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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - He said, “You would have thought I started World War 3. … So the first thing that I wanted to do – you know, I’m in a hospital as a consultant and I’m thinking … It’s a little difficult to know if you had any other thoughts about that, but maybe we can get to that … we already know that hierarchy is a barrier to team performance and hierarchy leads to conventional thinking … , this is what I’m thinking, this is what I’m thinking.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - He said, “You would have thought I started World War 3. … So the first thing that I wanted to do – you know, I'm in a hospital as a consultant and I'm thinking … It's a little difficult to know if you had any other thoughts about that, but maybe we can get to that … we already know that hierarchy is a barrier to team performance and hierarchy leads to conventional thinking … , this is what I'm thinking, this is what I'm thinking.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
September 01, 2017 - Facilitator: Yes, that’s the kind of policy and procedure that I’m thinking of. … Have you given any thought as to which unit you will begin the pilot on? … Nurse Manager Unit A: We thought we’d start on my unit. … I was thinking that maybe we could get Dr. … Have you thought about expanding the rollout of On-Time?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_6_Checklist_508.docx
June 02, 2025 - Are you thinking about becoming a patient and family advisor?
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www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - Reducing harm often requires changes in thinking and behavior.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/cg-comparison-3-4.pdf
June 02, 2025 - last 6 months, how
often were clerks and
receptionists at this provider’s
office as helpful as you
thought … last 6 months, how
often were clerks and
receptionists at this provider’s
office as helpful as you thought … Thinking about your
most recent visit, was the
staff from this provider’s
office as helpful as you … thought they should be? … Thinking about your
most recent visit, did the
staff from this provider’s
office treat you with
courtesy
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www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
July 01, 2018 - express concerns
Gather as many viewpoints as possible
Alternate between convergent and divergent thinking … Divergent thinking occurs on rounds, during brainstorming sessions, and when trying to understand … what might be occurring10
Convergent thinking occurs while formulating a treatment plan or focusing
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - You can then encourage critical thinking and communication with questions
such as:
› At what point … thoughts. … lnstructor.indd 45 6/26/12 11:12 AM
46
You can encourage critical thinking and communication … Benefits of SBAR
› Teamwork.
› Expectations.
› Critical thinking skills.
› Patient safety. … You can then encourage critical thinking and communication with questions
such as:
› How could Mr.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - This helps keep participants thinking and engaged. … You can keep a "parking lot" list of thoughts that may not be on point at the moment, but should be kept … You can then encourage critical thinking and communication with questions such as:
How could Mr. … Get their thoughts on what worked and what could be done better. … Listen and thank them for their thoughts.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 01, 2022 - competency. 6 Better development and dissemination of evidence-based methods for training on probabilistic thinking
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/practice-facilitators-effectiveness-infographic.pdf
September 01, 2022 - brainstorm solutions
Share experiences from other practices
to “cross-pollinate” ideas and stimulate
thinking
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150917/introducing_the_new_cahps_c&g_survey3.0.pdf
September 01, 2015 - There’s a lot of
respondents when they’re thinking about in the last six months, did this happen? … Thoughts on that? … In fact, for a long time, you
know, people have thought that well, you shouldn’t be adjusting for that … Is there any thought that we’re going
to go from 6 to 3 to 1 in the future? … That’s what has been the thought in CAHPS and this is an effort to make it
uniform and not have, well
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-engagement-ed-transcript.html
December 01, 2017 - can be a chaotic and sometimes very hectic environment and it's important for us to put some careful thought … Think for a minute as you are looking at this topic and thinking about ways that your emergency department … I believe it's essential that as you are thinking about this as a journey that you stop and recognize
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/Patient_and_Family_Engagement_in_the_ED_transcript.docx
July 07, 2015 - can be a chaotic and sometimes very hectic environment and it's important for us to put some careful thought … Think for a minute as you are looking at this topic and thinking about ways that your emergency department … I believe it's essential that as you are thinking about this as a journey that you stop and recognize
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-fac-notes.html
October 01, 2020 - Slide 24: Avoid Making the Team Guess What You Are Thinking
Say:
Avoid making the team guess what … you are thinking. … Coaching Day
Say:
When planning your coaching sessions, it is best to start your planning by thinking
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - First, any quality improvement study that you might be thinking about starting in your center can fit … We see that we're at 52 percent, so now we need to start thinking about setting a goal for improvement … improvement project 100 percent may not always be the smartest goal for you to pick, so you need to put some thought … Then, when you start thinking about what you want to actually tackle, try to focus on things that you … Now if we weren't, what we'd want to start thinking about is why we aren’t we at 100 percent.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
May 01, 2017 - Slide 24: Avoid Making the Team Guess What You Are Thinking
Example of making the team guess what … you are thinking
"Can you tell me what you did wrong?"
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/premortem-scorecard-slides.pptx
January 01, 2017 - Sustainability Tools ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
26
(Circle One)
THINKING … Sustainability Tools ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
27
(Circle One)
THINKING … Sustainability Tools ‹#›
AHRQ Safety Program for Mechanically Ventilated Patients
28
(Circle One)
THINKING
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - demonstrating a high level of
proficiency in applying the core standards of human
factors, systems thinking … Systems Thinking and High
Reliability**
Safety Science • Systems Thinking and Design
• Systems Factors … Page 9 of 15
**Although systems thinking and human factors are related concepts, they are presented … Follow-up
• Safety Reporting
• Situational Awareness
• Systems Factors/System Failure Modes
• Systems Thinking … Organizations
Several competency frameworks
did not explicitly acknowledge
both human factors and systems
thinking
-
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt2.html
October 01, 2015 - Planning for Sustainability
The best time to begin thinking about sustaining project gains is at the … Start thinking early on about how your team can make CAUTI reduction processes part of your routine,