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psnet.ahrq.gov/issue/safety-culture-and-positive-association-being-primary-care-training-practice-during-covid-19
January 08, 2025 - Improving Diagnostic Safety and Quality
April 26, 2023
Bad things … September 30, 2020
When bad things happen: training medical students to anticipate the
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psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - That might depend on things like the length of the screener. … Make things available to
them to refresh their memory quickly when they need it. … Often, the visitors
do not bring in things for the person to harm themselves, the person just uses … It is designed by the patient and provider together so that patients have, in their
own words, things … Then we talked about things like post-visit calls.
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psnet.ahrq.gov/node/33845/psn-pdf
November 01, 2017 - For example, people cannot remember things very well. … WP: There are a variety of things. … RW: You've talked about patients seeing things in their record and identifying problems. … RW: When you think about the ability to monitor and manage things that maybe patients didn't have 10 … Patients will start making demands for things to change faster than they have in the past.
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - 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?
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - They could look at the big picture and look at things that had been missed, or were not completed, because … say, “Hey, did you notice the hemoglobin was this,” or “I’ve had the chart open, and I can look at things … If you’re on the night shift, you can call up your nurse preceptor and talk things through. … The other thing is when they do patient education, they can go over things on the big screen. … So many things could be tied together.
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - They could look at the big picture and look at things that had been missed, or were not completed, because … If you’re on the night shift, you can call up your nurse preceptor and talk things through. … That’s one of the things that we use virtual nursing for that is a little bit different, and that’s nurse … The other thing is when they do patient education, they can go over things on the big screen. … So many things could be tied together.
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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…
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - But they could be attributable to lots of things. … RW : I'm going to call out things that did not exist 10 years ago and do now, and I'd love to hear your … thoughts on have they surprised you, have they changed things, or how you think they're going to change … things in the future. … RW : One of the most persuasive things I read in research in my book was Erik Brynjolfsson's work about
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - They've essentially tied universally
important, broad-based steps in care to the things that actually … the
next 5 years, I think you'll start to see hospitals shift toward measuring how we do on the key things … We have now seen several examples of
effective things you can do that really change complication rates … We're just on the cusp, I think, of finding things to do
that work that way. … I think without the chance to
step back and see things from 30,000 feet in the way my writing lets me
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - Related Resources From the Same Author(s)
The Checklist Manifesto: How to Get Things … April 22, 2016
The Checklist Manifesto: How to Get Things Right.
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psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - Citation
Related Resources From the Same Author(s)
Openness and Honesty When Things … September 30, 2020
When bad things happen: training medical students to anticipate the
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psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
March 27, 2024 - Before you know it, CMS said there are 40 quality measures, and here are the things that need to be entered … Then I would probably focus on fewer things at a deeper level than we did. … Suddenly you would find that if we focused on a few things deeply with the right incentives, we would … One of the things that does seem to have changed in the last several years is the entry or reentry of … The nature of our Alexa applications are things like appointment making.
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - MM: There have been a couple of things. … So these things play out in earlier stages of
litigation. … number of ways you could set this up, but probably the most feasible way for the US
would be to keep things … If
the insurer is not on board, it's very easy for things to fall off the rails.
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Still, with all these things we do in terms of
communication, collaboration, coordination… we can either … Are we doing everything we can to decrease their stress level and make things predictable and help them … In the sense
that the interventions are all about not disturbing people, trying to keep things quiet … Every patient
is different and things happen in the hospitalization, so to get the acute situation under … that is generalizable to our efforts to change the payment and the transparency system
around other things
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psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
February 26, 2025 - meets once a month or once a week, but it's very dependent on the personnel in the room and many other things … It sounds daunting, but when you do it, it makes things so easy. … RW : Any other things you wanted to talk about?
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psnet.ahrq.gov/node/33714/psn-pdf
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/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…
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - Things that
had worked well in the pilot study were further refined and incorporated into the I-PASS … AS: When we talk about the I-PASS study, one of the key things we often point to was the tremendously … However, following I-PASS implementation these things are much
more common and the providers seemed … Is
there any recidivism or are things continuing on the same trajectory? … One of
things we anticipated would be hard to sustain was engaging faculty to observe the handoffs and
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - RW: When do you think things started to change in terms of opioid prescribing patterns, and what were … The driver of that shift had to do with
multiple things. One is that pain is common. … They can do things that they couldn't
previously do. … How do you think that folds into this narrative about how things got out of hand with opioids? … To me, it's unconscionable that those sorts of things existed in the
US.
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - Things that have worked are forcing a "time out," where they verify the patient's name and ID, the procedure … about being in the back of a van weaving in and out of traffic at 70 miles an hour that make those things … generally the right call to go to the place with more capacity or to go to the local place and get things … RW : Are they doing things in the field where you worry about whether they have the wherewithal and the … I'm thinking about thrombolysis, and you see more and more things being pushed into the ambulance because