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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - accompanying
editorial recommends encouraging reflection and explaining its benefits when teaching diagnostic thinking
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psnet.ahrq.gov/node/38673/psn-pdf
April 30, 2014 - He discusses the role of human factors and
systems thinking in analyzing and improving safety and cites
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Moving forward starts with systems thinking at all levels: care providers, companies, regulators/associations … 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.
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - They're also thinking about things like efficiency and risk management. … RW: From where you sit now, thinking back on how you were trained in medical school, what do you think … He did not shy away from tough questions when he thought about eliminating disparities in health care … paradigm for patient safety—moving away from individual blame to a richer understanding of systems thinking
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - We asked him to speak with us about checklists and
other thoughts about the science of improving patient … I
actually thought we were on the same team, that it was the patient's team."
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - So, going back to King/Drew Medical Center, one of the things that we
thought was really important was … If reporters are thinking along those lines—first, providing
perspective and some numerical context … RW: Was there some moment when you shifted on your thinking and felt like the best thing to do was to
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - Initially, I was interested in the classical problems in psychology (memory, attention, thinking, problem … DN: What we need is systems thinking, first of all, and second, integrated displays that capture a large … RW: How would you try to apply this thinking in a health care organization? … What solutions were you thinking of when you read these vignettes? … In the central line case, perhaps you thought that the nurse should have warned the physician before
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psnet.ahrq.gov/node/46781/psn-pdf
August 20, 2018 - After applying a systems thinking framework to clinicians' solution ideas, they found that most of the
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psnet.ahrq.gov/node/43447/psn-pdf
November 20, 2015 - issue/surveys-patient-safety-culture
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
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psnet.ahrq.gov/node/34732/psn-pdf
May 09, 2015 - Even now, with some penetration of the concepts of
systems thinking, it is still easy to fall back on
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psnet.ahrq.gov/node/35032/psn-pdf
February 03, 2011 - They summarize the shifts in thinking that have occurred, from blaming individual physicians towards
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psnet.ahrq.gov/node/43911/psn-pdf
April 15, 2016 - Researchers determined that ambulatory patients focus on individual trust and relationships when thinking
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - Organizations should be thinking about staffing, policies around reporting, monitoring, and being alert … Patient safety approaches generally emphasize a “systems” approach to create safe work environments; thinking … Is that correct, and what are your thoughts about that?
Cheryl B. … Do you have thoughts about what that might look like?
Cheryl B.
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - Organizations should be thinking about staffing, policies around reporting, monitoring, and being alert … Patient safety approaches generally emphasize a “systems” approach to create safe work environments; thinking … Is that correct, and what are your thoughts about that?
Cheryl B. … Do you have thoughts about what that might look like?
Cheryl B.
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psnet.ahrq.gov/node/33611/psn-pdf
July 01, 2005 - Landrigan, an Assistant Professor of Pediatrics at Harvard Medical School, about his research and his
thoughts … observers
to which schedule was being studied, we had them use a pretty broad capture of anything they thought … CL: This was a concern going into the study, but it turned out to be less of a problem than we had thought … If the observer thought the issue was a little less emergent, then he or she
could bring it back to
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - We were inspired by his Harvard Medical Practice study and the
work that came after that and thought … KH: When thinking about the triggers, do the individual private practices have a true electronic health … We also went through an exercise when we did our random chart review to try
to determine whether we thought
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
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. … In thinking about such a time delay, it is vital to consider what defines a "response" by the primary
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - AJ: In a survey a few years ago, we asked hospital board chairs to prioritize what they thought was most … But what I'm thinking about is much more experimentation and research at the sharp end of health care … For example, if I
really thought electronic health records were the latest and greatest thing and that
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In thinking about such a time delay, it is vital to consider what defines a "response" by the primary … 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.
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - Our Society [SIDM] thought if we
could convince the IOM to undertake a major report on diagnostic error … Where
did that come out in the committee's deliberations, and what are your thoughts about that? … This is where we document our thoughts, find our information, and communicate with others.