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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
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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/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.
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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.
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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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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
December 01, 2017 - 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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
October 01, 2014 - these reasons, using your skills to communicate changes across the care team may be the most important thing … Certain words may mean one thing to you and something else to the other person. … is because language changes over time, and each generation may use different words to say the same thing
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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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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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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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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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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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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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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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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/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-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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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.