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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M : In some ways, the role of simulation seemed self-evidently important … RW : In some ways this gets at policy issues of whether simulation should be required of trainees at … Simulation is clearly one of the ways that has been accomplished. … all rings true and yet, at least theoretically, The Joint Commission tomorrow could say one of the ways … would like all those things to be done everywhere and simultaneously because there are certainly many ways
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - How has that gotten in the way of progress in certain ways, and where
do you see that going? … The
electronic health record—with appropriate standardization, with appropriate ways to protect
http … multiple perspectives on
different aspects of the law to understand it and to give insights about ways
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Virginia Mason is showing that patient and family experience can be measured and improved upon
in ways … standardization, and sometimes in the zone
of challenging the current standard and testing innovative new ways
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - and think about all the defenses that have to be breached
before harm can be done, we have imperfect ways … I am making the argument to health care organizations that they need to find more ways to
devote more … The challenge for hospitals is to develop ways to
credential physicians that meet not just The Joint
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - To me, if there are 13 different ways to code something, then that means no one is in agreement
about … came up with a standard way of measuring delirium and then began looking at the
misdiagnoses and the ways … Certain ways that our health care system is structured are not amenable to good patient health. … If you need to protect an IV, there are ways you can wrap the IV so it's indestructible and
inaccessible
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - In some ways, you look at the steps that Hopkins has
taken and it shows a lot of good people getting
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - this science pushes us to
view the organization as a collection of routines and taken-for-granted ways … Doing this will
require that we take what we have and find ways to tinker with it, in essence "growing
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - www.healthaffairs.org/doi/10.1377/hlthaff.2014.0072
Comprehensive Care Programs promote continuity in two ways … RW: In some ways, this is a complement to the hospitalist model and in some ways it's a contrast to it … But there are other ways to
think about diminishing handoffs.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - There
are ways to start to define the core characteristics of people who have expertise in this area … The first is that in
some ways if everyone said yes, I'm an expert in patient safety—the reality is … important than you would have expected, or those that are less important or changed in
fundamental ways
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psnet.ahrq.gov/node/73954/psn-pdf
October 13, 2021 - It's like sending a message in a bottle: a qualitative study
of the consequences of one-way communication
technologies in hospitals.
October 13, 2021
Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the
consequences of one-way communication technologies in hosp…
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - next several months, they started tackling this problem, these constant breakdowns in care,
in the ways … There are a lot of other ways in
which things can get done and a lot of other ways of exercising influence … They were being asked to work in ways that were nonsensical.
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - Then, there are some very
specific issues around errors and the malpractice system and how in some ways … In some ways, both
patients and clinicians are vulnerable to emotional exhaustion and depersonalization … Health
care systems will need ways to create a "learning EHR." … More Wikipedia kind of models or different ways of
thinking about this.
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - We just digitized the paper,
maybe in some fancy ways, but it was still digital paper. … These downsides in some ways seem to me to be almost inevitable, and then
you're going to have to clean … https://www.ncbi.nlm.nih.gov/pubmed/27573319
JH: I'll answer this in two ways. … not so much working on what they did years ago, a personal
health record, they're looking at novel ways … Now company after company is
creating novel ways for patients and doctors and nurses to have an experience
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psnet.ahrq.gov/node/33639/psn-pdf
September 01, 2006 - Well, why are there different ways of
trying to achieve the same goal? They all can't be equal.
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - Not necessarily in severe ways,
but through the kinds of behaviors that frontline caregivers perceive … If you don't have equally transparent and equitable ways of judging and moving those
situations into … demonstrate that no matter
how you're paid, if you understand how you're paid, you can focus these tools in ways
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psnet.ahrq.gov/node/38108/psn-pdf
September 30, 2014 - No more blame & shame: developing event-reporting
systems may go a long way to reducing patient care
errors in EMS.
September 30, 2014
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may
go a long way to reducing patient care errors in EMS. EMS magazine. 2008;37(9):61…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…
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psnet.ahrq.gov/node/46279/psn-pdf
August 02, 2017 - Recognizing the ordinary as extraordinary: insight into
the "way we work" to improve patient safety outcomes.
August 2, 2017
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve
Patient Safety Outcomes. Am J Crit Care. 2017;26(4):272-277. doi:10.4037/ajcc2017812.
https:…
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psnet.ahrq.gov/node/47230/psn-pdf
August 15, 2018 - Experience feedback committees: a way of implementing
a root cause analysis practice in hospital medical
departments.
August 15, 2018
François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a
root cause analysis practice in hospital medical departments. PLoS One. 2018;13(7…
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psnet.ahrq.gov/node/43744/psn-pdf
December 03, 2014 - Mobile physician reporting of clinically significant
events—a novel way to improve handoff communication
and supervision of resident on call activities.
December 3, 2014
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel
way to improve handoff communication…