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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
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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
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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:/
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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - perhaps were not the
smartest things to do. … things go well. … On the basis of
that, we can better understand these situations where things don't go well. … We're trying to understand and improve how things
work in the operating room and in the ward. … The important thing is
to make people realize that there are things that they don't know and things
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - were not the smartest things to do. … things go well. … On the basis of that, we can better understand these situations where things don't go well. … We're trying to understand and improve how things work in the operating room and in the ward. … The important thing is to make people realize that there are things that they don't know and things that
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - There are some things that we can keep at zero. … I think it's
good for CMS to try to hold hospitals accountable for some of these things. … This is another problem with zero harm: some things can be zero, and others cannot. … And we should expect perfection in certain things. … There are other things we do that are not predictable. I'm a primary care physician.
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psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
July 06, 2022 - Study
Bad things can happen: are medical students aware of patient centered care … Bad things can happen: are medical students aware of patient centered care and safety? … Bad things can happen: are medical students aware of patient centered care and safety?
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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
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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
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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
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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.
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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
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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.
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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.
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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.
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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.
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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?
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psnet.ahrq.gov/node/36625/psn-pdf
November 21, 2016 - When Things Go Wrong: Voices of Patients and Families. … November 21, 2016
CRICO/RMF; Harvard Risk Management Foundation
https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families … https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
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psnet.ahrq.gov/node/40280/psn-pdf
June 10, 2018 - That’s the way we do things around here!
June 10, 2018
ISMP Medication Safety Alert! … https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
This piece discusses the effects of … https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … I think some of the
factors that have slowed things down really have to do with incentives that the … But what computers are
really good for is ensuring that specific things happen reliably. … Some of the things that I
thought would be really straightforward and would work really well didn't … RW: What are some of the things that you think are going to be especially beneficial in the future?