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psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
May 29, 2012 - Study
More than words: patients' views on apology and disclosure when things go wrong … More than words: patients' views on apology and disclosure when things go wrong in cancer care. … These efforts have included implementation of formal disclosure policies , such as Harvard’s When Things … More than words: patients' views on apology and disclosure when things go wrong in cancer care.
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psnet.ahrq.gov/node/851924/psn-pdf
August 02, 2023 - The things we carry: the scope and impact of second
victim syndrome. … The things we carry: the scope and impact of second victim
syndrome. … https://psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
The second victim … https://psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors
July 29, 2020 - Study
When bad things happen: training medical students to anticipate the aftermath … When bad things happen: training medical students to anticipate the aftermath of medical errors. … When bad things happen: training medical students to anticipate the aftermath of medical errors.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
March 01, 2017 - 4 Things You Should Know About Urine Cultures
AHRQ Safety Program for Long-Term Care
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psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
July 29, 2009 - Newspaper/Magazine Article
Alarm management: first things first: using reliable data … Citation Text:
Alarm management: first things first: using reliable data to eliminate unnecessary alarms … Cite
Citation
Citation Text:
Alarm management: first things
-
psnet.ahrq.gov/node/39604/psn-pdf
November 23, 2016 - 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 … /psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-
things-go-wrong … ://psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong … https://psnet.ahrq.gov/issue/when-things-go-wrong-voices-patients-and-families
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-martino.pdf
June 01, 2021 - Q# Beta Version (released 2017) Final Version (released June 2021)
Q1 What are the most important things … What are the most important things that you look for
in a healthcare provider and their staff? … Q2 When you think about the things that are most
important to you, how do your provider and the staff … When you think about the things that are most
important to you, how do this provider and their staff … [INSERT OPTIONAL TEXT HERE]
Q1 What are the most important things that you look for in a healthcare
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psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
July 21, 2009 - Study
Patients use an internet technology to report when things go wrong. … Patients use an internet technology to report when things go wrong. … Patients use an internet technology to report when things go wrong.
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psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
November 12, 2014 - Commentary
The things we carry: the scope and impact of second victim syndrome. … The things we carry: the scope and impact of second victim syndrome. … The things we carry: the scope and impact of second victim syndrome.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - Slide 11
Examples of Fall Prevention Interventions
To prevent falls, you should address:
Things … Things about the resident (e.g., review medications). … Things about the equipment or care plan (e.g., monitor blood pressure frequently). … Things about the nursing center (e.g., provide education on falls prevention). … Slide 12
Things to Remember
Not every fall is just a fall.
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psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
July 22, 2020 - Commentary
Graded autonomy in medical education—managing things that go bump in the … 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.
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psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
July 06, 2022 - Study
Bad things can happen: are medical students aware of patient centered care … Bad things can happen: are medical students aware of patient centered care and safety? … Bad things can happen: are medical students aware of patient centered care and safety?
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psnet.ahrq.gov/node/42095/psn-pdf
April 09, 2013 - Six things every plastic surgeon needs to know about
teamwork training and checklists. … Six things every plastic surgeon needs to know about teamwork training and checklists. … https://psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and- … https://psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists … https://psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
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psnet.ahrq.gov/node/43842/psn-pdf
January 28, 2015 - Should health care providers be forced to apologise after
things go wrong? … Should health care providers be forced to apologise after things go
wrong? … https://psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong … https://psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong
https … apology-errors-whose-responsibility
https://psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/physician-survey-post-intervention-nw.pdf
January 01, 2014 - worked
Most people who work in our practice enjoy their work
It is hard to get things … figure out what's really going on
Leadership in this practice creates an environment where
things … can be accomplished
We regularly take time to reflect on how we do things
Most … people in this practice are willing to change how
they do things in response to feedback from others … can be accomplished: Off
We take time to reflect on how we do things: Off
People are willing to change
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdf
April 01, 2022 - It's just dealing with patients who are sick, they are at risk, and
sometimes these things happen. … We tend to just accept, "Oh,
things went well." … There's a lot to be said for
understanding when things do work well, and let's walk that. … We do root cause analysis when things go wrong. … Things get put up the chain, if you will, and many
times there's not a feedback loop.
-
psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - There are some things that we can keep at zero. … I think it's
good for CMS to try to hold hospitals accountable for some of these things. … This is another problem with zero harm: some things can be zero, and others cannot. … And we should expect perfection in certain things. … There are other things we do that are not predictable. I'm a primary care physician.
-
psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - were not the smartest things to do. … things go well. … On the basis of that, we can better understand these situations where things don't go well. … We're trying to understand and improve how things work in the operating room and in the ward. … The important thing is to make people realize that there are things that they don't know and things that
-
psnet.ahrq.gov/node/45430/psn-pdf
September 28, 2016 - 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. … https://psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary … https://psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators … https://psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
-
psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - perhaps were not the
smartest things to do. … things go well. … On the basis of
that, we can better understand these situations where things don't go well. … We're trying to understand and improve how things
work in the operating room and in the ward. … The important thing is
to make people realize that there are things that they don't know and things