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Showing results for "things".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35786/psn-pdf
    May 07, 2007 - When Things Go Wrong: Responding to Adverse Events. … https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events This consensus paper of … https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events https://psnet.ahrq.gov//#

82. That's the way we do things around here! Your actions speak louder than words when it comes to patient safety. | PSNet
    psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient
    December 19, 2018 - Commentary That's the way we do things around here! … That's the Way We Do Things Around Here! … That's the Way We Do Things Around Here!

83. 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.

84. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
    July 10, 2024 - This tends to detract and distract from doing anything to actually improve things on the ground. … It's a familiar safety story, but that was just one of those things that has now become unacceptable. … We should be looking for ways of actually counting these things and taking them out of the reporting … Do you think that's true, and if so why do you think things have evolved that way? … One is the idea that you can manage things entirely by top-down control.

85. In Conversation With… Lucian Leape, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-lucian-leape-md
    June 12, 2019 - I think that surgical checklists are one of the great things that have come along. … I think there are two things going on here. … So it's pretty easy to look upon things like this as undermining your status. … There are two other things going on. … It's one of those win-win-win things.

86. 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.

87. In Conversation With… Kaveh Shojania, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
    February 26, 2025 - Things like: We should go and do root cause analyses on everybody. … All these things varied in their level of complexity and were mostly drawn from analogies from high-risk … The evangelists were shouting stuff from the rooftop and rushing ahead with things that probably were … Where do you think things are now? … For a field like patient safety, an easier way of disseminating things is particularly important.

88. 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.

89. 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.

90. 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.

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33639/psn-pdf
    September 01, 2006 - It's an interest in trying to do things the most effective way. Safety is one of those things. … more experience both in the technical areas of how to do it, but also in leadership areas about why things … , this is the Stanford way of doing things. … And he asked what other things had I seen, and I pointed out a number of things that I would do differently … But we found out some other things that surprised me.

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50613/psn-pdf
    October 30, 2019 - not just for safety but for dignity, and realizing that dignity is in service of safety and other things … Only a woman in labor can tell you how much energy she has to push; she can tell you things that nobody … NS: So many things about childbirth are justifiably exceptional. … RW: Maybe because of all of that rolled together, you're expecting things will go well, and it strikes … Similarly, in other parts of the world where things are much worse, people just normalize how things

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33828/psn-pdf
    March 01, 2017 - As you came into health care, what were the surprising things you saw about the way physician culture … They can use it to say things that otherwise are forms of what we call forbidden knowledge. … I'm sick of things that work once. … And there is this sense that it's in that category of things like communication skills and other things … People are inclined to think, "They're the kind of things that we're doing anyway.

94. In Conversation With… Derek Feeley | PSNet
    psnet.ahrq.gov/perspective/conversation-derek-feeley
    April 10, 2024 - something must happen at scale, and then making it happen at scale—those are two completely different things … But to get from mandating the program to national implementation required a whole host of things—some … was to get our system leaders on the same page, all stressing how this was one of the most important things … Those three things helped us in our transition to this new way of working. … We're working on a number of important things. The first is around trying to reach more people.

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866622/psn-pdf
    August 28, 2024 - The assumption here is that the system is not complex, is inherently safe, and that bad things only … happen when things go wrong. … Chalapathy Venkatesan: At Inova, a lot of things converged at the same time. … Most of the time, things go well. … Sarah Mossburg: Those are great examples of thoughtful, interesting things organizations can do.

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33670/psn-pdf
    July 01, 2008 - , 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.

97. Are We Safer Today? | PSNet
    psnet.ahrq.gov/perspective/are-we-safer-today
    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.

98. In Conversation with David W. Bates about Are We Safer Today? | PSNet
    psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
    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.

99. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
    psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
    May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … But what computers are really good for is ensuring that specific things happen reliably. … When I consider from the national perspective what things to recommend to organizations, that sort of … Perhaps one of the next big things will be looking at smart monitoring in patients who are not in the … RW: It's interesting that, if you go through that list, it seems that where things might fall apart

100. In Conversation with…David W. Bates, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
     May 01, 2018 - David Bates: I'd have to say that things have gone slower than I thought they might. … But what computers are really good for is ensuring that specific things happen reliably. … One of the interesting things about health care IT has been its domination by small to mid-size health … When I consider from the national perspective what things to recommend to organizations, that sort of … Perhaps one of the next big things will be looking at smart monitoring in patients who are not in the