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psnet.ahrq.gov/node/33746/psn-pdf
March 01, 2013 - RW: If a breakthrough in technology would allow us to do more important things, what are those things … If we want to keep getting the same results, we can
continue to do things the same way. … These things are starting to
percolate into the system. … But if instructors do those things properly and
sensitively, we've largely been able to overcome the … DG: That is one of the most difficult things to study.
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - All Things Considered. National Public Radio. October 15, 2020. … All Things Considered. National Public Radio. October 15, 2020. … All Things Considered. National Public Radio. October 15, 2020.
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - Hence, the book, "The Design of Everyday Things," and that's how I got to where I am. … So part of the problem is not seeing it as a system, that things have to work in context. … Equipment is often designed to be in one of two states: everything's okay versus things are really bad … So all of us in everyday life forget things, make mistakes, or occasionally do the wrong thing. … Physicians are notorious for each having their own idiosyncratic ways of doing things.
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - Hence, the book, "The Design of Everyday Things," and that's how I got to
where I am. … And so he or she picks up the different pieces of equipment that
measure the different things, like … So part of the problem is not seeing it as a system,
that things have to work in context. … So all of us in everyday life forget things, make mistakes, or occasionally do the wrong thing. … Physicians are notorious for each having their own idiosyncratic
ways of doing things.
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - This tends to detract and distract from doing
anything to actually improve things on the ground. … It's a familiar safety story, but that was just one of those things that has now become unacceptable. … We should be looking for ways of actually counting these things and taking them out of the
reporting … Do
you think that's true, and if so why do you think things have evolved that way? … One is the idea that you can manage things entirely by
top-down control.
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - MW: One of the first things that we did was that we asked dentists to name the kinds of bad things they … But there are also things like wrong tooth
extraction, which people mentioned but don’t seem to come … We may find small things that are more
traditionally in errors in the medical settings. … What you are afraid of and what is in reality happening are
two different things. … I also think that that one of the things you're talking about is education.
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - Things like necrotizing enterocolitis or sepsis—if you don't
anticipate it and treat it in time, it … In both
parties, the predicament is that things could be learned about the work from the data that we've … Or is it a
combination of those two things? … If we thoughtlessly
implement technology for technology's sake and rush through things, it can also … Things are happening; you're fearful.
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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - Built on that, some vendors have put in things like
scheduling software and accounts software. … Now nursing homes have to deal with some things that might be somewhat different from hospitals, such … So getting traction on
major changes in the way things are done in nursing homes can be quite tough … That is one of the tough things that nursing homes have to deal
with. … Nursing homes are trying to improve the reputation and the kind of things they do.
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - We tried to create a taxonomy looking at the types of things that could go wrong in the diagnostic process … RW : You've named a lot of exciting things. … You've talked about things that facilitate communication between generalists and specialists. … There are all sorts of things, but they don't come out of the box from the EHR that any of us can buy … All those things conspired to have an error that I felt very badly about.
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - Is there a way to get some best practice standards out there to help people optimize these things? … I don't think that it means that we stop working on the other safety things that we've talked about, … So many things are broken, unfortunately, that trying to fix them all can be quite overwhelming. … So at least on the safety side, we're trying to have a more prominent role in making sure that things … What were the things about it that most excited you?
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - RW: Do you think things are getting better?
SK: Yes, I think they are. … Do you have a sense of what goes on over time that makes things the way they have been? … SK: Well, I think the way my foundation can change things and the way we all can change things is to … They're great things that happened. That
makes me really happy.
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - Things like necrotizing enterocolitis or sepsis—if you don't anticipate it and treat it in time, it can … In both parties, the predicament is that things could be learned about the work from the data that we've … Or is it a combination of those two things? … If we thoughtlessly implement technology for technology's sake and rush through things, it can also be … Things are happening; you're fearful.
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - But I think that there will be some element of systemization of these kinds of things. … bloodstream infections, these seven things to prevent falls, and these nine things to prevent decubitus … Many of the things that people talk about as safety issues in fact are. … The policy pipeline has been pretty thoughtful about what things we should do. … , and if they did them religiously, that would prevent 90% of these bad things from happening.
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psnet.ahrq.gov/sites/default/files/2021-09/Battle%20buddies%20tip%20sheet%20(1).pdf
January 01, 2021 - It’s critical to start connecting with your Battle Buddy now - before
things get really stressful … How are you coping with
things at home?
How are you doing with
sleep/rest, exercise,
meals?
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - Jack Needleman: Two things about nurse staffing issues intrigue me. … In the normal course of things, that would imply we need more nurses, not fewer
nurses. … Think about your to-do list as a stack of things to get done. … There's some evidence that patients have
been made safer, but all other things are not equal. … JN: A couple of things are going on.
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - Things like: We should go and do root cause analyses on everybody. … The evangelists were
shouting stuff from the rooftop and rushing ahead with things that probably were … Here were the things that were very, very different from the early years to the
middle years of the … Where do you think things are now? … For a field like patient safety, an easier way of disseminating things is
particularly important.
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - As you came into health care, what were the surprising things you saw about the way physician culture … They can use it to say things that otherwise are forms of what we call forbidden knowledge. … I'm sick of things that work once. … And there is this sense that it's in that category of things like communication skills and other things … People are inclined to think, "They're the kind of things that we're doing anyway.
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psnet.ahrq.gov/node/60173/psn-pdf
March 30, 2020 - BS: That’s hard to answer because there were a lot of little things. … BS: Since the last report, one of the things that has matured the most on the technology front is the … There are things that are really powerful in
there like simulation, and clinical decision support. … BS: I’d say two things. … BS: It’s also interesting to think about some things that may go away because they do work rather than
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - were generally not very good at other things. … To do it, we must have more agreement on how we do things. … PO : Again, several things. I need to be careful here not to overgeneralize. … what you do by learning from things gone wrong. … So these things go together.
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - But I think that there will be some element of systemization of these kinds of things. … bloodstream infections, these seven things to prevent falls, and these nine things to prevent decubitus … Many of the things that people talk about as safety issues in fact are. … The policy pipeline has been pretty thoughtful about what things we should do. … , and if they did them religiously, that would prevent 90% of these bad things from happening.