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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-c.html
September 01, 2017 - Critical Thinking for Fall Injury Prevention
Presented by Cait Walsh, RN, M.S.N.; and Norma McNair … This webinar focuses on how to incorporate critical thinking into staff education regarding falls and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - Components of patient safety have been expressed by thought leaders, and models have been
presented. … Limiting Blame
The first quantum leap defined patient safety’s entry into health care thought. … Systems Thinking
Thought leaders in health care offered persuasive arguments that errors could be reduced … Thus, health
care had to be seen as an open, not closed, system, and policy too began to be thought … Thought leaders began to examine their different assumptions.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module2/2_ts_office_structure-ig.pptx
January 20, 2006 - Please take the next few minutes to answer the questions on the handout titled Thinking About Your Office-Based … INSTRUCTOR NOTE:
Refer participants to the handout titled Thinking About Your Office-Based Team. … While watching the video, record any thoughts you may have on the handout and we will discuss them after
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps-webinar-030817.ppt
January 01, 2017 - the pupils something to do, not something to learn; and the doing is of such a nature as to demand thinking … Healthcare Innovation
Fundamentals of High Reliability Organizations
Rapid Cycle Innovation (Design Thinking … Empathy is the ability to be aware of, understand, and be sensitive to another person’s feelings and thoughts … Empathy is key to design thinking. … Front-line staff can be quickly taught design thinking tools to prototype innovative solutions to everyday
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ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module5/slsitmonitor.html
July 01, 2018 - The seal is thinking about eating the penguin, and the penguin is thinking about eating the fish. … Image: Four penguins all thinking about the same fish. … Membership
Lack of Time
Lack of Information Sharing
Hierarchy
Defensiveness
Conventional Thinking
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - There were some areas where we thought a little bit more intensive focus and activity and a little bit … of those events, we also did learn a lot about what is going on in these hospitals in ways that we thought … I wanted to share it with out to elicit your feedback and thoughts because this is another approach that … and Slow where he talks about two systems of thought. … Any final thoughts from our guest presenters today?
Sanjay Singh: This Sanjay.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - We do not think that—if we thought that creating a checklist or a policy and procedures would instantly … So, if we've thought about creating independent checks and the CLABSI insertion checklist was developed … also say the noise of interruptions, or the noise of multitasking, of the noise of the thousand other thoughts … As I said, given the thoughts about wisdom of crowds, it's crucial to include frontline staff on your … them the opportunity to share what they know, and what they've learned about the care area, and the thoughts
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/appd.html
May 01, 2016 - Thinking of your role as [xxx] , we are specifically interested in your view about the pluses and minuses … Can you tell us about your thoughts?
… Thinking about the organization as a whole, what about the things that [name of org] had to do to get … you could have done differently, how encouraging or discouraging would you be to other organizations thinking … Conclusion/followup
Thinking back about all the things you’ve told us, are there any areas that we
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - To get us started I thought I would start with a description of why we care. … On slide 6, you see that assertion is organized in thought and communication. … You have given it some thought before being assertive or, if you are a naturally articulate person, then … You need to be a little bit more direct in what you are actually thinking. … I’m thinking this is what’s going on.”
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - There were some areas where we thought a little bit more intensive focus and activity and a little bit … of those events, we also did learn a lot about what is going on in these hospitals in ways that we thought … I wanted to share it with out to elicit your feedback and thoughts because this is another approach that … Slow where he talks about two systems of thought. … Any final thoughts from our guest presenters today?
Sanjay Singh:
This Sanjay.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module7.pptx
March 07, 2019 - Was there any pushback from individuals on the team, thinking that these would take too much time? … problem
Advocacy and assertion
Work through conflict
Two-Challenge Rule
CUS
DESC Script
How have you thought … How have you thought about putting one of these tools in place? … Inconsistency in Team Membership
Lack of Time
Lack of Information Sharing
Hierarchy
Defensiveness
Conventional Thinking … Take the time to record your thoughts on the corresponding page of your workbook.
15
Video: Beginning
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
January 07, 2022 - Ask questions that require reflection on:
New ideas about the issue
Flexible thinking about the … (discovery)
I wonder if there could be other ways of thinking about this. What if....
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - We do not think that—if we thought that creating a checklist or a policy and procedures would instantly … So, if we’ve thought about creating independent checks and the CLABSI insertion checklist was developed … also say the noise of interruptions, or the noise of multitasking, of the noise of the thousand other thoughts … As I said, given the thoughts about wisdom of crowds, it’s crucial to include frontline staff on your … them the opportunity to share what they know, and what they’ve learned about the care area, and the thoughts
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
September 01, 2015 - SLIDE 5
SAY:
When thinking about ways to break the catheter life cycle, consider these ABCDE prevention … using equipment like the bladder ultrasound to assess patients’ ability to void adequately
· C, for thinking
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Understanding the Importance of Language
Clear language reflects organized thinking … and Inform Probability for Diagnostic
Decision Making
To appropriately incorporate probabilistic thinking … More recently, games have targeted heuristics to change thinking processes inherent in
clinical medicine … Quantitative evaluation of the diagnostic thinking
process in medical students. … Not thinking clearly? Play a game, seriously!
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/use-roll-ups-20111001-transcript.pdf
July 10, 2011 - Marc Elliott
In terms of thinking about examples, within the world of CAHPS, we might have a composite … Marc Elliott
In addition, when you’re thinking about composites, it’s worth thinking about composites … goes into these measures and they
may think of these as just abstract measures of quality without thinking
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
September 01, 2022 - To foster reflective thinking and reinforce key learning concepts, educators can use debriefing with … group discussion. 47 , 51
Appendix A presents a list of questions designed to promote discussion and critical … thinking about diagnostic safety.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Ideally, all
information used in diagnostic reasoning is objective and all thinking is logical
and … Two major phenomena that
may undermine objectivity and rational thinking are cognitive dispositions … the day or shift and work through towards the event
• Free-associate fully about the event—recall thoughts … The cognitive imperative: thinking about
how we think. Acad Emerg Med 2000;7:1223–31.
25. … When diagnoses fail: new insights, old
thinking. Can J CME 2003 Nov:51–7.
54. Bonnet MH.
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ce.effectivehealthcare.ahrq.gov/healthsystemsresearch/hspc-research-study/overlap-and-coordination.html
June 01, 2020 - We thought that they worked together on solving problems, but we basically brought them together and … applications for funding between AHRQ and NIH, such as a study where “AHRQ had a study section that I thought … As we’re thinking about the design of a new model, we start doing our scanning and figuring out, “Well … I was thinking about the definition of “coordinating” as well, and I think there’s sometimes a third … As a consequence, a member of the HSR TEP encouraged
really thinking about, you know, what are the
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module3.pptx
January 01, 2008 - of the Participant Workbook for a handoff checklist example
Module 3: Communication
‹#›
Begin thinking … While watching the video, record any thoughts you may have on the corresponding page of your workbook … Use page 12 of the Participant Workbook to record your thoughts
Module 3: Communication
‹#›
Now you … Take a moment to write down your thoughts on your worksheet.
17
Front Office Scenario
For some unknown … Inconsistency in Team Membership
Lack of Time
Lack of Information Sharing
Hierarchy
Defensiveness
Conventional Thinking