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www.ahrq.gov/hai/cauti-tools/archived-webinars/defining-critically-ill-icu-transcript.html
December 01, 2017 - That's more of a historical thing, at least in our institution. … The important thing is, look at the patients. … The thing that concerns me is, he's on norepinephrine. No right or wrong answers here. … That was a bitter thing for our staff to have to look at. … The other thing that your yellow tag, your Foley tag with the yellow thing in, that's a great idea.
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digital.ahrq.gov/sites/default/files/docs/20080630%20Community-Based%20HIT%20transcript.pdf
November 08, 2005 - The one thing to avoid and the one thing to definitely do while you're
assembling, planning, implementing … Scott David, one thing to avoid and one thing to definitely do. … I think the thing to avoid is to
have too predefined plan. … Because everybody's after a little bit
different thing. … I think it's a tricky thing.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
April 01, 2022 - Those sorts of things have a
way of increasing the desire for others to do the same thing because we … Sam: If a unit is experiencing an ongoing challenge with infections, I think the very
first thing is … The next thing is that, "I'm not sure if we can really overcome this or
not. … I think this is the final thing. … The other thing that is a relatively routine reaction is when you put forward
evidence and you say,
-
psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - It's quite possible to be talking about one thing and looking
at a something different, to multitask … One thing that mitigates risk is how much of the primary task context is available when you resume it … You can just put your hand up or shake your head, "I'm on
the phone," that sort of thing. … The second thing you can do is to quickly note down the state of the world you're in, which might
be … For example, computer designers know that
it is a really bad thing to have an alert window pop up and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_2-speaker-notes.docx
September 01, 2015 - SLIDE 5
SAY:
The worst thing you can do in this case is ignore the problem. … The second-worst thing is talking about it in front of the patient. … Nurse: “Another thing we can do to help prevent a CAUTI from developing is to find a safe place to hang
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Initiated and funded by AHRQ since 2001 to advance
-
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
-
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
-
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
-
psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - RW: You said one thing that was important was that the complications and hazards had been
underappreciated … Another thing we recognized when we published this paper (which was close to 50 pages long) was that … in different circumstances to scaling that and making sure that people are
always doing the right thing … We have tackled culture by making the right thing to do the easy thing to do. … It makes the right thing to do the
easy thing to do.
-
psnet.ahrq.gov/node/33696/psn-pdf
June 01, 2010 - Thinking critically and clearly, especially in an environment like emergency medicine, is not an easy thing … The critical thing for me is to provide the best care here and not to
allow my emotions to intrude. … PC: The major thing that we did was to change the nature of our M&M rounds. … Diagnostic acumen, for
example, is the one thing that physicians hold very dear. … It's the most important thing to them.
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psnet.ahrq.gov/taxonomy/term/3475
Error
An act of commission (doing something wrong) or omission (failing to do the right thing) that
-
psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - The good
news is that for many health care organizations, handwriting errors are now a thing of the … One thing we underappreciated was the importance of culture. … The final thing is that we were very impatient. Everyone wanted to be able to "fix the problem." … terrific when they
walked through my door and they said, "I'm interested in the safety and quality thing … One thing I found
incredibly gratifying and extraordinarily useful to me personally, but to some extent
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Make the right thing to do the easiest thing to do within the patterns of normal practice. … One Source of Truth" into the admission, transfer, and discharge workflow in order to make the right thing … to do the easy thing to do. … presented when patients' current medication lists are obtained and documented (i.e., making the right thing
-
www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Make the right thing to do the easiest thing to do within the patterns of normal practice. … One Source of Truth" into the admission, transfer, and discharge workflow in order to make the right thing … to do the easy thing to do. … presented when patients' current medication lists are obtained and documented (i.e., making the right thing