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Showing results for "things".

161. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - facilities and how things can go wrong. … All these types of things should be on the radar screen and monitored regularly. … There's nothing like a call from a reporter to get things moving. … Sometimes bad systems allow for bad people to do bad things. … And helping to explain those things together.

162. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - facilities and how things can go wrong. … All these types of things should be on the radar screen and monitored regularly. … There's nothing like a call from a reporter to get things moving. … Sometimes bad systems allow for bad people to do bad things. … And helping to explain those things together.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47835/psn-pdf
     April 24, 2019 - issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences … https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences https

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33662/psn-pdf
     January 01, 2008 - Sometimes safety improvements are generated when bad things happen to good people. … The average size of a Tenet Hospital is about 150 beds, so these things happen infrequently. … It incorporated a lot of things other than safety. … Then we built the transformation team approach, when we were going in and picking the top things that … at Tenet versus doing things at Partners.

165. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
     August 31, 2020 - Can you talk about how those two things interact? EL : I guess it’s a tale of two journeys.  … EL : Our publicly reported data is not perfect; we struggle with a couple of things. … We have been able to focus on some things. … and a couple of other things right now. … We may have to try five things, fifty things, before you get to the right thing for this, and then what's

166. Safety Across The Board | PSNet
     psnet.ahrq.gov/perspective/safety-across-board
     August 31, 2020 - Can you talk about how those two things interact? EL : I guess it’s a tale of two journeys.  … EL : Our publicly reported data is not perfect; we struggle with a couple of things. … We have been able to focus on some things. … and a couple of other things right now. … We may have to try five things, fifty things, before you get to the right thing for this, and then what's

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33748/psn-pdf
     April 01, 2013 - But once you start passing that 3- to 6-night range, things are going to get worse, and the risk of … CL: Ultimately, I think that is where things will need to go, but there are a lot of workforce and cost … I don't know that things will go that way here in the US. … We did two things in the North Carolina study. … We were also trying to understand whether things were improving over that 6-year span, particularly

168. The hospital ran out of her child's cancer drug. Now she's fighting to end shortages. | PSNet
     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.

169. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
     psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
     September 01, 2006 - It's an interest in trying to do things the most effective way. Safety is one of those things. … , this is the Stanford way of doing things. … JB: I learned that most people were reluctant to bring things up because they would often get treated … And he asked what other things had I seen, and I pointed out a number of things that I would do differently … But we found out some other things that surprised me.

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37903/psn-pdf
     May 09, 2013 - history of checklists as a quality and safety tool in his book, The Checklist Manifesto: How to Get Things … perspective/conversation-withatul-gawande-md-ma-mph https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right

171. In Conversation With… Rebecca Lawton, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
     March 24, 2025 - I do see some of those things happening in health care, particularly in response to patient safety incidents … whether patients were able to report on patient safety incidents and whether they reported different things … well-trained to do the job, whether staff were communicating effectively with one another, whether things … Patients seemed very able to observe and provide feedback on those things. … safety problem from a patient doesn't make it any more likely that you're going to be able to change things

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838222/psn-pdf
     September 28, 2022 - Well, high-quality care is both doing the things that a patient needs and not doing the things that … We want to avoid overprescribing, complicating people’s lives, sending them out to do things they don … What are some of the things that are hallmarks of that? JW: How do we measure high quality? … The patient may or may not have the time to do all of those things in the next two weeks before those … There’s a lot of steps along the way where things can go wrong.

173. Patients' and physicians' attitudes regarding the disclosure of medical errors. | PSNet
     psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
     March 21, 2017 - November 23, 2016 When Things Go Wrong: Voices of Patients and Families. … November 18, 2016 More than words: patients' views on apology and disclosure when things … February 16, 2011 When Things Go Wrong: Responding to Adverse Events.

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33764/psn-pdf
     April 01, 2014 - 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?

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33742/psn-pdf
     December 01, 2012 - They were all elderly and admitted for different things, like acute myocardial infarction (MI), congestive … , there are 13 different codes that could be delirium, some of them say delirium, some of them say things … All these little things happen on the night shift because it's when things are otherwise quieter. … If you believe that many cases of delirium are caused by things that we do to patients in hospitals … I'm trying to make sure that along the way we don't do things that have unintended consequences.

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44483/psn-pdf
     September 09, 2015 - psnet.ahrq.gov/issue/report-morecambe-bay-investigation https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour

177. In Conversation With… Kathleen Sutcliffe, MN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
     April 26, 2023 - One of the things that we do not discuss a lot (because we pretty much take it for granted) is that these … Because small things are going to come up, so you have to adjust. … You want to pay attention to what things look like right now. … Because if we know how things are operating right now and where our vulnerabilities are, we can make … Those kinds of things are really going to contribute to rescuing and making health care safer.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33696/psn-pdf
     June 01, 2010 - Once I became aware of things that were going wrong, I began to look outside of medicine and to other … and distortions of their reasoning, especially in emergency medicine, which is a fertile ground for things … So when you add all those things up, you realize that to expect high-quality decision-making is somewhat … RW: Can you give us a couple of examples of things that you built into your emergency departments that … Some of them are still suffering from that secrecy and covering things up.

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33760/psn-pdf
     February 01, 2014 - Probably the most important is working memory load, which is governed by many things you have to remember … If you do any of those things just ahead of the interruption task coming in, then you're fine. … All those things can work. … If you're in a clinical setting where things are particularly at risk, then there should be strict rules … We will always want to have discussions about those things. They're not going to go away.

180. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
     psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
     September 01, 2006 - It's an interest in trying to do things the most effective way. Safety is one of those things. … , this is the Stanford way of doing things. … JB: I learned that most people were reluctant to bring things up because they would often get treated … And he asked what other things had I seen, and I pointed out a number of things that I would do differently … But we found out some other things that surprised me.