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psnet.ahrq.gov/node/40707/psn-pdf
March 11, 2013 - More than words: patients' views on apology and
disclosure when things go wrong in cancer care.
March 11, 2013
Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure
when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346.
doi:10.1016/j.pec.2011.07.010…
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digital.ahrq.gov/sites/default/files/docs/HOW%20HEALTH%20IT%20CAN%20REDUCE%20UNNECESSARY%20REHOSPITALIZATION.pdf
June 16, 2021 - them, they are not the
result of transition failures and they are not going to respond to the kind of thing … So you can take this whole thing and shift the framework and talk about uses for IT, the transmission … The same thing
for the ED visits; decreased because there were fewer of those. … But people liked the information, and the key thing is that Louise has plenty of time; that she goes … As we looked at this, the first thing that you see very clearly is that in the current medical system
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - And an actionable example might be something like the most important thing that
I really feel is that … One person said I'm appreciative; they always prescribe me what I need for each thing that is not working … And one thing we heard time and time again is please, please we don’t want a new
password. … So one thing I’ll point out here is we have 434 surveys. … And at the bottom one thing that was mentioned. That’s me.
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - Charles Vincent: I suppose the most striking thing was how little was written about it. … The main thing that emerged from that report and the National Patient
Safety Agency was a huge reporting … The second thing is, the biggest
problem is that the reporting system is endlessly and still tediously … CV: I'm not sure I'd single out one thing.
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - The thing that we're really leaning into is that there is this common data standard, and we know we can … Remle Crowe: It's a really good question, and you know, I don't think there's one thing that is driving … get to just reiterate that those are out there to be used and encourage their use is a really great thing
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - The thing that we're really leaning into is that there is this common data standard, and we know we can … Remle Crowe: It's a really good question, and you know, I don't think there's one thing that is driving … get to just reiterate that those are out there to be used and encourage their use is a really great thing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - Patient discomfort is another thing that we rarely discuss. … So the first thing is, you know, having clear guidelines on when to use a catheter. … We see people of all ages, you know, babies to the very old, and the most important thing is that we … Is there an ability to know what the right thing is to do and to actually be able to do it?” Okay? … Same thing with OR to ICU or to floor.
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effectivehealthcare.ahrq.gov/sites/default/files/pathak-sen.pdf
May 29, 2025 - The
thing that I do want to point out to you is this whole area -- idea of working
with DUETs.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
October 01, 2014 - Module 3: Falls Prevention and Management
Session 2
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Limiting Falls that Cause Inju…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/hp-survey-strategies-webcast-transcript.pdf
April 01, 2016 - And one thing just to make people aware of is that everything in the CAHPS domain is actually in
the … patient experience data back, and they don’t necessarily like the results they see,
often the first thing … And that’s usually the wrong thing to do. … Now, the other thing that we’ve been doing on a quarterly basis, which I think has helped tremendously … So we’ve never -- consumers, believe me -- well, here’s the other interesting thing I will tell you.
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psnet.ahrq.gov/node/844785/psn-pdf
September 11, 2019 - Information flow during pediatric trauma care transitions:
things falling through the cracks.
September 11, 2019
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions:
things falling through the cracks. Intern Emerg Med. 2019;14(5):797-805. doi:10.1007/s11739-019-0…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/debbie_cohen.docx
January 01, 2020 - Systematic Screening is Essential to Identify the Full Range of Patient Needs
Debbie Cohen Transcript AHRQ Academy Video
When you walk into your doctor’s office, your doctor can’t look at you and immediately know what you need. There are some things that are going on inside your mind and your body that may not be evid…
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 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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integrationacademy.ahrq.gov/sites/default/files/2020-07/AUDIT.pdf
January 01, 2020 - How often during the last year have you needed an alcoholic drink first thing
in the
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
December 01, 2017 - The first thing, though, is I'd really like to understand what is your role at the hospital, so if you … This sort of thing is so important to help improve execution and to helping overall morale of the staff … tube going into a natural orifice, usually there isn't the blood, the spurting all of that sort of thing … The big thing about mindfulness is to think of it as a really a flexible state of mind, where you can … The first thing that the CAUTI committee did was begin an analysis of the data, and again, it showed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
May 12, 2015 - The first thing, though, is I'd really like to understand what is your role at the hospital, so if you … This sort of thing is so important to help improve execution and to helping overall morale of the staff … tube going into a natural orifice, usually there isn't the blood, the spurting all of that sort of thing … The big thing about mindfulness is to think of it as a really a flexible state of mind, where you can … The first thing that the CAUTI committee did was begin an analysis of the data, and again, it showed
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - is that we are starting to pay for improved quality and safety as opposed to volume, which is a good thing … This rapid transition is a good thing. … Another thing is that we're trying to do so much more to engage and empower patients and make sure they … there's a reasonable amount of respect among the caregivers and the organization wants to do the right thing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
June 01, 2017 - They are passionate about the work,
and I think that's probably the most important thing is that passion … People that are able to influence their team members to do the right thing
and to work on projects is … It's about convincing people to do the right thing, and if you do
that, the grade comes naturally.
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - The good thing about large academic institutions and many of the 50-60 dental schools in the US
is that … I'll just add that the other thing that we were expecting to find was a lot of (foreign body) aspirations … The good thing is that
simulations are very integrated into the dentistry curriculum, but it is very
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psnet.ahrq.gov/node/39604/psn-pdf
November 23, 2016 - Improving the patient, family, and clinician experience
after harmful events: the "When Things Go Wrong"
curriculum.
November 23, 2016
Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful
events: the "when things go wrong" curriculum. Acad Med. 2010;85(6):1010-1017.…