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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
June 02, 2025 - I have consolidated your thoughts and Jim has reviewed the Self-Assessment. … Does anyone have any thoughts about why we thought that gaining these varied perspectives was important … We thought that this report could be used during your falls and care planning meetings and thought that … Were you thinking we should meet weekly rather than monthly? … What were you all thinking about these reports?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - Systems thinking is the cornerstone of SBP. … assessing SBP, it is necessary to provide a broad awareness
of systems within a context of systems thinking … Systems-based practice can be thought of as an analytic tool, as well as a way of viewing the
world, … Systems thinking and the application of systems thinking through SBP
provide an opportunity to look … Acknowledgments
We thank the following people who agreed to be interviewed about their thoughts on Systems
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/03-pt-narratives-support-px-strategy-grob.pdf
June 02, 2025 - Facilitate agenda planning and
execution
• Recognize staff strengths and needs
• Inspire transformational thinking … change
Reinforce sense of purpose
Recognize staff strengths and
needs
Inspire transformational thinking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
June 02, 2025 - Team members need to alternate between convergent and divergent thinking. … Convergent thinking
Convergent thinking asks the team to confer about all the potential problems that … Divergent thinking
Divergent thinking tends to occur during rounds but is not limited to this activity … It includes brainstorming and possibility thinking to explore questions such as:
· What is the patient … Slide 23
SAY:
To review the main components of this module, consider these thoughts:
· Every system
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www.ahrq.gov/patient-safety/reports/hotline/appd.html
May 01, 2016 - Thinking of your role as [xxx] , we are specifically interested in your view about the pluses and minuses … Can you tell us about your thoughts?
… Thinking about the organization as a whole, what about the things that [name of org] had to do to get … you could have done differently, how encouraging or discouraging would you be to other organizations thinking … Conclusion/followup
Thinking back about all the things you’ve told us, are there any areas that we
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/handout.html
November 01, 2017 - I have consolidated your thoughts and Jim has reviewed the Self-Assessment. … Does anyone have any thoughts about why we thought that gaining these varied perspectives was important … We thought that this report could be used during your falls and care planning meetings and thought that … Were you thinking we should meet weekly rather than monthly? … What were you all thinking about these reports?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety4.html
September 01, 2022 - To foster reflective thinking and reinforce key learning concepts, educators can use debriefing with … group discussion. 47 , 51
Appendix A presents a list of questions designed to promote discussion and critical … thinking about diagnostic safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
June 02, 2025 - I have consolidated your thoughts and Jim has reviewed the Self-Assessment. … Does anyone have any
thoughts about why we thought that gaining these varied perspectives was important … We thought that this report
could be used during your falls and care planning meetings and thought … Were you thinking we should meet weekly rather than monthly? … What
were you all thinking about these reports?
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/adult-eng-cg40-3351a.pdf
October 30, 2020 - Thinking about your most recent visit, did
you talk to staff from this provider’s office? … 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - Components of patient safety have been expressed by thought leaders, and models have been
presented. … Limiting Blame
The first quantum leap defined patient safety’s entry into health care thought. … Systems Thinking
Thought leaders in health care offered persuasive arguments that errors could be reduced … Thus, health
care had to be seen as an open, not closed, system, and policy too began to be thought … Thought leaders began to examine their different assumptions.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-planning.html
May 01, 2017 - Infection Prevention
Planning for Sustainability
Conclusion
The best time to begin thinking … Start thinking early on about how your team can make your patient safety processes part of your routine … IHI: Sustaining Improvements in Ambulatory Surgical Safety
The current thinking around sustainability
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www.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - To get us started I thought I would start with a description of why we care. … On slide 6, you see that assertion is organized in thought and communication. … You have given it some thought before being assertive or, if you are a naturally articulate person, then … You need to be a little bit more direct in what you are actually thinking. … I’m thinking this is what’s going on.”
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/use-roll-ups-20111001-transcript.pdf
June 02, 2025 - Marc Elliott
In terms of thinking about examples, within the world of CAHPS, we might have a composite … Marc Elliott
In addition, when you’re thinking about composites, it’s worth thinking about composites … goes into these measures and they
may think of these as just abstract measures of quality without thinking
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
February 01, 2023 - Slide 6
Say:
When thinking about ways to break the catheter life cycle, consider these ABCDE prevention … using equipment like the bladder ultrasound to assess patients’ ability to void adequately
C, for thinking
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-14.html
November 01, 2014 - Alignment with organization
Designing a new hospital using Lean was greatly facilitated by Lean thinking
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - There were some areas where we thought a little bit more intensive focus and activity and a little bit … of those events, we also did learn a lot about what is going on in these hospitals in ways that we thought … I wanted to share it with out to elicit your feedback and thoughts because this is another approach that … and Slow where he talks about two systems of thought. … Any final thoughts from our guest presenters today?
Sanjay Singh: This Sanjay.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - There were some areas where we thought a little bit more intensive focus and activity and a little bit … of those events, we also did learn a lot about what is going on in these hospitals in ways that we thought … I wanted to share it with out to elicit your feedback and thoughts because this is another approach that … Slow where he talks about two systems of thought. … Any final thoughts from our guest presenters today?
Sanjay Singh:
This Sanjay.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/become-an-adviser.html
July 01, 2023 - AHRQ Safety Program for Perinatal Care
Are you thinking about becoming a patient and family advisor
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking2.html
September 01, 2022 - impression) is reduced. 11
Understanding the Importance of Language
Clear language reflects organized thinking … aphorisms such as “low threshold” and “diagnosis of exclusion.” 13
Biased language can influence clinical thinking
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - We do not think that—if we thought that creating a checklist or a policy and procedures would instantly … So, if we've thought about creating independent checks and the CLABSI insertion checklist was developed … also say the noise of interruptions, or the noise of multitasking, of the noise of the thousand other thoughts … As I said, given the thoughts about wisdom of crowds, it's crucial to include frontline staff on your … them the opportunity to share what they know, and what they've learned about the care area, and the thoughts