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psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
July 08, 2020 - Citation
Related Resources From the Same Author(s)
Participation in a system-thinking … May 18, 2022
Participation in a system-thinking simulation experience changes adverse
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psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
February 22, 2023 - June 1, 2022
Toward the translation of systems thinking methods in patient safety practice … Related Resources
Thematic reviews of patient safety incidents as a tool for systems thinking
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psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning
June 26, 2019 - The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking … March 8, 2017
Not thinking clearly? Play a game, seriously!
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psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
February 01, 2023 - Related Resources From the Same Author(s)
Toward the translation of systems thinking … Towards a unified model of accident causation: refining and validating the systems thinking
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psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
November 04, 2020 - November 4, 2020
Levels of reflective thinking and patient safety: an investigation of … February 10, 2015
Levels of reflective thinking and patient safety: an investigation
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psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
October 19, 2022 - December 21, 2014
View More
Related Resources
Assessing system thinking … July 29, 2020
Participation in a system-thinking simulation experience changes adverse
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psnet.ahrq.gov/issue/patient-safety-and-workplace-bullying-integrative-review
March 11, 2020 - and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking … March 6, 2019
Systems thinking and incivility in nursing practice: an integrative review
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psnet.ahrq.gov/issue/effectiveness-using-simulation-development-clinical-reasoning-undergraduate-nursing-students
September 09, 2020 - systematic review found that repeated simulation exposures can lead to gains in clinical reasoning and critical … thinking.
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
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. … But sometimes when I describe it that way, I realize that people are not necessarily thinking about “ … , a set of questions you ask whenever you’re thinking about something you might change or improve. … Are we making sure we are thinking preemptively about what could go wrong?
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
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. … But sometimes when I describe it that way, I realize that people are not necessarily thinking about “ … , a set of questions you ask whenever you’re thinking about something you might change or improve. … Are we making sure we are thinking preemptively about what could go wrong?
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psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
September 11, 2019 - September 11, 2019
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/using-simulation-improve-systems-0
July 22, 2020 - Safety-II Frameworks
December 14, 2022
An IDEA: safety training to improve critical … thinking by individuals and teams.
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psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition
September 11, 2019 - April 15, 2020
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
January 20, 2021 - October 16, 2023
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
April 24, 2018 - simulation is underutilized in health care training to help nurses to develop deliberate, or system 2 , thinking … skills.
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - Falls is a really easy one to
apply that thinking to. … LP: When we went into lockdown, we thought, it is going to slow down, we are going to come out of it; … LP: I’ve thought about this a lot. … preventionist within the nursing home is often an LPN and, as good as they are, they are not
trained with the critical … thinking capacity to do that job in a pandemic.
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psnet.ahrq.gov/issue/how-professionals-make-decisions
July 06, 2011 - Thinking About Learning for Improvement in Health Care. … May 13, 2015
Considering human factors and developing systems-thinking behaviours to
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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - My early thoughts were that the role of research would be to test some of these putative interventions … The way my thinking has changed is that there's much more of a role for first making sure that the patient … It is possible to marry those two perspectives in a way that I hadn't thought possible 15 years ago. … Our understanding of IT, thinking about rather than talking about errors so much, talking about harms … RW : I have residents in our M&M say that "Here's what I thought was going on, but I was worried that
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psnet.ahrq.gov/issue/my-patient-ready-safe-transfer-lower-intensity-care-setting-nursing-complexity-independent
April 26, 2023 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought … August 19, 2020
Choosing wisely in clinical practice: embracing critical thinking, striving
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - MS: What I've been thinking about for the built environment is, what is our simple ‘first do no harm’ … This is an area where I think there is going
to be greater focus thinking about what can be done to … We need to start thinking about how healthcare spaces need to be designed to support the
teamwork … Again, I think it’s a systems approach, but we do need to be thinking about long-term implementation. … In the future, that kind of thing has to always be part of the thinking in
the design process.