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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/33746/psn-pdf
March 01, 2013 - done, and we have seen a lot of "paralysis by analysis" as people try to
figure out what the ideal thing … Simulation is a perfect
thing to do for that interactive and experiential component where we do not … have the Star Trek Holodeck—virtual
environments so realistic that you cannot tell them from the real thing—able … One thing to remember is no one doing
simulation is suggesting that simulation can replace the traditional … One thing we can do for trainees with simulation is we can allow
them to be "it."
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
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
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - You know, it's a curious thing that I found really strange. … That is a really good thing. … PO : One thing that helped drive me on this issue in the forest product and in the aluminum industry … One thing I've learned in health and medical care is they have this wonderful dodge; if you hurt your … Another thing in health care: the reporting is terrible.
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - Another thing that was really important in the case of Alcoa was we had 143,000 people in 43 countries … You know, it's a curious thing that I found really strange. … That is a really good thing. … PO : One thing that helped drive me on this issue in the forest product and in the aluminum industry … Another thing in health care: the reporting is terrible.
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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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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - Now
anybody who designs anything has a problem of understanding the thing they're designing too well … We have situations in which there are two different brands of a
device, both of which do the same thing … The other thing is that we learn a lot by mistakes and errors that do not lead
to harm. … So all of us in everyday life forget things, make mistakes, or occasionally do the wrong thing.
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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]
-
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]
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - It is more anecdote that it is evidence, and the best thing on the horizon is probably fecal microbiotic … The people who actually see it, you know, are more prone to doing the thing. … The people who think it's burdensome because it's another thing for them to do are not really enthusiastic … One major thing that was different recently is that the surgical intensive unit owned this. … I think honestly I think it was a great thing to talk about DROs, C.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - It is more anecdote that it is evidence, and the best thing on the horizon is probably fecal microbiotic … The people who actually see it, you know, are more prone to doing the thing. … The people who think it’s burdensome because it’s another thing for them to do are not really enthusiastic … One major thing that was different recently is that the surgical intensive unit owned this. … I think honestly I think it was a great thing to talk about DROs, C.Diff and also linking it to how to
-
psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-2.pdf
April 01, 2016 - It’s the right thing to do—it’s the patient’s record.
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - This is not a systems problem, you blew it in some way, and that may be obviously the last thing that … When something goes badly wrong for any of us, we spend lots of time ruminating and turning the thing … You're doing it because it's the right thing to do, and there should be no, what she calls "cheap grace … And besides that, it's the right thing to do.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
May 01, 2004 - efficacy and effectiveness with regards to results of clinical trials
Case: Too Much of a Good Thing … insulin has NOT been examined in the non-critically ill population
Case (cont.): Too Much of a Good Thing … cmd=Retrieve&db=PubMed&list_uids=11242719&dopt=Abstract
Case (cont.): Too Much of a Good Thing
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - Another thing that the country of England and large states like Pennsylvania have discovered is that … One thing that is necessary is to have patient safety experts skilled in root cause analysis and in handling … Another thing is to try to collect data from other sources.
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www.ahrq.gov/ncepcr/tools/self-mgmt/what-script.html
February 01, 2016 - Or come up with their own thing that is important to them.
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Using_Social_Media_2011_09_01_Transcript.pdf
January 01, 2011 - Barbara Lambiaso
I think one thing that Lauren mentioned which is really important, is you really do … Quality Report
Transcript release date 9/1/11 6
Barbara Lambiaso
Well, the really great thing … The first thing you should do is establish a user name for your organization or for yourself and make
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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