-
psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - Shekelle : Well, a couple of things got me more interested in patient safety. … the kinds of things medical doctors think about patients. … those things are and what should be reported. … These things are things that are mostly not changeable by the organization. … It's all the things surrounding the checklist.
-
psnet.ahrq.gov/node/44177/psn-pdf
November 10, 2015 - Doing the right things and doing them the right way:
association between hospital guideline adherence … Doing the right things and doing them the right way: association
between hospital guideline adherence … https://psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital … https://psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital-guideline-adherence … https://psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital-guideline-adherence
-
psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - But many things are different between now and then. … So, things have not
gotten better for all types of infections. … The evidence is that when
we do that, things get better. … David Bates: A couple of things would be helpful. … That could make things apples to apples.
-
psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - So, it gets me thinking about the things we are doing together. … It also gets me thinking about
the things that might be nuisances in my everyday work. … What are the things that are unreliable? What are
the things that I must work around? … Which things get in the way and are frustrating? … There is also substantial pressure on care
providers to do things quickly and efficiently.
-
psnet.ahrq.gov/node/40194/psn-pdf
June 20, 2011 - What happens when things go wrong?
June 20, 2011
Brandom BW, Callahan P, Micalizzi DA. … What happens when things go wrong? … https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
This commentary reveals a personal story … https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
-
psnet.ahrq.gov/node/39381/psn-pdf
March 17, 2010 - Getting it right when things go wrong.
March 17, 2010
Pettker CM, Funai EF. … Getting it right when things go wrong. JAMA. 2010;303(10):977-8.
doi:10.1001/jama.2010.256. … https://psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
This brief commentary discusses the … https://psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
-
psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - Are there things that would
work as video or a handout? … And are there things that really need to be a conversation? … One of the things that has been so valuable that I learned from Dr. … The things that
they need and the things that they do only make sense in relation to each other. … It’s not more things; it's changing the
existing things.
KH: Great.
-
psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care … When things go wrong: how health care organizations deal with major failures. … When things go wrong: how health care organizations deal with major failures.
-
psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers … Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting- … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
-
psnet.ahrq.gov/node/42943/psn-pdf
April 12, 2014 - Doing right by our patients when things go wrong in the
ambulatory setting. … Doing right by our patients when things go wrong in the ambulatory
setting. … https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
This commentary … https://psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
https:/
-
psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - and some of those things were surprising. … A number of policies and changes were made, but things were not safer. … When things work at the VA, I think they could be a model for the way things should go for general hospitals … AW : Well, I think we're learning a few things. … Such an organization would have to have a few things.
-
psnet.ahrq.gov/node/43749/psn-pdf
December 10, 2014 - Alarm management: first things first: using reliable data
to eliminate unnecessary alarms. … https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary … https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms … https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
-
psnet.ahrq.gov/node/44132/psn-pdf
May 13, 2015 - Adverse outcomes: why bad things happen to good
people.
May 13, 2015
Sonnenberg A. … Adverse outcomes: why bad things happen to good people. … https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
This commentary provides … https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people
https://psnet.ahrq.gov
-
psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - Image/Poster
Six things every plastic surgeon needs to know about teamwork training … Six things every plastic surgeon needs to know about teamwork training and checklists. … Six things every plastic surgeon needs to know about teamwork training and checklists.
-
psnet.ahrq.gov/issue/doing-right-our-patients-when-things-go-wrong-ambulatory-setting
August 14, 2017 - Commentary
Doing right by our patients when things go wrong in the ambulatory setting … Doing right by our patients when things go wrong in the ambulatory setting. … Doing right by our patients when things go wrong in the ambulatory setting.
-
psnet.ahrq.gov/node/34861/psn-pdf
November 11, 2015 - When things go wrong: how health care organizations
deal with major failures. … When things go wrong: how health care organizations deal with major failures. … https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures … https://psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
https
-
psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
March 14, 2016 - Commentary
Should health care providers be forced to apologise after things go wrong … Should health care providers be forced to apologise after things go wrong? … Should health care providers be forced to apologise after things go wrong?
-
psnet.ahrq.gov/node/36964/psn-pdf
March 24, 2011 - Patients use an internet technology to report when things
go wrong. … Patients use an internet technology to report when things go wrong. … https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
This study … https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - That's the basis needed for us to even study things that create
safe space to talk about near misses … that could
potentially lead to harm; these are things where we’d raise an eyebrow and want to dig into … There's several of these little things that we know
could potentially lead to an error, that we can … We certainly face a challenge with things
like primary impression, which is the EMS field diagnosis. … So, for example, ketamine is given for a number of different things,
including analgesia.
-
psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - Over the years, we gradually began to realize that most things are at least partly the responsibility … of the system: things are built into the system that allow other things to go wrong. … things go wrong that it's really our fault. … I hear lots of stories about these things. … We really feel bad when bad things happen. We all want to behave like human beings.