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www.ahrq.gov/ncepcr/tools/self-mgmt/how-script.html
February 01, 2016 - When we have a patient who's been designated with a chronic illness, first thing is the provider-patient
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - RW: You mentioned that there was a second thing that happened? … CO: The second thing that had us interested in the hospitals was less to do with direct patient care … you have to face up to the harsh reality that a mistake was made, patients may have died, and the key thing … The other thing that's important for reporters is not just to say when a particularly bad case happens … RW: Was there some moment when you shifted on your thinking and felt like the best thing to do was to
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - RW: You mentioned that there was a second thing that happened? … CO: The second thing that had us interested in the hospitals was less to do with direct patient care … you have to face up to the harsh reality that a mistake was made, patients may have died, and the key thing … The other thing that's important for reporters is not just to say when a particularly bad case happens … RW: Was there some moment when you shifted on your thinking and felt like the best thing to do was to
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - RW: One thing I've taken from your writing is there's something about copy and paste that is operational … by hand,
the tradition was you would then commit yourself to say: I think this is the most likely thing … , here's maybe
the second or the third likely thing, and I propose addressing this by doing such and … They just repeat the same thing day after day.
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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - The other thing I’d like to discuss is this link between person and family engagement and its impact … We know who's going to be doing the right thing and have the integrity of doing it when nobody is looking … I know this same type of thing has happened in other nursing teams as I talk to other CNOs. … We may have to try five things, fifty things, before you get to the right thing for this, and then what's
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - The other thing I’d like to discuss is this link between person and family engagement and its impact … We know who's going to be doing the right thing and have the integrity of doing it when nobody is looking … I know this same type of thing has happened in other nursing teams as I talk to other CNOs. … We may have to try five things, fifty things, before you get to the right thing for this, and then what's
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - particularly people feeling like they have been working very hard at these things and it's just one thing … safety field was founded on the principle that it's largely about good people trying to do the right thing
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - Robert Wachter, Editor, AHRQ WebM&M : One thing that you pioneered was a focus on how people interact … complicated than that, but it sure felt good to be able to point to something and say: This is the thing
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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - In short, it is the board's responsibility to ensure that the organization does the right thing for every … The second thing that happened in many hospitals was that they had a shocking incident. … Well, it turns out that one thing they do is promote a conversation between members of the board and … over to other aspects of quality as well, not just the safety agenda, which frankly would be a great thing
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psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
August 01, 2007 - The second thing that happened in many hospitals was that they had a shocking incident. … Well, it turns out that one thing they do is promote a conversation between members of the board and … over to other aspects of quality as well, not just the safety agenda, which frankly would be a great thing … In short, it is the board's responsibility to ensure that the organization does the right thing for every
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www.ahrq.gov/news/newsroom/case-studies/201718.html
April 01, 2018 - pinpointed interventions including reallocating staff resources and not scheduling well-child visits first thing
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers, and
institutions.
November 17, 2017
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248.
doi:10.1097/pts.0000000000000153.
https://psnet.ahrq.gov/issue/transp…
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psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
October 04, 2017 - Book/Report
Openness and Honesty When Things Go Wrong: the Professional Duty of Candour.
Citation Text:
Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. London, UK: General Medical Council and the Nursing and Midwifery Council; June 29, 2015.
Copy Citation
…
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psnet.ahrq.gov/node/42943/psn-pdf
April 12, 2014 - Doing right by our patients when things go wrong in the
ambulatory setting.
April 12, 2014
Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory
setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96.
https://psnet.ahrq.gov/issue/doing-right-our-patients-when-thin…
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - It was a system thing. … From what I see and hear, it's constantly a communication thing. … But the more important thing about that story was that the hospital and the family came together and … The second thing I'm most proud of is all the good stuff that we've done since she's died.
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psnet.ahrq.gov/node/44132/psn-pdf
May 13, 2015 - Adverse outcomes: why bad things happen to good
people.
May 13, 2015
Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol.
2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064.
https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
This commentary…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
June 01, 2021 - An Update on the CAHPS Patient Narrative Item Sets - Martino
UPDATED NARRATIVE ITEM SETS FOR THE
CAHPS CLINICIAN & GROUP SURVEY
Steven Martino, PhD
Overview of Narrative Item Set Development Process
• Literature review and environmental scan
• Drafting of narrative items
• Pretesting to assess readability and …
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - It is an obvious thing, although the definition can be tricky. … The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - It is an obvious thing, although the definition can be tricky. … The first thing you have to figure out is if the diagnosis is wrong, and I think artificial intelligence
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psnet.ahrq.gov/node/43749/psn-pdf
December 10, 2014 - Alarm management: first things first: using reliable data
to eliminate unnecessary alarms.
December 10, 2014
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-
alarms
Spotlightin…