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Showing results for "things".

421. In Conversation with…Jennifer Daley, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
     January 01, 2008 - Sometimes safety improvements are generated when bad things happen to good people. … The average size of a Tenet Hospital is about 150 beds, so these things happen infrequently. … It incorporated a lot of things other than safety. … Then we built the transformation team approach, when we were going in and picking the top things that … at Tenet versus doing things at Partners.

422. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
     June 01, 2016 - And that's true for most things in life. … GM : First of all, in general I am incredibly bullish on the direction things are going. … RW : Where do you see things going and what do you think might be the next big things in this field? … GM : You asked me about things that surprised me over time with patient safety.

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42495/psn-pdf
     November 18, 2013 - psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43491/psn-pdf
     January 01, 2015 - the systems approach is often misunderstood to ascribe responsibility for failure to the system when things

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46500/psn-pdf
     June 27, 2018 - https://psnet.ahrq.gov/issue/ariadne-labs https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33617/psn-pdf
     August 01, 2005 - Sometimes simple things make a huge difference in ensuring that the right procedures are being done … looked at where those common themes are—how can we educate together so that we're learning the same things … They tell me that in other industries—car manufacturers, people who lift heavy items and move things—those

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41957/psn-pdf
     May 04, 2016 - issue/preventing-medication-errors-quality-chasm-series https://psnet.ahrq.gov/issue/design-everyday-things

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37485/psn-pdf
     June 29, 2011 - psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44223/psn-pdf
     November 22, 2016 - what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events

430. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
     psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
     July 01, 2012 - the same system (i.e., "end," "finish," "submit," "quit," "done," "next," can all do very different things … 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. … So there were a whole series of things that I learned in Washington that are applicable even in this

431. In Conversation With… David Blumenthal, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
     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. … So there were a whole series of things that I learned in Washington that are applicable even in this … the same system (i.e., "end," "finish," "submit," "quit," "done," "next," can all do very different things

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39036/psn-pdf
     October 21, 2009 - disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39110/psn-pdf
     June 10, 2018 - order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time-leading-drug https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41029/psn-pdf
     October 06, 2016 - psnet.ahrq.gov/issue/doctors-use-more-devices-potential-distraction-grows https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences

435. In Conversation with…Jack Barker, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
     January 01, 2006 - As I delved further into it, I realized some of these things probably aren't directly applicable. … checklists in emergency situations in aviation is so we don't forget anything—it allows us to remember things … We've also found that there are a lot of key things that can help right away, improve teamwork, and reduce … Things like the team briefings and debriefings. … Certainly there are some technical things that could be learned, but because of the current state of

436. Implementing a Patient Safety Program at a Large National Health System | PSNet
     psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
     January 01, 2008 - Sometimes safety improvements are generated when bad things happen to good people. … The average size of a Tenet Hospital is about 150 beds, so these things happen infrequently. … It incorporated a lot of things other than safety. … Then we built the transformation team approach, when we were going in and picking the top things that … at Tenet versus doing things at Partners.

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33796/psn-pdf
     January 01, 2016 - : I'm a nephrologist by training and background, and in nephrology we get consults all the time on things … Those seem like silly things, but clinicians were treating patients for disorders that they didn't really … generally assume it's the other guy who's not as good or not as careful, or it's the other hospital where things … Defining diagnosis as a process allows them to apply all the things they know about how to improve processes … MG: I have to tell you one of the most pleasurable things I did this year was to read your book on the

438. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - Langer suggests that mindfulness helps one notice new aspects of things that are familiar.( 16 ) The … Probably the most important is working memory load, which is governed by many things you have to remember … If you do any of those things just ahead of the interruption task coming in, then you're fine. … All those things can work. … We will always want to have discussions about those things. They're not going to go away.

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44343/psn-pdf
     July 22, 2015 - noise-operating-room-what-do-we-know-review-literature https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37221/psn-pdf
     December 15, 2011 - simulation-based-medical-error-disclosure-training-pediatric-healthcare-professionals https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events