits … And with each new thing that we learn -- like an intern doesn't have the adequate experience to take … And we've been discussing about doing a fit for CT kind of thing prior to them going where we lay them
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses-transcript.pdf
April 01, 2022 - So, incorporating it into interdisciplinary rounds is a good thing. … But if the people caring for the patient
realize that that's a good thing, we want them to get up, those … Even, again going back to, you’ve got to make it easy to do the right thing.
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - But the reality is that some policy violations are going to be the right thing to do. … The same thing is happening with time outs. Initially, we said time outs are really important. … You see the same thing on the road, where speeding turns into reckless driving. … If a person makes an error , he/she knew the right thing to do, intended to do the right thing, and … 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/867850/psn-pdf
February 26, 2025 - conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
https://psnet.ahrq.gov/primer/high-reliability
weird thing … Doing this one thing,
optimizing this one outcome. … Same thing with resilience; people need to learn as they go in chaotic situations. … One thing that came out of COVID was a pretty consistent finding that safety culture eroded.
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effectivehealthcare.ahrq.gov/sites/default/files/carman-presentation.pdf
May 29, 2025 - They’re doing their own
thing. … The second
thing that we’ve learned
and
awful lot we did
quite a
bit of work and
we … The third
thing that we’ve come to learn is that patients and families bring different methods and approaches
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - I think as leaders, one thing that is really helpful is to have a clear and succinct vision. … One thing that has been identified in sustainment literature is the fact that what you really need to … Same thing with the equipment that you have. The people and the structures. Then the protocols. … I think maybe the culture thing is something that I think is something that may be one of the last things … We came across an issue with the provider thing that he went to the website for [inaudible 00:51:11]
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - I think as leaders, one thing that is really helpful is to have a clear and succinct vision. … One thing that has been identified in sustainment literature is the fact that what you really need to … Same thing with the equipment that you have. The people and the structures. Then the protocols. … I think maybe the culture thing is something that I think is something that may be one of the last things … We came across an issue with the provider thing that he went to the website for [inaudible 00:51:11]
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psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
March 20, 2019 - March 29, 2023
"My whole room went into chaos because of that thing in the corner