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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - The main thing I didn't anticipate, which was a pleasant surprise, is how much multidisciplinary research … and bad if it turns out to be a bad thing. … Then POISE came out and overturned the whole thing. … I'm trying to do the same thing now, and I'm struggling with coming up with as many big paradigm shifts … The central line bundle is a wonderful thing that Peter Pronovost has championed.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
April 01, 2013 - It’s no longer this new thing that we’re doing, this different thing that takes me more time, but rather … And maybe that’s kind of an obvious thing. … And then the other thing that we do is we have spread out. … And so, CUSP is this thing that we want sustained in perpetuity. … But it’s kind of an understood thing that, “We very much value you here.
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - One thing that does concern me a lot is that most of the studies have been done on homegrown systems. … So, for example, perhaps the first thing you should do is put in results reporting. … Electronic charting is probably the last thing that you should do because it's the most difficult. … DB: The single thing that I would look for is computerized physician order entry. … But that's the kind of thing that a well-designed information system can really help you with.
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - One thing that does concern me a lot is that most of the studies have been done on homegrown systems. … So, for example, perhaps the first thing you should do is put in results reporting. … Electronic charting is probably the last thing that you should do because it's the most difficult. … DB: The single thing that I would look for is computerized physician order entry. … But that's the kind of thing that a well-designed information system can really help you with.
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - I'd come out of an academic background and it just seemed like a natural thing to do. … next thing you know, you're well past the tipping point. … Here's the funny thing. I tend not to keep the early failures. … And the second funny thing is that I have to work hard to even remember them. … The other thing is that we now have about 40 sister training programs up and running.
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - JB: Error disclosure is obviously the ethical thing to do. … What is the first thing that you do? … It is both the right thing to do and what patients expect of us. … "Johns Hopkins did the right thing. … You'll feel better knowing that you did the right thing.
Albert W.
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - Slide 6
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.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/quality-survey-ok.pdf
August 02, 2018 - Page 9 of 9
Please provide comments for the following two questions:
Please tell us at least one thing … Please tell us at least one thing that members of the H2O QI team could have done better. … 4:
NA_4:
Please provide comments for the following two questions:
Please tell us at least one thing
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
July 01, 2018 - improvements
• Improve communication and engagement between clinicians and
patients
• Make the safe thing … the easy thing to do
9
AHRQ’s SOPS Program
• Since 2001, the SOPS Program:
► Advances the understanding
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - ES: The first thing is how physicians are trained and educated. … The third thing is the difference in status, which was very prevalent in the military 20 years ago. … The same thing has
happened in health care. … In the military, we also did the same thing with real experts doing real Navy tasks. … The second thing is you need
to do an organization readiness assessment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
March 01, 2017 - 4 Things You Should Know about Urine Cultures
4 Things You Should Know
About Urine Cultures
1. Bacteria in the urine does not necessarily
mean a catheter-associated urinary tract
infection (CAUTI) is present.
Bacteriuria is the term used to describe a positive urine culture, the
presence of bacteria in the urine. …
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www.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,
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - The main thing I didn't anticipate, which was a pleasant
surprise, is how much multidisciplinary research … quickly and disseminating it faster than other clinical practices, and that's
good if it's a good thing … and bad if it turns out to be a bad thing. … Then POISE came out and overturned the whole thing. … The central line bundle is a wonderful thing that Peter Pronovost has
championed.
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - started learning about errors, how they happen, and how complex and
multi-factorial they often are, one thing … RW: In your role as an ethicist, is there a tension between doing it because it's the right thing to … JB: Error disclosure is obviously the ethical thing to do. … RW: The line of reasoning that disclosure is not only the right thing ethically, but may very well be … do you balance that issue, or,
at the end of the day, is this really mostly about doing the right thing
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psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
October 20, 2014 - Commentary
Getting it right when things go wrong.
Citation Text:
Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256.
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psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
April 24, 2018 - Commentary
What happens when things go wrong?
Citation Text:
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
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psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
June 10, 2018 - Newspaper/Magazine Article
That’s the way we do things around here!
Citation Text:
That’s the way we do things around here! ISMP Medication Safety Alert! Acute care edition. February 24, 2011;16:1-2.
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Book/Report
Classic
The Checklist Manifesto: How to Get Things Right.
Citation Text:
The Checklist Manifesto: How to Get Things Right. Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
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digital.ahrq.gov/sites/default/files/docs/page/2006Welebob_051711comp.pdf
June 06, 2006 - by small physician
practices…engage them, and engage
them early
June 6, 2006 Page 15
One More Thing … …
• Most important thing is to stay focused
…build your incremental roadmap based
on value…. at the … end of the day, value
is the only thing that matters
June 6, 2006 Page 16
Emily Welebob
Vice President … One More Thing…
Emily Welebob Vice President eHealth Initiative and Foundation
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integrationacademy.ahrq.gov/sites/default/files/2020-07/jurgen_unutzer.docx
January 01, 2020 - Well if there is one thing that we have learned from research on integrated care that’s also tremendously … measure your blood pressure and see if your treatment is on the right track, we have to do the exact same thing