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psnet.ahrq.gov/node/43294/psn-pdf
April 25, 2016 - /issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - DdB : One of the things I have done over the years is openly acknowledge how I have a very limited range … On the other side of this cloud, the storm, there is the new world where things work the way the users … But great things are already happening.
RW : Do you think the malpractice system is an obstacle? … To me, that is a set up for disaster when things go wrong. … Patient Advocacy in Patient Safety: Have Things Changed?
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psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - There are two things that are interesting about these
disclosure laws. … the importance of transparency, but I'm not sure that they're likely to have a major impact on how things … Of all of the things
we owe the patient, we certainly owe them information that's accurate and truthful
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - In his mind he had equated the two things. … I'm localizing your story on your body, and then I'll get the images and do the other things. … Out of embarrassment I'm hoping that things will reverse themselves. … Or from my own house staff saying they have better things to do. … Although it's not a bad place to be: Interesting things float by you.
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - We thought that the opportunity to define things in a common way had to begin where the data are initially … dollars to promote health care IT, and health reform hadn't been passed, which changes a number of things … The HITECH Act and other initiatives dealing with IT try to simplify providers' lives by automating things … of the stakeholder communities, and begins to rationalize both substantively and electronically how things … We also recognize that even with those strict rules, there can be things that it's nice to have, but
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - I've not thought about the sources of that, but it does make me think about three things. … You have to do only the things that must be done. … Okay, now analyze the things that made the campaign resonate so deeply and more vigorously than perhaps … to tell about our failures as loudly as we tell about our successes, so that we can learn from the things … that don't work as well as well as the things that do.
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psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
November 15, 2018 - April 23, 2014
Doing right by our patients when things go wrong in the ambulatory setting
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - system or having the clerkship director or attending state at orientation, “You’re likely to
see some things … But you’re in a unique position to catch things—you have the time to observe things that I don’t, and … In fact,
he has been known to throw things in the OR, and let’s say he has good aim.
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - and that requires being willing to look at
things differently." … experience of patients and families, but that requires that we observe and listen
well, and to the right things … assumptions, freewheel in thinking from time to time, manage the risks inherent
in trying out new things
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Do three things to determine why it made sense for the nurse to do what he or
she did. … When things go well, health care culture tends to celebrate "good doctoring" (2,3):
acts by competent … When things go
wrong, health care culture often zeroes in on people at the "sharp end" who, for once
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psnet.ahrq.gov/node/44011/psn-pdf
May 06, 2015 - resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
https://psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
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psnet.ahrq.gov/node/47759/psn-pdf
February 06, 2019 - All Things Considered and KQED. January 23, 2019.
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psnet.ahrq.gov/node/46654/psn-pdf
December 13, 2017 - psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - psnet.ahrq.gov/issue/enhancing-surgical-performance-primer-non-technical-skills
https://psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
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psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - It described the NHS as having an old-fashioned approach to learning lessons when things go wrong and … Early on, our students were indignant about the sort of things that any lay observer would be indignant … RW: When you're working in a given system and culture, there's a tendency to think that many things … All the difficulties that people focus on, all the criticisms, all the reasons why we shouldn't do things … Then we can start to highlight areas where things are getting better.
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psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - Early on, our students were indignant about the sort of things that any lay observer would be indignant … RW: When you're working in a given system and culture, there's a tendency to think that many things … also have to think about whether to wait for a full-blown incident or whether there are pointers to things … Then we can start to highlight areas where things are getting better. … It described the NHS as having an old-fashioned approach to learning lessons when things go wrong and
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - that more recently have been taken on board are the need for multidisciplinary networks, embedding things … That framework was incredibly useful, but it also stifled the opportunity to look at other things beyond … Other things are being developed that can be used to talk through algorithms for when antibiotics should … The infection prevention side of things is really universal and international. … RW : I remember 10 years ago people were talking about rotating antibiotics and all sorts of things.
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psnet.ahrq.gov/node/844542/psn-pdf
February 15, 2023 - Human factors in anaesthesia: a narrative review.
February 15, 2023
Kelly FE, Frerk C, Bailey CR, et al. Human factors in anaesthesia: a narrative review. Anaesthesia.
2023;78(4):479-490. doi:10.1111/anae.15920.
https://psnet.ahrq.gov/issue/human-factors-anaesthesia-narrative-review
Human factors science focuses o…
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing.
February 22, 2017
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2).
doi:10.1097/01.npr.0000511772.62176.10.
https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - To raise awareness we did two things.