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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist
January 05, 2012 - Commentary
Preventing catheter-related bloodstream infections: thinking outside the … Citation Text:
Preventing catheter-related bloodstream infections: thinking outside the checklist. … Cite
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Citation Text:
Preventing catheter-related bloodstream infections: thinking
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psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
May 28, 2015 - Commentary
Application of lean thinking to health care: issues and observations. … Application of lean thinking to health care: issues and observations. … This commentary explores operational and sociotechnical aspects of applying lean thinking as a management … Application of lean thinking to health care: issues and observations.
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psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - Study
Doctors' thinking about 'the system' as a threat to patient safety. … Doctors' thinking about 'the system' as a threat to patient safety. … Doctors' thinking about 'the system' as a threat to patient safety.
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psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative … Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting … Survey results indicated students had a good understanding of systems thinking, but only identified … Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting … May 3, 2023
Participation in a system-thinking simulation experience changes adverse
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psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
February 07, 2024 - Commentary
A complexity thinking account of the COVID-19 pandemic: implications for … A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management … The authors use a complexity thinking (understanding the dynamic interactions between systems) perspective … A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management
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psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
May 25, 2016 - Commentary
Applying human-centered design thinking to enhance safety in the OR. … Applying Human-Centered Design Thinking to Enhance Safety in the OR. … This commentary reviews how hospitals have applied design thinking to develop new processes to enhance … Applying Human-Centered Design Thinking to Enhance Safety in the OR.
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psnet.ahrq.gov/node/60669/psn-pdf
July 08, 2020 - Participation in a system-thinking simulation experience
changes adverse event reporting. … Participation in a system-thinking simulation experience changes adverse event
reporting. … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event … The authors suggest that
prelicensure training include reinforcement of systems thinking principles … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
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psnet.ahrq.gov/node/848821/psn-pdf
May 10, 2023 - Towards a unified model of accident causation: refining
and validating the systems thinking safety tenets … Towards a unified model of accident causation: refining and
validating the systems thinking safety tenets … Systems thinking concepts are used by healthcare organizations to encourage learning from failures … This article outlines a refined and validated set of
systems thinking tenets and discusses how they … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - Thinking About Learning for Improvement in Health Care. … Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. … report discusses a model that focuses on learning , influencing, resilience, creativity, and systems thinking … Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H.
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psnet.ahrq.gov/node/45616/psn-pdf
November 27, 2017 - and evaluation of a resident curriculum on diagnostic errors that
explored medical decision making, critical … thinking skills, and how to provide feedback and support for
second victims.
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psnet.ahrq.gov/node/848038/psn-pdf
April 26, 2023 - Assessing system thinking in senior pharmacy students
using the innovative "Horror Room" simulation … Assessing system thinking in senior pharmacy students using the
innovative "Horror Room" simulation … https://psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror … participated in a team-based simulation to identify potential latent errors and then
completed a system thinking … Survey results indicated students had a good understanding of
systems thinking, but only identified
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psnet.ahrq.gov/issue/perchance-think
December 08, 2016 - Commentary
Perchance to think.
Citation Text:
Ofri D. Perchance to Think. New Engl J Med. 2019;380(13):1197-1199. doi:10.1056/NEJMp1814019.
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psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
January 15, 2020 - Commentary
Thematic reviews of patient safety incidents as a tool for systems thinking … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report … organizations to review patient safety incidents and classify them into themes from a human factors and systems thinking … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report
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psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
January 20, 2021 - reasoning in the emergency department and shares tactics that minimize their potential impact on thinking … June 9, 2021
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/node/60946/psn-pdf
September 23, 2020 - Systems thinking for managing COVID-19 in health care
systems: seven key messages. … Systems thinking for managing COVID-19 in health care systems: seven key
messages. … https://psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-
messages … Focusing on nurses and nurse educators, this article emphasizes systems thinking (a way of viewing, … https://psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - Toward the translation of systems thinking methods in
patient safety practice: assessing the validity … Toward the translation of systems thinking methods in patient safety
practice: assessing the validity … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-
assessing-validity-net … This article
describes validity testing of systems-thinking risk assessment (Net-HARMS) to identify … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - But that is archaic thinking." … Applying better thinking to the daily practice for anesthesiologists, Dr. … process improvement workshops (multidisciplinary improvement team efforts) helped turn these creative thoughts … In the Lean philosophy, the first thought is to look at the system and processes, unless you can absolutely … I worry when I talk to an organization that is now embracing Lean, and their thought process is often
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psnet.ahrq.gov/node/72681/psn-pdf
January 27, 2021 - A complexity thinking account of the COVID-19 pandemic:
implications for systems-oriented safety management … A complexity thinking account of the COVID-19 pandemic: Implications for systems-
oriented safety management … https://psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented … The authors use a complexity thinking (understanding the dynamic interactions between
systems) perspective … https://psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
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psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
December 18, 2017 - Review
Classic
Systems thinking and incivility in nursing … Systems thinking and incivility in nursing practice: An integrative review. … Systems thinking and incivility in nursing practice: An integrative review. … Related Resources From the Same Author(s)
A concept analysis of systems thinking … December 18, 2017
Systems thinking for managing COVID-19 in health care systems: seven
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psnet.ahrq.gov/node/47992/psn-pdf
January 01, 2020 - Understanding the heterogeneity of labor and delivery
units: using design thinking methodology to assess … Understanding the Heterogeneity of Labor and Delivery
Units: Using Design Thinking Methodology to Assess … https://psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking … They
conclude that applying design thinking to physical space could improve maternal and neonatal safety … https://psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess