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Showing results for "things".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … the factors that contribute to the many things that go right every day in health care. … Rather than defining safety as the absence of adverse events, where as few things as possible go wrong … , Safety-II defines safety as a condition where as many things as possible go right. … Safety-II seeks to understand and replicate processes that allow things to go right most of the time

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - that these things were happening. … But you have to actually follow through and fix things. … but no one is actually fixing things. … you have to actually follow through on fixing things. … Then you can pool across things, you can get a bird's eye view.

63. In Conversation With… Sigall K. Bell, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
    February 26, 2025 - SB : The short answer is that I think it's all those things. … Those things are old problems. … Things like obesity, substance abuse, and cancer discussions. … First, transparent notes can help with simple things, like access. … Were there things you perceived as possible mistakes? What are they?

64. Psn-Pdf (pdf file)
    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?

65. Psn-Pdf (pdf file)
    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

66. Psn-Pdf (pdf file)
    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

67. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet
    psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
    August 12, 2020 - Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things … Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things … Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37009/psn-pdf
    March 18, 2010 - Doing the "right" things to correct wrong-site surgery. … March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery … https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery https://psnet.ahrq.gov/issue

69. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. | PSNet
    psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
    August 24, 2016 - Time to reconsider whether organisations are silent or deaf when things go wrong. … Time to reconsider whether organisations are silent or deaf when things go wrong. … Time to reconsider whether organisations are silent or deaf when things go wrong.

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41314/psn-pdf
    September 27, 2016 - The Medical Apology: Making It Right When Things Go Wrong. September 27, 2016 Schulte MF, ed. … https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong Articles in this special … https://psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong https://psnet.ahrq.gov

71. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - when things go wrong. … Chalapathy Venkatesan: At Inova, a lot of things converged at the same time. … Most of the time, things go well. … the factors that contribute to the many things that go right every day in health care. … , Safety-II defines safety as a condition where as many things as possible go right.

72. Application of Safety-II Principles | PSNet
    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - the factors that contribute to the many things that go right every day in health care. … , Safety-II defines safety as a condition where as many things as possible go right. … when things go wrong. … Chalapathy Venkatesan: At Inova, a lot of things converged at the same time. … Most of the time, things go well.

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33822/psn-pdf
    January 01, 2017 - were generally not very good at other things. … To do it, we must have more agreement on how we do things. … PO: Again, several things. I need to be careful here not to overgeneralize. … what you do by learning from things gone wrong. … So these things go together.

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33674/psn-pdf
    February 01, 2009 - But I think that there will be some element of systemization of these kinds of things. … bloodstream infections, these seven things to prevent falls, and these nine things to prevent decubitus … Many of the things that people talk about as safety issues in fact are. … The policy pipeline has been pretty thoughtful about what things we should do. … , and if they did them religiously, that would prevent 90% of these bad things from happening.

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43074/psn-pdf
    December 18, 2014 - Graded autonomy in medical education—managing things that go bump in the night. … Graded autonomy in medical education--managing things that go bump in the night. … https://psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night Tracking … https://psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night https://

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39231/psn-pdf
    January 13, 2010 - The Checklist Manifesto: How to Get Things Right. January 13, 2010 Gawande A. … https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right Harvard surgeon Atul Gawande has … In his new book, The Checklist Manifesto: How to Get Things Right, Dr. … https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right https://psnet.ahrq.gov/issue/bell-curve

77. Understanding and responding when things go wrong: key principles for primary care educators. | PSNet
    psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
    January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary … Understanding and responding when things go wrong: key principles for primary care educators. … Understanding and responding when things go wrong: key principles for primary care educators.

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33718/psn-pdf
    October 01, 2011 - 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.

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34756/psn-pdf
    October 12, 2016 - The Design of Everyday Things. October 12, 2016 Norman DA. New York, NY: Doubleday; 1988. … https://psnet.ahrq.gov/issue/design-everyday-things Norman, a cognitive psychologist, outlines the elements … https://psnet.ahrq.gov/issue/design-everyday-things https://psnet.ahrq.gov//#forcingfunction

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33654/psn-pdf
    August 01, 2007 - I kept saying somebody ought to fix these things. And it turns out, "somebody" was me. … I eventually worked my way up from fixing things in my little hallway to fixing things for the whole … methods I could fix things for 100, then 300 doctors. … They don't get in and fix things, obviously. That's not their job. … , not things like the average time to answer a call light on the fifth floor.