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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - managing-risks-organizational-accidents
Written 7 years after the publication of Human Error, this book demonstrates Reason's thinking
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psnet.ahrq.gov/node/46094/psn-pdf
July 11, 2017 - comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
https://psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
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psnet.ahrq.gov/node/47525/psn-pdf
October 31, 2018 - peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
https://psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
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psnet.ahrq.gov/node/47659/psn-pdf
January 27, 2019 - cognitive-bias-clinical-practice-nurturing-healthy-skepticism-among-medical-students
https://psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
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psnet.ahrq.gov/node/47756/psn-pdf
February 06, 2019 - those utilized in patient safety work,
such as multidisciplinary teamwork, process design, and systems thinking
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psnet.ahrq.gov/node/43377/psn-pdf
April 25, 2016 - using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
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psnet.ahrq.gov/node/33832/psn-pdf
April 01, 2017 - started discussing how this idea of high reliability was probably more
generalizable than had been thought … 10.1146/annurev-orgpsych-041015-062531
https://www.ncbi.nlm.nih.gov/pubmed/14744724
KS: I would be thinking … But the action is
going to be in thinking about organizing practices and ways to enable the alertness
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psnet.ahrq.gov/node/43007/psn-pdf
December 12, 2014 - psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
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 your … 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. … We collated global thinking on the benefits that can flow from health systems in so-called developing
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - And that led to fascinating divergences between what the pilots thought they told the
airplane to do … When I've talked about and thought about just culture I've never heard it framed
that way—that we're … And your thinking about it actually seems to be
much more informed by almost Rawlsian principles of … just culture algorithms or mechanisms has grown on the back of the gradual acceptance of
systems thinking … We have systems thinking on the one hand: If you want to understand why things go
wrong you've got to
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - the most memorable day was the one I spent at Boeing, seeing how the cockpit engineers and designers thought … by the technology because the crux of the matter will be complicated decisions that require a lot of thought … That sort of thinking flows very quickly once you have a system where data are all in one central place … Some that have not yet been invented and some that began life thinking about how you solve complicated … That's the kind of thinking that I have become much more likely to embrace.
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - the most memorable day was the one I spent at Boeing, seeing how the cockpit engineers and designers thought … by the technology because the crux of the matter will be complicated decisions that require a lot of thought … That sort of thinking flows very quickly once you have a system where data are all in one central place … Some that have not yet been invented and some that began life thinking about how you solve complicated … That's the kind of thinking that I have become much more likely to embrace.
-
psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - /systems-errors-versus-physicians-errors-finding-balance-medical-education
The movement to systems thinking
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - This study used human factors engineering and design thinking approaches to
develop an understanding
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - But
thought of broadly, the Partnership for Patients was much more than HENs. … So we thought we had a pretty good handle on what was possible with concerted effort. … As you look at these trends, how does that change your thinking and the Agency's thinking about
the … PM: If there was one thought I could leave with your readers or listeners, it is that this concept of … The
single thought I would leave with your readers is that alignment is a good thing, and synergy is
-
psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
May 27, 2015 - May 18, 2022
Choosing wisely in clinical practice: embracing critical thinking, striving
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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - work is extraordinarily relevant to what we are doing in health care over the past 10 years, as we've thought … organizations and about particular technologies, that would let people stretch their imaginations in thinking … As someone sitting around the table hearing the plan, you can imagine that there probably is someone thinking … I don't think that they necessarily thought that they were really creating some danger. … Moving forward starts with systems thinking at all levels: care providers, companies, regulators/associations
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psnet.ahrq.gov/node/42011/psn-pdf
March 06, 2013 - psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
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psnet.ahrq.gov/node/49854/psn-pdf
February 01, 2019 - /#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Stopping and thinking … Intentional use of
type 2 (slow) in favor of type 1 (fast) thinking (so-called cognitive debiasing) … Thinking, Fast and Slow. New York, NY: Farrar, Straus and Giroux; 2011. ISBN:
9780374533557.
12.
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psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - I always thought the physical exam was quite fascinating. … I thought it
was the fun part of medicine and easy pickings. … Most important to me is the issue of safety and basically the disappointing
thought that we might actually … AV: Actually one of the big surprises is that I thought I would get a lot of pushback from people saying … Can you describe your thinking about that and how that dovetails with the physical exam?