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Showing results for "things".

81. 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.

82. 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.

83. Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. | PSNet
    psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
    July 01, 2020 - Improving the patient, family, and clinician experience after harmful events: the "When Things … Improving the patient, family, and clinician experience after harmful events: the "when things go wrong … Improving the patient, family, and clinician experience after harmful events: the "when things go wrong

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… 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.

86. 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.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44140/psn-pdf
    July 15, 2015 - Openness and Honesty When Things Go Wrong: the Professional Duty of Candour. … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour Open … https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour https

88. 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.

89. 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//#

90. 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

91. In Conversation With... Remle P. Crowe, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
    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 … 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. … Sarah Mossburg: One of the things that I think I understood about trigger tools, was they're looking

92. 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.

93. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    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.

94. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    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.

95. 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.

96. 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.

97. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
    October 06, 2021 - Things like sitting the right way and before you’ve had any coffee. … Are there things that would work as video or a handout? … And are there things that really need to be a conversation? … 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.

98. Health Equity and Maternal Health | PSNet
    psnet.ahrq.gov/perspective/health-equity-and-maternal-health
    October 06, 2021 - Things like sitting the right way and before you’ve had any coffee. … Are there things that would work as video or a handout? … And are there things that really need to be a conversation? … 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.

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33710/psn-pdf
    May 01, 2011 - 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.

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33688/psn-pdf
     October 01, 2009 - facilities and how things can go wrong. … All these types of things should be on the radar screen and monitored regularly. … There's nothing like a call from a reporter to get things moving. … Sometimes bad systems allow for bad people to do bad things. … And helping to explain those things together.