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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Things like that don’t trick me…
When other people looked at the data, they saw people problems (not … The need for urinary catheters in the ICU will never go away
So why is it so hard to change things … for the patient wants it in
Everyone still wants ‘ins and outs’ every hour
There are so many other things … to discuss on rounds
50
So why is it so hard to change things? … for the patient wants it in
Everyone still wants ‘ins and outs’ every hour
There are so many other things
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - As I delved further into
it, I realized some of these things probably aren't directly applicable. … We've also found that
there are a lot of key things that can help right away, improve teamwork, and … Things like the
team briefings and debriefings. … that people are accepting it and willing to change their behaviors,
and yet they go back to doing things … Certainly there are some
technical things that could be learned, but because of the current state of
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www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/podcasts_webinars/Branding_Your_Quality_Report_2011_05_15_Transcript.pdf
January 01, 2011 - We also did a lot of internal consensus building, things like talking with our staff; we certainly are … We looked at things like references to the Detroit area
since that’s where we’re based; we considered … Lisa Mason
We have a number of things that we’ve been doing. … instructions for that linking, meeting talking points, content for open enrollment materials, short and
long, things
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
May 01, 2017 - Speaking up if you are concerned about anything is one of the things you can do to stay safe. … These
instructions may include things like a medication
schedule, things to avoid (such as certain
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - RW : If a breakthrough in technology would allow us to do more important things, what are those things … If we want to keep getting the same results, we can continue to do things the same way. … These things are starting to percolate into the system. … Because it is better to start trying some of these things, seeing what improvements you can make, and … DG : That is one of the most difficult things to study.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/hp/about/measures-hp50-2109.pdf
September 08, 2017 - How Well Doctors Communicate
The survey asked enrollees how often their personal doctor explained things … Q12 Doctor explained things in a way that was easy to understand
Q13 Doctor listened carefully to enrollee … Well Doctors Communicate
The survey asked enrollees how often their child’s personal doctor explained things … Q12 Doctor explained things in a way that was easy to understand
Q13 Doctor listened carefully to respondent … Q14 Doctor showed respect for what respondent had to say
Q16 Doctor explained things in a way that
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/member-survey-baseline-nc.pdf
January 01, 2014 - People in our practice actively seek new ways to improve how we do
things.
O O O O O
4. … It is hard to get things to change in our practice. O O O O O
9. … Leadership in this practice creates an environment where things can be
accomplished. … We regularly take time to reflect on how we do things. O O O O O
16. … Most people in this practice are willing to change how they do things in
response to feedback from
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - One of the things I know you're interested in is what can the federal government in particular bring … RW : The more general experience is that things often don't scale. … Together, if both of those directions can be considered simultaneously, the ability to move things more … How do you take advantage of things like checklists and structures but also change the culture at scale … RW : Any other things that you want to talk about?
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - Most of my early work had to do with things that were explicitly regulatory in nature, and I was also … The interesting thing about that study , like a lot of other things in quality of health care, was that … And that was the appropriate metaphor in which to view these things. … The physicians report that they are not doing things they used to.
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Jack Needleman : Two things about nurse staffing issues intrigue me. … In the normal course of things, that would imply we need more nurses, not fewer nurses. … Think about your to-do list as a stack of things to get done. … There's some evidence that patients have been made safer, but all other things are not equal. … JN : A couple of things are going on.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - Jack Needleman : Two things about nurse staffing issues intrigue me. … In the normal course of things, that would imply we need more nurses, not fewer nurses. … Think about your to-do list as a stack of things to get done. … There's some evidence that patients have been made safer, but all other things are not equal. … JN : A couple of things are going on.
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - if you swooped in and looked at a surgical team or a medical team somewhere around the
country, are things … But if you're lacking in resilience it just takes little things to push
people over the edge and you … When you're burned out you're not
engaged, so you do things that are more expensive, you make the same … RW: You've said that it's very hard to train people on new things and innovation and get them engaged … like new technology and a
new building or some other big distracting things.
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - RW: One of the early things you did was team up with industry to look for lessons from outside of health … One of the first things that they saw at NASA was a big map on the wall
dedicated to looking at the … RW: One of the things that it seems that you and IHI have focused on is not only telling the story of … RW: When you took over IHI from Don Berwick, you did one of the hardest things in management and in … And devastating things happened.
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - VA: In the handoff community, we're starting to standardize the way we talk about these things; we use … Well, certainly admission, which includes things like
transfer from EMS [emergency medical services] … So you really sense that it's a very dynamic process, and things could go wrong at any step. … The challenge is that more things are being handed off now of course with duty hours. … an EKG, placing an arterial line, things that are very susceptible to
sleep loss.
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - MW: One of the first things that we did was that we asked dentists to name the kinds of bad things they … But there are also things like wrong tooth extraction, which people mentioned but don’t seem to come … We may find small things that are more traditionally in errors in the medical settings. … What you are afraid of and what is in reality happening are two different things. … I also think that that one of the things you're talking about is education.
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - MW: One of the first things that we did was that we asked dentists to name the kinds of bad things they … But there are also things like wrong tooth extraction, which people mentioned but don’t seem to come … We may find small things that are more traditionally in errors in the medical settings. … What you are afraid of and what is in reality happening are two different things. … I also think that that one of the things you're talking about is education.
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - One way to look at what's happening in that scenario is that the leader's
mental model of how things … Today's leaders need to stop and challenge themselves when things go wrong. … And, it's great,
because when things go wrong, they can say, "It's not my fault." … There was no apparent standardization, even around
things that could be standardized. … How does that movement relate
to the things we've been talking about?
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effectivehealthcare.ahrq.gov/sites/default/files/arcia-presentation.pdf
May 29, 2025 - Today I'm going to talk about some of the opportunities that technology creates for
engaging patients, things … S o we tried
all kinds of
things with
icons. … S o one
of the things that we found
was we had
a very difficult time showing things at the right … It was just really, really difficult because also people took things
very literally. … It gives them access to
the things that they should
access and
not somebody else's data, and
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integrationacademy.ahrq.gov/sites/default/files/2025-06/Innovations%20in%20Behavioral%20Health%20Integration_Transcript.docx
January 01, 2025 - I've got lots of things to share with you today. … I might go through a few things a little bit quickly, but as Dr. … So it was really fun to be able to apply these 2 things to see. … You see, a lot of them retrain things for us. … Stephens: You see various things for diabetes management.
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psnet.ahrq.gov/node/40483/psn-pdf
September 20, 2011 - how-does-context-affect-interventions-improve-patient-safety-assessment-evidence-studies-five
https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences … https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
https