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psnet.ahrq.gov/node/856584/psn-pdf
January 01, 2024 - human-factors-healthcare
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … TN: I'll give you my personal thoughts about them, because I hesitate to speak for an organization as … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's a tendency to build … In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - Remle Crowe: Right, we thought this one was really important, because that handoff is so critical. … Just thinking kind of broadly about, what are the primary events that are being experienced in prehospital … Thinking back to
when you started, and all the way through your career now, is there anything that you … So when you're under pressure and you're thinking about which button to
push, you may actually push
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psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - elective-surgical-patients-narratives-hospitalization-co-construction-safety
https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
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psnet.ahrq.gov/node/34772/psn-pdf
November 18, 2015 - Weick's thinking encompasses the notion that both individuals and teams often
overlook important problems
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psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - in a
series of quality improvement articles, this commentary suggests that a commitment to systems thinking
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
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/issue/society-improve-diagnosis-medicine
March 27, 2019 - August 11, 2015
The ethical imperative to think about thinking.
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psnet.ahrq.gov/node/46676/psn-pdf
December 13, 2017 - diagnostic-errors-medical-students-results-prospective-qualitative-study
This clinical vignette study examined the breakdowns in diagnostic thinking
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psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Common themes included cognitive bias, dual process thinking, diagnostic error, and patient harm.
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-
primary-care
Systems thinking
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - The difference is, in that setting, if a patient was thinking "my foot's hurting a lot, somebody
ordered … are so commonplace that we don't
even reflect on them and we don't bring them to the attention of thought … Thinking again about my clinic yesterday, there were about a dozen issues that came up that
represented … We often jump to thinking about how are we going to speak more clearly
and more nicely to the patient … The other systems intervention is for us to be thinking about the period of time between visits as an
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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - So, I sat there thinking, this is a huge information problem
because someone, somewhere knew what to … She had seen hundreds of doctors, and maybe some had been
thinking about rheumatic causes of her fevers … even though she was stationed in Southeast Asia, and most
of them thought infectious. … I was just thinking I'm going to put up a website and people are going
to use it. … RW: As a computer science major jazzed about diagnostic errors, I would have thought the natural path
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psnet.ahrq.gov/issue/managing-patients-medicines-after-discharge-hospital
February 08, 2017 - shared among UK practices and patients after a hospital stay and found that 81% of general practices thought … Thinking About Learning for Improvement in Health Care.
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psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - RW: As you thought through the business case, did you factor in issues of nurse retention? … When thinking about improving
care or implementing evidence-based practice, the tendency is to look … Thinking about the
way the physician side of care is delivered and organized has probably been understudied … I think that it is easy to let the bad apple theory dominate your thinking
when you're in a small practice … cost containment
agenda, the efficiency agenda, and the quality agenda need to be integrated into the thinking
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - 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 make you become … 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?
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - I can't tell you the vast array of design issues that you wouldn’t have even thought about that they … I thought that access to mental healthcare was the primary issue, not access to primary care. … 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
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psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
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/33847/psn-pdf
August 01, 2017 - How has life changed over the last 10 or 15 years in terms of systems thinking, and how
do you and surgeons … Karl Bilimoria: It has evolved from the individual blame game to thinking about how to improve
systems … morbidity and mortality] conferences
across the country have changed from blaming the presenter to thinking … When I read Birkmeyer's study, I thought: if I needed a surgeon for my dad I would want to
know his