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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - I'd come out of an academic background and
it just seemed like a natural thing to do. … the 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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effectivehealthcare.ahrq.gov/sites/default/files/haller.pdf
May 29, 2025 - The next thing that I want to talk about quickly is our prediction
markets. … Another thing are online communities and we've already done this hands-up
exercise so I'm not gonna … Oftentimes, the first thing that we think about is technologies. … Another thing is figuring out pre-registration. … And I think the -- the interesting thing here is when you think about your
audience, 90 percent of
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psnet.ahrq.gov/node/33822/psn-pdf
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. … Another thing in health care: the reporting is terrible. … One
thing you have to do is beat back the legal staff who don't want you to tell anybody that there
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - 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 … 10 years is that trying to educate each of the 1000 physicians or 5000 nurses to each do the right
thing … Do you think this is a good thing?
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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/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/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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www.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
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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - Now whether this was a causal thing, whether
the Joint Commission facilitated that, or whether those … NC: Yeah, and that's the curious thing. … It wasn't an influx of resources; it was
purely a leadership thing. … One thing that happened
over time was nursing homes became very medicalized. … But one thing that you really cannot improve is: for many residents this is
their last place.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/business-case.html
April 01, 2013 - And so that will be the thing that we end on. … You know, here’s where the thing breaks down. … And again, it’s that connect-the-dots thing that we looked at before. … The second thing is satisfaction scores. … At this point, you call in the kids from out of State, that sort of thing.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
June 02, 2025 - Another thing that is a huge barrier is that by the time you finish developing a report, you know the … Another thing to be friendly to people is to embed the definitions of
terms where they actually need … So the thing to know about readability formulas is that in order to make text score
lower, like get … And the final thing I would say about readability formulas is that you can actually generate random … So I think that the most important thing is to do it and then you will
realize how valuable it is.
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effectivehealthcare.ahrq.gov/sites/default/files/blumenthal-presentation.pdf
May 29, 2025 - processed
any
of that information and it was al extremely important.
6
Another interesting thing … So when
we think
about trust and
whether that’s a good
thing or a bad
thing in
terms … reflected
on
how the lack of time had
inhibited
their interaction, saying, “I
think the thing … We found
the same thing in
the fetal
center study with these hour-‐long consultations, when … what’s important to them, or what
questions they have, and
that patients feel like that’s a normal thing
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www.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.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/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Leape.pdf
June 02, 2025 - What is the right thing to do? Which practices improve safety? What is
the evidence?
2. … How do we do the right thing? … How do we make sure that the right thing is done 100 percent of the
time?
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psnet.ahrq.gov/node/33648/psn-pdf
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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www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
February 22, 2024 - It's
not actually adding one more thing. It's completely doing a whole different thing... … Sort of an ancillary sort of helper thing. … It's not actually adding one more thing. It's completely doing a whole different thing... … It's not just another thing to add onto your list. … Sort of an ancillary sort of helper thing.
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psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
October 30, 2019 - The fork-in-the-road choice is between the right thing to do and the easy thing to do. … to do also the easy thing to do. … And sometimes the right thing to do is to do a C-section. … But the hardest thing about the C-section problem is that the right answer is not zero. … The only thing it does reliably is increase C-section rates because it can tell us information.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - So educating me was the first thing that had to be done. … The other thing that we said was that we want to be in the top quartile of public measures. … You know, we talked a lot about the team approach, and that’s the one thing the Tennessee Center for … It was really a nice thing. … The most important thing that we impress upon them is that patient safety comes first.