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psnet.ahrq.gov/node/43266/psn-pdf
June 18, 2014 - That's the way we do things around here! … That's the Way We Do Things Around Here! … https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it … https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient … https://psnet.ahrq.gov/issue/thats-way-we-do-things-around-here-your-actions-speak-louder-words-when-it-comes-patient
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psnet.ahrq.gov/node/43423/psn-pdf
August 12, 2014 - 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. … psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-
when-things-go … psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go … psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-g.html
May 01, 2017 - Here are some helpful things to remember:
Have a one-on-one conversation with every person in your … Things to think about when creating your video:
Consider creating a “how to use the checklist” video
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess1.html
October 01, 2014 - In answering these questions, think about specific things that specific people should do: What should … They have also seen things go wrong in the care system. … As a result, things that might affect a resident's safety may go unreported or not be discussed. … Not being able to talk about how things did or could go wrong holds back our own learning. … With verbal communication, things can sometimes get in the way of your message.
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - 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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - In Summary
Falls prevention aims to balance patient safety and personal freedom to do things … environment where it is easy to report, and everyone supports discussions about what happens and how to make things … Things to Remember
Not every fall is just a fall.
There are many risk factors for falls.
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psnet.ahrq.gov/node/44177/psn-pdf
November 10, 2015 - Doing the right things and doing them the right way:
association between hospital guideline adherence … Doing the right things and doing them the right way: association
between hospital guideline adherence … https://psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital … https://psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital-guideline-adherence … https://psnet.ahrq.gov/issue/doing-right-things-and-doing-them-right-way-association-between-hospital-guideline-adherence
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psnet.ahrq.gov/node/867805/psn-pdf
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.
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psnet.ahrq.gov/node/867850/psn-pdf
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.
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psnet.ahrq.gov/node/40194/psn-pdf
June 20, 2011 - What happens when things go wrong?
June 20, 2011
Brandom BW, Callahan P, Micalizzi DA. … What happens when things go wrong? … https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
This commentary reveals a personal story … https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - learn how to recover when things do go
wrong. … An experienced care team has seen things go wrong in the care
system. … We learn best when we talk about how things might or did go wrong. … Usually, when things go wrong it is because
a provider was too tired, distracted, didn’t know how things … ).
› Things about the equipment or care plan
(e.g., monitor blood pressure frequently).
› Things about
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - We have the [inaudible 00:11:18] and things like that. … We'll go into those, and how to do things. Next. … Things that sometimes may seem simple. … There are different things that are always evolving. Then there's the idea of refreshing things. … Chu: What hospitals have done is a couple things.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - We have the [inaudible 00:11:18] and things like that. … We'll go into those, and how to do things. Next. … Things that sometimes may seem simple. … There are different things that are always evolving. Then there's the idea of refreshing things. … Chu: What hospitals have done is a couple things.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-infographic.pdf
January 01, 2024 - Child's Doctors
87%
of respondents reported that doctors
always listened carefully, explained things … Mistakes
33%
of respondents reported providers told
parent how to report mistakes
Asked About Things … a Family Knows Best
59%
of respondents reported providers
asked parent about the types of things
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psnet.ahrq.gov/node/39381/psn-pdf
March 17, 2010 - Getting it right when things go wrong.
March 17, 2010
Pettker CM, Funai EF. … Getting it right when things go wrong. JAMA. 2010;303(10):977-8.
doi:10.1001/jama.2010.256. … https://psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
This brief commentary discusses the … https://psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety
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www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing.html
April 01, 2013 - It's amazing the things that we've done. … But there may be other things as well, like electronic medical records and those kinds of things. … We found lots of things. … So we talk about things that are active, and then we talk about things that are resolved, and then we … One of the things they did was they took some of the things that were stocked, and they took them out
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - Are there things that would
work as video or a handout? … And are there things that really need to be a conversation? … One of the things that has been so valuable that I learned from Dr. … 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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/user-centered-quality-reports-mcgee-20120301-transcript.pdf
June 02, 2025 - But
realistically, when people have trouble figuring things out, they seek meaning of their own and … So lots of things can go wrong and that’s why I think it's so
hard to stay user-centered. … If they stop and think, then things can go wrong. … You also are able to learn things and use them in all of your
subsequent projects. It just builds. … It's much easier if you can discuss that and point at the screen and show people things.
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - Commentary
Classic
When things go wrong: how health care … When things go wrong: how health care organizations deal with major failures. … When things go wrong: how health care organizations deal with major failures.
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers … Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting- … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients