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Showing results for "things".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33861/psn-pdf
     July 01, 2018 - We tried to create a taxonomy looking at the types of things that could go wrong in the diagnostic process … started with my interest in medication safety and realizing that as an internist I mainly did two things … RW: You've named a lot of exciting things. … You've talked about things that facilitate communication between generalists and specialists. … All those things conspired to have an error that I felt very badly about.

182. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - "The A14 is different than the F18; therefore, we do things differently." … We went out and collected data with real military teams doing real things in the real world. … It gives you better outcomes across safety, fewer errors, and those kinds of things. … That's where I think organization and leadership come into play, with all the other things. … Those two things are critical to understand before you implement any team training.

183. In Conversation With… Eduardo Salas, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
     November 01, 2011 - "The A14 is different than the F18; therefore, we do things differently." … We went out and collected data with real military teams doing real things in the real world. … It gives you better outcomes across safety, fewer errors, and those kinds of things. … That's where I think organization and leadership come into play, with all the other things. … Those two things are critical to understand before you implement any team training.

184. In Conversation With…Christine A. Sinsky, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
     February 26, 2025 - It was harder to preserve the interaction with the patient and the other things that drive satisfaction … And many of those things have actually been great. … called that study " In Search of Joy in Practice ," because I wasn't certain whether we would find things … Because all those things, poorly executed, could end up simply generating more paperwork and more forms … But we talked more about how frustrating it was when negative things happened.

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843150/psn-pdf
     December 05, 2022 - As many as 40% of homeless youth are LGBTQ+.5 We see a lot more homelessness, which leads to things … These things have so much power that I do not think people always realize. … Sarah Mossburg: Some of the key things that I hear you talking about in relation to the patient safety … no different than the things people do outside the LGBTQ+ community. … I am a million different things.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33704/psn-pdf
     December 01, 2010 - We didn't talk about those things—we just didn't have those tools in our quiver. … RW: Did risk managers know those things? … Many of us were looking at, how can we improve things? How can we keep this from happening again? … These things take a while to get into the mainstream of our vernacular and our consciousness. … This is a skill for all of those things, not just when you've made a medical error.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37292/psn-pdf
     May 24, 2015 - issue/many-faces-error-disclosure-common-set-elements-and-definition https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events … https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families https://psnet.ahrq.gov

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33726/psn-pdf
     March 01, 2012 - time in 6 years she had spoken to a physician with whom she had a very intimate relationship before things … Things like, you might think about x, y, and z, which might have avoided this lawsuit. … RB: Well, I built on a lot of things that people before me had in place. … What that translates to in my mind is two things. … So we're doing a number of things here that are very exciting. Dr.

189. In Conversation With… David M. Gaba, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
     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. … Because it is better to start trying some of these things, seeing what improvements you can make, and … DG : That is one of the most difficult things to study.

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33865/psn-pdf
     September 01, 2018 - 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 … safety problem from a patient doesn't make it any more likely that you're going to be able to change things … https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families https://psnet.ahrq.gov

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33750/psn-pdf
     May 01, 2013 - But there are a couple of things worth noting and celebrating. … Things that actually have a real financial impact on the hospital's bottom line are much more likely … They're moving things around on the screen. They're trying this; they're trying that. … I don't think there's much in the way of incentives to do those things. … AJ: Two things that have really held us back on progress on patient safety: one is incentives, which

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33626/psn-pdf
     January 01, 2006 - As I delved further into it, I realized some of these things probably aren't directly applicable. … We've also found that there are a lot of key things that can help right away, improve teamwork, and … Things like the team briefings and debriefings. … that people are accepting it and willing to change their behaviors, and yet they go back to doing things … Certainly there are some technical things that could be learned, but because of the current state of

193. The Literature on Health Care Simulation Education: What Does It Show? | PSNet
     psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
     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. … Because it is better to start trying some of these things, seeing what improvements you can make, and … DG : That is one of the most difficult things to study.

194. In Conversation With… Paul McGann, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
     July 10, 2024 - One of the things I know you're interested in is what can the federal government in particular bring … RW : The more general experience is that things often don't scale. … Together, if both of those directions can be considered simultaneously, the ability to move things more … How do you take advantage of things like checklists and structures but also change the culture at scale … RW : Any other things that you want to talk about?

195. In Conversation with…Troyen A. Brennan, MD, JD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
     December 21, 2022 - Most of my early work had to do with things that were explicitly regulatory in nature, and I was also … The interesting thing about that study , like a lot of other things in quality of health care, was that … And that was the appropriate metaphor in which to view these things. … The physicians report that they are not doing things they used to.

196. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet
     psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
     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.

197. In Conversation With… Jack Needleman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
     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.

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33752/psn-pdf
     August 01, 2013 - if you swooped in and looked at a surgical team or a medical team somewhere around the country, are things … But if you're lacking in resilience it just takes little things to push people over the edge and you … When you're burned out you're not engaged, so you do things that are more expensive, you make the same … RW: You've said that it's very hard to train people on new things and innovation and get them engaged … like new technology and a new building or some other big distracting things.

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33787/psn-pdf
     January 01, 2018 - RW: One of the early things you did was team up with industry to look for lessons from outside of health … One of the first things that they saw at NASA was a big map on the wall dedicated to looking at the … RW: One of the things that it seems that you and IHI have focused on is not only telling the story of … RW: When you took over IHI from Don Berwick, you did one of the hardest things in management and in … And devastating things happened.

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33708/psn-pdf
     March 01, 2011 - VA: In the handoff community, we're starting to standardize the way we talk about these things; we use … Well, certainly admission, which includes things like transfer from EMS [emergency medical services] … So you really sense that it's a very dynamic process, and things could go wrong at any step. … The challenge is that more things are being handed off now of course with duty hours. … an EKG, placing an arterial line, things that are very susceptible to sleep loss.