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Showing results for "thinking".

261. The impact of power on health care team performance and patient safety: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
     February 01, 2023 - Related Resources From the Same Author(s) Toward the translation of systems thinking … Resources Towards a unified model of accident causation: refining and validating the systems thinking

262. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet
     psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review
     January 26, 2022 - December 1, 2021 Participation in a system-thinking simulation experience changes adverse … February 27, 2019 Levels of reflective thinking and patient safety: an investigation

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33644/psn-pdf
     December 01, 2006 - Establishing a Safety Culture: Thinking Small December 1, 2006 Hoff TJ. … Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006. … https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small Perspective Safety cultures … concept as if it has universality in both https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small … Self-reflection, empathy, inquiry, feedback, forgiveness, systems thinking, communication, and creative

264. How a series of errors led to recurrent hypoglycemia. | PSNet
     psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
     April 23, 2014 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking … July 2, 2019 Use of design thinking and human factors approach to improve situation awareness

265. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - Eduardo Salas : Well, I thought I would find that health care and medicine in general understand the … Always thinking about what you're thinking. Again, in the military we did that with simulations. … RW : It sounds like it begins with thinking about your own thinking. … RW : I hadn't really thought about this notion that the signal for me to think carefully about this and … We have to start thinking about human–system integration.

266. Error Reduction and Prevention in Surgical Pathology, Second Edition. | PSNet
     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.

267. Using simulation to improve systems. | PSNet
     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.

268. Mistakes, Errors and Failures across Cultures. | PSNet
     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.

269. Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. | PSNet
     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.

270. In Conversation with…Pat Croskerry, MD, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
     June 01, 2010 - I started seeing these repeated thinking errors that very hard-working people were making. … I want to emphasize that I don't think anybody was being casual or sloppy in their thinking. … In the end, I decided to spend my time thinking about how doctors think. … brain of Pat Croskerry when a patient with chest pain comes to see you, versus a physician who hasn't thought … Say what you were thinking; say what you think you were doing wrong.

271. In Conversation With... Jack Westfall, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
     September 28, 2022 - We spent a lot of time thinking about the four Cs of primary care: contact, continuity, comprehensiveness … You spoke about some examples of high-quality care, and I’m wondering if you have any thoughts on ways … So now, we’ve been thinking about the four Cs and how they relate to quality. … I’d like to transition into discussing patient safety and thinking a little bit more about avoidance … We are always thinking about how to ensure that anything we do for patients may help them and decrease

272. In Conversation With… Sigall K. Bell, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
     February 26, 2025 - RW : As you thought about the gaps in patient communication and patient engagement, a big part of that … Did you have a sense of which of those you thought were going to be the most important things to tackle … About 20% to 30% of clinicians said they have given more thought or changed the way that they document … That is a bigger concern for us to be thinking about from the safety standpoint. … More Wikipedia kind of models or different ways of thinking about this.

273. Flaws in clinical reasoning: a common cause of diagnostic error. | PSNet
     psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
     September 30, 2012 - Patient safety in palliative care at the end of life from the perspective of complex thinking … November 4, 2014 The ethical imperative to think about thinking.

274. Evaluating situation awareness: an integrative review. | PSNet
     psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
     January 01, 2016 - Patient safety in palliative care at the end of life from the perspective of complex thinking … August 21, 2019 Systems thinking and incivility in nursing practice: an integrative review

275. Human factors engineering: its place and potential in OR safety. | PSNet
     psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
     May 24, 2017 - Related Resources From the Same Author(s) Applying human-centered design thinking … June 12, 2019 Applying human-centered design thinking to enhance safety in the OR.

276. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
     February 26, 2025 - community about the kinds of contextual issues that might be important, there also was not a lot of thinking … analogy to age, gender, New York Heart Association classification, presence of diabetes, etc., when thinking … whether you do it or not might be publicly reported, but it would never be (at least in the present thinking … It's not clear exactly how independent these three are, but all of them in some form or another are thought … So measuring something in those four domains and reporting on it was thought to be an important factor

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33845/psn-pdf
     November 01, 2017 - WP: Thinking about it from a patient's perspective, the primary role of my work, a lot of systems that … Another perspective was thinking about the hospital environment for caregivers, particularly parents … They have a whole life, so thinking about how that connects to the rest of their life is also really … RW: When you talked about the needs of patients in the beginning, were you thinking about peer-to-peer … WP: When I first got started, I definitely wasn't thinking about peer-to-peer information exchange.

278. In Conversation With… David Blumenthal, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
     March 27, 2024 - My recollection is that a memo you wrote got people to begin thinking about federal engagement and trying … We were thinking, for example, about what innovative future NIH [National Institutes of Health] grants … never have happened without Meaningful Use requirements because doctors and hospitals just haven't been thinking … I'm going to call out things that did not exist 10 years ago and do now, and I'd love to hear your thoughts … I thought if you could do this around the United States, can you imagine how much unnecessary imaging

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60173/psn-pdf
     March 30, 2020 - The lens that I believe I brought to the panel was how the end-users are thinking about patient safety … I thought that was very helpful. … Thinking back to “To Err is Human,” one of the big things it talked about was creating a patient safety … We thought that was going to be the answer, but later figured out it was not the best approach. … For example, with regards to retained foreign bodies and wrong site surgeries, I remember thinking when

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33668/psn-pdf
     May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … That being said, I think physicians for the foreseeable future are going to continue to do the thinking … RW: If a hospital was thinking about getting into IT and could buy only one thing or needed to figure … Some of the things that I thought would be really straightforward and would work really well didn't … We're thinking of trying to develop a single in-basket so that all the things that come in that you