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psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths
November 01, 2023 - All Things Considered and KQED. January 23, 2019. … All Things Considered and KQED. January 23, 2019.
View more articles from the same authors. … All Things Considered and KQED. January 23, 2019.
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - But, essentially, the Newtonian laws of how these things move through the air have been figured out for … We need to examine a couple of things when we make those claims. … We have systems thinking on the one hand: If you want to understand why things go wrong you've got to … To say these are humans, things happen in our systems that are so complex, resource constrained, and … related to, for example, the coloring of the soap versus the disinfectant, all kinds of things that
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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/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - That's the basis needed for us to even study things that create safe space to talk about near misses … We certainly face a challenge with things like primary impression, which is the EMS field diagnosis. … So, for example, ketamine is given for a number of different things, including analgesia. … Sarah Mossburg: One of the things that I think I understood about trigger tools, was they're looking … The things that we asked about was whether or not there were problems during the transfer of patients
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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/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
February 06, 2019 - Health Shots and All Things Considered. National Public Radio. October 23, 2023. … Health Shots and All Things Considered . National Public Radio . October 23, 2023 . … Health Shots and All Things Considered. National Public Radio. October 23, 2023.
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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/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
April 13, 2011 - Study
Transparency when things go wrong: physician attitudes about reporting medical … Transparency When Things Go Wrong. … Transparency When Things Go Wrong.
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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/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/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - There are some things that we can keep at zero. … I think it's good for CMS to try to hold hospitals accountable for some of these things. … This is another problem with zero harm: some things can be zero, and others cannot. … And we should expect perfection in certain things. … There are other things we do that are not predictable. I'm a primary care physician.
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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/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/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/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/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/40230/psn-pdf
November 23, 2016 - talking-patients-and-families-about-medical-error-guide-education-and-practice
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events … https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
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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-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?