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Showing results for "things".

241. Psn-Pdf (pdf file)
     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

242. In Conversation with...James P. Bagian, MD | PSNet
     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.

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33628/psn-pdf
     February 01, 2006 - He "feels" himself and his world intensely, so that when an error comes along, two things happen: first … narcissism develops as either a poorly regulated response to the adulation (for all the marvelous things

244. Disclosing harmful pathology errors to patients. | PSNet
     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

245. Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
     November 16, 2022 - August 30, 2023 The things we carry: the scope and impact of second victim syndrome. … January 2, 2017 Adverse outcomes: why bad things happen to good people.

246. Disclosing Medical Errors: A Guide to an Effective Explanation and Apology. | PSNet
     psnet.ahrq.gov/issue/disclosing-medical-errors-guide-effective-explanation-and-apology
     October 26, 2007 - November 23, 2016 When Things Go Wrong: Voices of Patients and Families. … January 4, 2009 When Things Go Wrong: Responding to Adverse Events.

247. Dead by Mistake. | PSNet
     psnet.ahrq.gov/issue/dead-mistake
     August 10, 2016 - March 20, 2019 Why Things Bite Back: Technology and the Revenge of Unintended Consequences … May 21, 2019 The Checklist Manifesto: How to Get Things Right.

248. Psn-Pdf (pdf file)
     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. 

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73571/psn-pdf
     August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33768/psn-pdf
     June 01, 2014 - DdB: One of the things I have done over the years is openly acknowledge how I have a very limited range … How can we understand the value they could be bringing and do things that will make that more of a reality … 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.

251. In Conversation With… Leah Binder, MA, MGA | PSNet
     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

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33843/psn-pdf
     October 01, 2017 - Even if you do go to work when you're ill, you can do things to protect patients, particularly the most … You cannot work well when you have those things. … We've already made some progress with fatigue, and equating those things is exactly the right answer

253. In Conversation With… Lorri Zipperer, MA | PSNet
     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.

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35843/psn-pdf
     September 16, 2015 - There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. September 16, 2015 Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Simul Healthc. 2006;1(1):49-55. http…

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33732/psn-pdf
     July 01, 2012 - improving quality, and therefore no business case for the technologies that enable you to do those things … exception of perhaps some systems—like the very tightly purposed Apple products—there are very few things … Those are two things that I think we could be much better at than the UK. … organization building to policy development to mass communications to managing staff to just a whole range of things … So there were a whole series of things that I learned in Washington that are applicable even in this

256. Making Healthcare Safer III Report | PSNet
     psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
     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

257. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - and that requires being willing to look at things differently." … and assumptions, freewheel in thinking from time to time, manage the risks inherent in trying out new things … But all of the things you mention there—PDSA cycles, root cause analysis, problem solving, continuous … Deming because we see those same things in the Toyota or Lean approach. … That's one of the most powerful things when the health care folks see that and wonder how much better

258. In Conversation With… Mark Graban, MS, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
     January 01, 2015 - But all of the things you mention there—PDSA cycles, root cause analysis, problem solving, continuous … Deming because we see those same things in the Toyota or Lean approach. … When an organization listens to those people and then helps them fix things, these are the cultural themes … That's one of the most powerful things when the health care folks see that and wonder how much better … and that requires being willing to look at things differently."

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33740/psn-pdf
     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.

260. In Conversation With… Timothy B. McDonald, MD, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
     February 26, 2025 - TM : There are so many great things in the IOM report. … If you have the appropriate culture, people should feel comfortable putting things in and maybe that … 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