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Total Results: 2,437 records

Showing results for "thinking".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33732/psn-pdf
     July 01, 2012 - RW: Did the unintended consequences literature influence your thinking about it? … Who would have thought 10 years ago that the iPad would be available to help with electronic health … I was thinking that you might go on to ask, why would the patient actually need to go in and see the … I figured that IT was a pretty benign, white hat kind of thing, but not everyone thought that way.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33645/psn-pdf
     February 01, 2007 - Once a plausible condition is identified, other possibilities are not fully considered; we just stop thinking … on improving physicians' skills in metacognition, the ability to monitor and understand one's own thought … Blink: The Power of Thinking Without Thinking. New York, NY: Little, Brown and Company; 2005. 9. … I wonder if there is anything else I should be thinking of?

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34602/psn-pdf
     February 17, 2009 - issue/disclosure-unanticipated-events-next-step-better-communication-patients-part- 1-3 The change in thinking

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47412/psn-pdf
     October 31, 2018 - The author explores the role of clinical teams in applying systems thinking to reduce blame, improve

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33756/psn-pdf
     October 01, 2013 - had higher doses https://psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md than you thought … people weren't paying much attention, and the doses therefore were set haphazardly without a lot of thought … So as the doses went up, we were thinking about this problem less, and when attention came to this issue … Her husband sued because he thought that the cancer came from the radiation from the CT and that she … I thought that this was a great educational opportunity but he also set the stage.

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33768/psn-pdf
     June 01, 2014 - Was that a choice on your part because that was what you thought had the best chance to be successful … I learned that if you understand structural thinking—if you understand feedback loops and the cultural … There are many times when I want to smack someone on the side of the head and say, "What are you thinking

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33622/psn-pdf
     November 01, 2005 - I remember debate as being a really intriguing entree into thinking hard about public policy. … I wondered whether you ever thought about going into either politics or the clergy. … I've not thought about the sources of that, but it does make me think about three things. … DB: I guess a couple of thoughts.

428. Making Healthcare Safer III Report | PSNet
     psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
     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

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33738/psn-pdf
     December 01, 2012 - For example, we thought putting medications at the bedside would lower medication errors, and it would … batch these rounding processes, go back to a nursing station, and download all of what they've been thinking … People talk about smart thinking, which is more aimed at how to create habits that will http://www.ahrq.gov … subconscious activities and the circumstances are the same, these habits become more accurate than thinking … RW: Thinking 10 to 20 years from now, what does the hospital room of the future look like?

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846449/psn-pdf
     March 22, 2023 - psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study https://psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852750/psn-pdf
     August 23, 2023 - culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care https://psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42101/psn-pdf
     April 03, 2013 - applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38659/psn-pdf
     May 27, 2009 - henry-ford-production-system-reduction-surgical-pathology-process- misidentification-defects Lean thinking

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43952/psn-pdf
     March 04, 2015 - This workflow- informed and technology-enabled approach reflects the growing influence of systems thinking

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46268/psn-pdf
     September 27, 2017 - This commentary discusses Safety-II thinking in health care and suggests that examining how an organization

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47288/psn-pdf
     December 21, 2018 - reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43967/psn-pdf
     November 16, 2015 - the complexity around introducing change in health care and suggests that change management, systems thinking

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33809/psn-pdf
     June 01, 2016 - RW: As you thought about what certification, and I guess by extension, what training would look like … How have you thought about teaching that and how have you thought about testing that as part of the … RW: When you and the other leaders began thinking about patient safety, the American health care system … How does that change the thinking about the content and the methods of both training and certification … Some of our early approaches we thought, "This is a good idea.

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867651/psn-pdf
     February 26, 2025 - much of the early patient safety work and what is called Safety I.4,5 Dekker described periods of thinking … Periods in the Evolution in Safety Science Thinking. … Safety I approach is largely employed across most healthcare organizations, but components of Safety II thinking … Nonetheless, a growing number of cases require a new way of thinking about safety. … Safety II cannot be employed as a methodology to mitigate error or even reduce harm: it is a way of thinking

440. Safety I, Safety II, and the New Views of Safety | PSNet
     psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
     October 02, 2024 - much of the early patient safety work and what is called Safety I. 4,5 Dekker described periods of thinking … Periods in the Evolution in Safety Science Thinking. … I approach is largely employed across most healthcare organizations, but components of Safety II thinking … Nonetheless, a growing number of cases require a new way of thinking about safety. … Safety II cannot be employed as a methodology to mitigate error or even reduce harm: it is a way of thinking