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www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - One component of any healthcare “system” is its culture, defined
as the shared ways of thinking, acting … Systems thinking Thinking about or couching episodes of error or failure within the
context of the total … attempted to gain from different members of
the training hierarchy their perceptions around how they thought … It structured how residents
thought about and enacted their everyday roles, especially when taking care … In addition, the findings in this study demonstrate that culture and context matter in
thinking about
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www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
November 01, 2016 - So we can be thinking about patient-centric, outcomes-orientated measures at all three levels. … And so I think that there has not been a systematic, coherent approach to thinking about these things … Rationale for Addressing Measure Proliferation [Slide 7]
Nancy Wilson: So, one of the things that we thought … And money's tight, so we have to really be thinking in a coordinated fashion and in a consensus-based … obviously a lot one can do in this space, but we needed to try to focus on particular areas that we thought
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.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 encourage critical thinking and communication with questions like these:
What should each … 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/teamstepps-program/curriculum/communication/tools/sbar.html
November 01, 2019 - Assessment
State your initial thinking about the working diagnosis. … "My initial thinking is that your symptoms are consistent with XXX [name the diagnosis]."
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4.html
February 01, 2023 - Slide 6: CAUTI Prevention, as Easy as ABCDE 2
Narration:
When thinking about ways to break the … using equipment like the bladder ultrasound to assess patients’ ability to void adequately
C, for thinking
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www.ahrq.gov/talkingquality/distribute/promote/multiple/index.html
September 01, 2019 - It requires creative thinking.
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www.ahrq.gov/workingforquality/events/webinar-2014-qdr-working-together-to-improve-health-care.html
November 01, 2016 - So when you're thinking about what it is that you could do based on your core business work, the focus … We, very foolishly at the start, thought that a single report can meet all needs and we quickly realized … some applications that allow one to generate customized tables and through this package of products we thought … an HHS Idea Lab which brings innovators into the department and we were able to learn about design thinking … I was just thinking about the, teach back, what I used to call in survey research, you know the cognitive
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
September 01, 2019 - Our takeaways from the MHQP pilot studies really suggest the importance of thinking carefully about how … I thought that mode
was not yet allowed. Can you clarify please? … Jack, what are your thoughts? And then, Dale, welcome anything you'd care to add. … I welcome further thoughts and observations on this topic. … It's something they thought that their experiences and
having their voice heard could make a difference
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - 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/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
September 01, 2022 - not be feasible during clinical practice, conceptual understanding of Bayes Theorem informs clinical thinking … and Inform Probability for Diagnostic Decision Making
To appropriately incorporate probabilistic thinking … More recently, games have targeted heuristics to change thinking processes inherent in clinical medicine
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.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 occurring 10
Convergent thinking occurs while formulating a treatment plan or focusing
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - Critical thinking is important when considering whether an alternative would be more appropriate … The point here is that by thinking critically about the patient and his or her short-term and longer … One way of thinking about mindfulness is as a flexible state of mind “engaged in the present with acute … Slide 18
To summarize, the key points from this module are as follows:
Use judgment and critical … thinking to decide if an indwelling urinary catheter is really needed in the first place.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
June 02, 2025 - 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.
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www.ahrq.gov/cpi/about/organization/nac/hickman.html
February 01, 2025 - leverages strong communication skills to motivate teams, build relationships, and promote innovative thinking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_6_Checklist_508.pdf
June 02, 2025 - Are you thinking about becoming a patient and family advisor?
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www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - Reducing harm often requires a change in thinking and behavior.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-gurses.html
November 01, 2023 - This quest to understand healthcare processes led her to apply engineering principles—thinking of healthcare … Gurses, it is the Agency’s adaptability and openness to new ideas and innovative thinking that she finds
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
January 01, 2024 - Leadership and
Governance
Safety Culture
Human Factors
and Safe Design
High Reliability
and Systems
Thinking … Safe Design Principles)
• Types of Human Error
• Situational Awareness
High Reliability and Systems Thinking … • Systems Thinking
• High Reliability
• Standardization
Competency Domains 10-12
14
Domain Title … Systems Thinking and Design / Human Factors Analysis
© 2023-2024 University of North Texas Health
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - Thought the webinar, I was going to try to put in as many audience response questions as possible. … I wanted to get people thinking and communicating. First question. … If your implementation is not successful, you need to back up and try again before thinking about sustainment … I thought this was quite inspiring. … this point we're just going to open it up for discussion amongst the group to talk about what they're thinking
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - Thought the webinar, I was going to try to put in as many audience response questions as possible. … I wanted to get people thinking and communicating. First question. … If your implementation is not successful, you need to back up and try again before thinking about sustainment … I thought this was quite inspiring. … this point we're just going to open it up for discussion amongst the group to talk about what they're thinking