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psnet.ahrq.gov/node/865482/psn-pdf
April 03, 2024 - impact-relocation-new-critical-care-building-pediatric-safety-events
https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - KH: You are really thinking total healthcare continuum and how social determinants of health may play … a
role, when very often we get siloed into thinking about outpatient versus inpatient. … KH: I was just thinking about return on investment. … I think we need to be thinking about what our quality improvement and
patient safety initiatives achieved
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psnet.ahrq.gov/node/33774/psn-pdf
December 01, 2014 - to get involved in international patient
safety, what were the major differences you confronted in thinking … How do you even begin thinking about that issue of scale and spread given the size and variation in … Countries tend to jump to the top of the pinnacle before thinking about what basics
need to be invested … Then in the transitional countries and in the developed world thinking about: What does our national … These separate
disease-by-disease approaches and thinking about a whole people-centered approach.
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - I thought the electronic medical record would end that, and indeed it has. … The thought process has been squeezed out of electronic notes. … But I like that because my fingers never get ahead of my thinking. … But you wonder how deeply are they thinking about it. … Their thought is everything I need to know is in the computer.
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psnet.ahrq.gov/node/37536/psn-pdf
February 01, 2011 - psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
The authors advocate that systems thinking
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - incivility-and-clinical-performance-teamwork-and-emotions-randomized-controlled-trial
https://psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - 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 … It's not clear exactly how independent these three are, but all of them in some form or
another are thought … and implementation tools, and this would be one of the things that
could be influenced by somebody thinking … So measuring something in those four domains and reporting on it was thought to be an
important factor
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - The transition from clearly thought-out opinion to myth and folklore is easily detectable; the moderator … In the story you mentioned from the book, the resident thought there was something wrong with this elderly … My thought about it is that if you gave people a choice about whether they'd like to be learned upon, … AG: There is this palpable feel of a difference in results-oriented thinking. … the paper or have a conversation with someone, and it opens up a whole new set of ideas that I hadn't thought
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psnet.ahrq.gov/node/35018/psn-pdf
November 28, 2018 - implementing
this approach, which calls for leaders to facilitate a group process and to encourage innovative thinking
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psnet.ahrq.gov/issue/inappropriate-trust-technology-implications-critical-care-nurses
October 07, 2009 - September 19, 2016
An IDEA: safety training to improve critical thinking by individuals
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psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
July 29, 2015 - June 17, 2020
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - I'm an anthropologist by training, and to me that means really thinking about human needs and applying … In thinking about safety, that becomes really important. … KH: So, that's really interesting, and when thinking about redesigning care, where do you even start … that this is important and that it's important to take care of women once the baby is out and really thinking … We thought implementing a standard set of postpartum pain orders would help, but it hasn’t changed at
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - I'm an anthropologist by training, and to me that means really thinking about human needs and applying … In thinking about safety, that becomes really important. … KH: So, that's really interesting, and when thinking about redesigning care, where do you even start … that this is important and that it's important to take care of women once the baby is out and really thinking … We thought implementing a standard set of postpartum pain orders would help, but it hasn’t changed at
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
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
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psnet.ahrq.gov/node/34985/psn-pdf
July 14, 2010 - They explain how their experience should affect thinking about how technology
is used to improve patient
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psnet.ahrq.gov/node/42874/psn-pdf
January 29, 2014 - Articles cover various topics, including heuristic
thinking, communication skills, incident reporting
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psnet.ahrq.gov/node/35250/psn-pdf
February 24, 2011 - outcomes-card-development-systems-based-practice-educational-tool
The authors discuss the pilot of a tool that infuses systems thinking
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Characteristics of High Reliability Organizations High reliability organizations use systems thinking … This mindset is supported by five characteristic ways of thinking: preoccupation with failure; reluctance … Reliability 1,2,3,4 Characteristic Description Preoccupation With Failure Everyone is aware of and thinking
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psnet.ahrq.gov/node/845072/psn-pdf
February 22, 2023 - Researchers used three systems thinking methods (ActorMap, AcciMap, and PreventiMap) and
stakeholder
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - We'd spent a long time thinking about
components of perioperative care—the use of antibiotics, the use … None of the surgeons that agreed to
participate in this study went into this study thinking that they … code and realized that they were in some ways staggeringly associated
with outcomes, what was your thought … I
thought that somehow that there was some tautology or other error associated with how the analysis … I'm thinking about the military or aviation
where they have done some aptitude testing before people