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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - The lay definition of culture is "the way we do things around here." … They're trained to do similar things. First officers are in training to become captains. … Our assessment method is that you measure things hospital wide, but capture information at the patient … What do you tell me to do in order to fix things?
BS: That's a great question. … Within the comfort of using the list to accomplish other necessary things (such as keeping superiors
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Within the comfort of using the list to accomplish other necessary things (such as keeping superiors … The lay definition of culture is "the way we do things around here." … They're trained to do similar things. First officers are in training to become captains. … Our assessment method is that you measure things hospital wide, but capture information at the patient … What do you tell me to do in order to fix things?
BS: That's a great question.
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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - ://psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - They were all elderly and admitted for different things, like acute myocardial infarction (MI), congestive … 9, 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 and … I'm trying to make sure that along the way we don't do things that have unintended consequences.
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
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
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psnet.ahrq.gov/node/43017/psn-pdf
June 12, 2019 - disclosure-errors
https://psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - Hendrich : The largest predictor of who falls is associated with intrinsic risk, things that we carry … AH : There are some very basic things that we must be aware of as it relates to the older adult in a … I think some of the more practical things are around having flat soles, firm shoes, not letting patients … One of the things that we're working on at Ascension Health right now that I'm really excited about is … So it's really how those clinicians value that and monitor the patients versus having more signs and things
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - Of course, if you need something like an infusion or things
of that nature, you are going to come into … Let's say, if you need a blood count and things like that,
can we have patients go to their local lab … , and
you must be open to accepting that there are things outside of your control, and you have to do … IDHI: Rural providers, and really doctors in general, tend to stick with one way of doing things. … KH: Is there anything else that you think we should cover or things that you would like to highlight
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psnet.ahrq.gov/node/837153/psn-pdf
January 01, 2025 - ensuring-successful-implementation-communication-and-resolution-programmes
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
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
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - So I pursued my career in academic pediatric surgerydid the usual things, research, wrote papers, and … I had done the usual academic things, and I was wondering what I was going to do for the next 20 years … So I wondered, why aren't we doing these things? … In fact, most of the discussions were about all of the other kinds of things that can go wrong. … However, I see things changing.
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psnet.ahrq.gov/node/50877/psn-pdf
February 05, 2020 - psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse
https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
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psnet.ahrq.gov/node/73552/psn-pdf
August 04, 2021 - issue/how-talk-about-patient-safety
https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong
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psnet.ahrq.gov/node/841199/psn-pdf
December 07, 2022 - association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
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psnet.ahrq.gov/node/39811/psn-pdf
September 13, 2010 - Disclosure of medical errors: the right thing to do.
September 13, 2010
Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9.
https://psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
This article discusses medical error disclosure, provides evidence of…
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psnet.ahrq.gov/node/41584/psn-pdf
October 11, 2012 - Making it easier to do the right thing: a modern
communication QI agenda.
October 11, 2012
Wynia M. Making it easier to do the right thing: a modern communication QI agenda. Patient Educ Couns.
2012;88(3):364-6. doi:10.1016/j.pec.2012.06.027.
https://psnet.ahrq.gov/issue/making-it-easier-do-right-thing-modern-comm…
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psnet.ahrq.gov/node/39941/psn-pdf
October 20, 2010 - The normalization of deviance: do we (un)knowingly
accept doing the wrong thing?
October 20, 2010
Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing
the wrong thing? AANA J. 2010;78(4):284-7.
https://psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-…
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing?
July 2, 2017
Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703.
…
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - important to patients—understanding their context, their resources, the communities—those kinds of
things … Things do have to be removed in order to put new material in. … SS: Many exciting things are happening on the clinical rotation side. … They all have a lot of experience doing other things. … Being a little bit to the outside, we can call more things into
question.
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - Elizabeth Salisbury-Afshar: On a national scale over the last three decades, we've seen a few things. … Sarah Mossburg: Harm reduction is one of the things we'd like to talk about today. … In the community, the most common services are things like naloxone distribution and syringe service … We formally and informally ask
patients if there are other things they wish we would offer. … We need to understand what's
working and if there are things that need to be tweaked.