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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report … https://psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality- … to review patient safety incidents and classify
them into themes from a human factors and systems thinking … https://psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
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psnet.ahrq.gov/node/866905/psn-pdf
October 09, 2024 - dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-
expertise
Diagnostic reasoning is frequently discussed in terms of System 1 (thinking … fast) and System 2 (thinking
slow). … of this review present evidence against the claim that diagnostic error stems solely from
System 1 thinking … They conclude that errors originate from both System 1 and System 2 thinking. … dual-process-models-clinical-reasoning-central-role-knowledge-diagnostic-expertise
https://psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
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psnet.ahrq.gov/node/46751/psn-pdf
July 23, 2018 - A call for a systems-thinking approach to medication
adherence: stop blaming the patient. … A Call for a Systems-Thinking Approach to Medication Adherence: Stop
Blaming the Patient. … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient … Systems thinking has been applied to address various underlying conditions that contribute to medical … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
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psnet.ahrq.gov/node/40862/psn-pdf
October 19, 2011 - Thinking about our thinking as physicians.
October 19, 2011
Groopman J; Hartzband P. … https://psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
Exploring concepts such as anchoring … availability bias, and confirmation bias, this piece describes
tactics to help recognize and manage errors in thinking … https://psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians
https://psnet.ahrq.gov/issue/how-doctors-think
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psnet.ahrq.gov/issue/education-next-frontier-patient-safety-longitudinal-resident-curriculum-diagnostic-error
January 16, 2019 - 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/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional … https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within … This report
suggests institutions apply design thinking and systems thinking methods to develop interventions … https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health … https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive … Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive … https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-
awareness-pediatric … https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric … https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
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psnet.ahrq.gov/node/72570/psn-pdf
January 01, 2021 - Provider-patient communication and hospital ratings:
perceived gaps and forward thinking about the effects … Provider–patient communication and hospital ratings:
perceived gaps and forward thinking about the effects … psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-
forward-thinking-about … psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about … psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
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psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
March 28, 2012 - Teaching internal medicine residents quality improvement and patient safety: a lean thinking … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach … The authors describe how students applied lean thinking to an in-house project to improve response … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach
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psnet.ahrq.gov/node/39483/psn-pdf
May 25, 2010 - Teaching internal medicine residents quality improvement
and patient safety: a lean thinking approach … Teaching internal medicine residents quality improvement and patient
safety: a lean thinking approach … psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-
lean-thinking … The authors describe how students applied lean thinking to an in-house project to
improve response to … https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Study
Understanding the heterogeneity of labor and delivery units: using design thinking … Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess … They conclude that applying design thinking to physical space could improve maternal and neonatal … Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess
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psnet.ahrq.gov/node/50901/psn-pdf
February 12, 2020 - Thinking fast and slow in medicine.
February 12, 2020
Michel JB. … Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. … https://psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
This commentary describes cognitive errors … https://psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
https://psnet.ahrq.gov/issue/relationship-between-response-time-and-diagnostic-accuracy
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psnet.ahrq.gov/node/38927/psn-pdf
June 28, 2011 - Application of lean thinking to health care: issues and
observations. … Application of lean thinking to health care: issues and observations. … https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
This commentary … explores operational and sociotechnical aspects of applying lean thinking as a
management approach … https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking. … A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196. … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - Patient safety in palliative care at the end of life from the
perspective of complex thinking. … Patient safety in palliative care at the end of life
from the perspective of complex thinking. … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
Adverse … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
https
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psnet.ahrq.gov/node/41979/psn-pdf
January 16, 2013 - Thinking in three's: changing surgical patient safety
practices in the complex modern operating room … Thinking in three's: changing surgical patient safety practices in the complex modern operating
room … https://psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern … https://psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room … https://psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
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psnet.ahrq.gov/node/45918/psn-pdf
May 24, 2017 - Applying human-centered design thinking to enhance
safety in the OR. … Applying Human-Centered Design Thinking to Enhance Safety in the OR. … https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
Human-centered … This commentary
reviews how hospitals have applied design thinking to develop new processes to enhance … https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45316/psn-pdf
August 31, 2016 - The thinking doctor: clinical decision making in
contemporary medicine. … The thinking doctor: clinical decision making in contemporary medicine. … https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
Effective … https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
https://psnet.ahrq.gov … psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
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psnet.ahrq.gov/node/43297/psn-pdf
June 25, 2014 - The limits of checklists: handoff and narrative thinking. … The limits of checklists: handoff and narrative thinking. … https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
Communication failures … transfers in health care, this commentary advocates for more
research into strategies to improve narrative thinking … https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety. … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-
ensure-patient-safety … This article reviews the use of systems thinking models to address failure and discusses how
small problems … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety