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psnet.ahrq.gov/node/33875/psn-pdf
March 01, 2019 - SH: One of the lovely things that Ariadne does is hold convenings. … leaders from both institutions to talk over with each other ahead of time to understand how you
do things … So I would do a couple of things. … SH: We have two things to talk about.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - And
that's true for most things in life. … GM: First of all, in general I am incredibly bullish on the direction things are going. … RW: Where do you see things going and what do you think might be the next big things in this field? … GM: You asked me about things that surprised me over time with patient safety.
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
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. … Thinking back to “To Err is Human,” one of the big things it talked about was creating a patient safety
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - How are things organized there?
… For example, in criminal law we have things called victim impact statements, where the victim of the … Similar things were happening in different areas of law. … Some patients want an apology and other things. For other patients, it's not all about the apology. … Because the CRP staff would say things like our approach is "Don't wait for the demand.
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - I said: you came into this expecting a realistic appraisal of why things are so bad, and I'm sure you … Like many things in medical errors and safety, it's hard to categorize. … Everyone just added one more thing, the consequence of that is about a thousand one-more-things, and … Patients or their families now can do things for themselves through new digital tools. … Because I get to do all those things and they cross-fertilize one another.
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - you the number of root cause analyses where someone said, "If we just had computers, it would make things … I said: you came into this expecting a realistic appraisal of why things are so bad, and I'm sure you … Like many things in medical errors and safety, it's hard to categorize. … Patients or their families now can do things for themselves through new digital tools. … Because I get to do all those things and they cross-fertilize one another.
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psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
February 26, 2025 - You're only looking for the things that are supporting what you're doing." … LZ : Well, one of the most exciting things about it, and one of the most frustrating things, is that … frontline clinician or than a manager; you're seeing the information needs and the connections between things … You don't see things the same way if you have never done it or never participated before.
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psnet.ahrq.gov/node/33622/psn-pdf
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. … you've said that the campaign became something very different than what you had planned, as
these things … Okay, now analyze the things that made the campaign resonate so
deeply and more vigorously than perhaps … that don't work as well as well
as the things that do.
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psnet.ahrq.gov/node/33807/psn-pdf
May 01, 2016 - Things like sound speakers turned to the wall to muffle
the alarm sounds. … The alarm
speakers had been unplugged; things like that. … Over the years,
engineers for industry have come to me frequently and said things like, "Hey guess what … BD: No, but I think that there are other things that we could do. … Yet it's a very complex device that does a lot of different things.
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - We know that things we
see in simulation also occur in the real world. … Of all the things that simulation is good for, training teams in nontechnical skills—teamwork, crisis … That's unique across specialties
in the US, although other countries are doing similar things. … Yet, a surprising number of times people do
things that you didn't expect even after you've run the … MW: You were asking me about things that I was surprised about.
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psnet.ahrq.gov/node/33637/psn-pdf
August 01, 2006 - did the usual things, research,
wrote papers, and taught, and I was very active in professional societies … I had done the usual academic
things, and I was wondering what I was going to do for the next 20 years … I was always interested in how to
change things and make the world a better place, but I guess everybody … that the economists
had taken over, and it was time for the doctors to get back in and straighten things … So I wondered, why aren't we doing these things?
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - 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. … Because all those things, poorly executed, could end up simply generating more
paperwork and more forms … But I would separate them organizationally just to not get things
muddied and to make sure that the … But we talked more about how frustrating it was when negative things happened.
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
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/33877/psn-pdf
April 01, 2019 - TM: There are so many great things in the IOM report. … That is how physicians became engaged in notifying the organization
about things that had happened. … From a quality and safety side, things need to be much more
systematized. … we would
go to Michigan, he would then come to University of Illinois, and we would share different things … how long it takes to build trust between the system that responds to
harm and potentially resolves things
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - 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.
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - training that care providers receive about devices is protracted and designed to show what to do when things … Why Things Bite Back: Technology and the Revenge of Unintended Consequences. … His book Why Things Bite Back: Technology and the Revenge of Unintended Consequences is a seminal work … RW : Checklists are a very hot issue in health care, the idea that things that we've relied on human … Many of these things can be foreseen.
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - we looked at the literature and then talked about what makes sense to purchasers and the public as things … The inevitable tension in health care is that these things are often nuanced and the science is imperfect … Leapfrog really pushed the envelope, and a lot of others came forward to do things that we pioneered. … But at the same time, there's a long list of things that purchasers would like to get their hands on. … RW : Do you or your members have a theory as to why things have not improved as much as one would have
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
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.
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - KH: What are some of the things you are hearing from members, what are their concerns? … ALD: I would say yes and will also mention that one of the things we did very quickly after the pandemic … Things that were in place before (for example, team-based
care and the pharmacist being involved in … All of these things have elevated the capacity for
the entire workforce, including within the pharmacy … There’s certainly opportunity to learn new things as a result of COVID.
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psnet.ahrq.gov/issue/disclosing-harmful-pathology-errors-patients
May 18, 2022 - August 31, 2016
Should health care providers be forced to apologise after things go wrong … May 4, 2014
More than words: patients' views on apology and disclosure when things go