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psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
July 02, 2014 - February 9, 2022
Developing critical thinking skills for delivering optimal care
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psnet.ahrq.gov/node/44783/psn-pdf
January 13, 2016 - Black Box Thinking: Why Most People Never Learn From
Their Mistakes—But Some Do. … https://psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
Medicine … https://psnet.ahrq.gov/issue/black-box-thinking-why-most-people-never-learn-their-mistakes-some-do
https
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psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
September 14, 2022 - study explored the interaction of nurses’ safety competencies with structural empowerment , systems thinking … Results show systems thinking was positively correlated with safety competency; the authors recommend … educators review the inclusion of safety competencies and systems thinking in academic curricula.
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psnet.ahrq.gov/node/33883/psn-pdf
July 01, 2019 - It requires thinking through the right
infrastructure, the right level of education. … RW: It sounds like the doctor is not even thinking about the data other than in real time. … They're not thinking about the potential learning from
aggregating it and analyzing it in new ways. … RW: When you thought about how little we mine of the user's experience in health care versus in retail … Then, thinking through what an ideal solution
would look like and putting it together.
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psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
October 12, 2011 - Commentary
Does the concept of safety culture help or hinder systems thinking in … Does the concept of safety culture help or hinder systems thinking in safety? … Does the concept of safety culture help or hinder systems thinking in safety?
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_clinician.pdf
August 01, 2017 - coordination
Benzodiazepines Temazepam Drowsiness, dizziness,
headache, nervousness,
nausea
�� Abnormal thinking … Potential impairment of activities requiring complete mental
alertness after drug ingestion
�� Abnormal thinking … effects, with impaired alertness and motor
coordination that may persist the next day
�� Abnormal thinking … Cognitive Therapy Interventions to change patients’ thinking about sleep by identifying, challenging, … challenging notions about requisite amounts of sleep and
about how sleep is out of their control; thought
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psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
September 25, 2019 - November 23, 2016
View More
Related Resources
Developing critical … thinking skills for delivering optimal care
July 28, 2021
Accuracy of practitioner
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psnet.ahrq.gov/issue/countering-cognitive-biases-minimising-low-value-care
May 11, 2019 - September 15, 2021
Developing critical thinking skills for delivering optimal care
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psnet.ahrq.gov/issue/gaps-specialists-diagnoses
July 28, 2021 - Download Citation
Related Resources From the Same Author(s)
Developing critical … thinking skills for delivering optimal care
July 28, 2021
Patient harm from cardiovascular
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psnet.ahrq.gov/issue/debriefing-after-critical-incidents-anaesthetic-trainees
June 10, 2020 - June 14, 2023
Developing critical thinking skills for delivering optimal care
July
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psnet.ahrq.gov/node/34765/psn-pdf
January 04, 2017 - seminal and oft-referenced book outlines five competencies that support a learning organization:
systems thinking … He
introduces the concept of systems thinking and describes how systems often conspire to create their … Senge’s influence can be seen in
much of the conceptual “systems thinking” literature in patient safety
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-selfpaced-roadmap.pdf
February 01, 2022 - Roadmap:
TeamSTEPPS® for Diagnosis Improvement
Become familiar with
foundational concepts
Prime your thinking … Review the Facilitator’s Guide, which includes probing
questions to stimulate thinking about teamwork … Do you have thoughts about why
or why not?
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psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
January 19, 2022 - Study
Use of design thinking and human factors approach to improve situation awareness … 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
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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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psnet.ahrq.gov/node/845639/psn-pdf
March 08, 2023 - identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
https://psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - widely across medical specialties, but it is clear that
they are more common and more costly than first thought … multifactorial, highly subjective, imprecise, and difficult to analyze without
understanding the clinician's thought … to improve conditions for thinking all have potential to reduce diagnostic errors, and
they require … about your thinking"
Cognitive forcing strategies
Structured reflection
"Two-pass" diagnostic approach … Understanding how systems affect thinking
Recognizing and compensating for system flaws
Openness
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psnet.ahrq.gov/issue/whats-trouble-how-doctors-think
August 24, 2016 - April 29, 2020
Thinking about our thinking as physicians.
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psnet.ahrq.gov/node/45617/psn-pdf
November 30, 2016 - walking-tightrope-balancing-risk-diagnostic-error-inpatient-pediatrics
Experience can help providers balance between intuitive and analytical thinking … this commentary
presents a case that illustrates problems associated with overreliance on intuitive thinking … and aspects of
the hospital environment that can hinder clinicians' ability to engage in analytical thinking
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psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
December 16, 2020 - Provider-patient communication and hospital ratings: perceived gaps and forward thinking … 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
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psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian
July 19, 2023 - This study used simulated clinical scenarios to engage nursing staff and promote their critical thinking