-
psnet.ahrq.gov/node/43967/psn-pdf
November 16, 2015 - the complexity around introducing change in health care and suggests that
change management, systems thinking
-
psnet.ahrq.gov/node/42101/psn-pdf
April 03, 2013 - applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
-
psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - elective-surgical-patients-narratives-hospitalization-co-construction-safety
https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
-
psnet.ahrq.gov/node/34772/psn-pdf
November 18, 2015 - Weick's thinking encompasses the notion that both individuals and teams often
overlook important problems
-
psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - in a
series of quality improvement articles, this commentary suggests that a commitment to systems thinking
-
psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - to get involved in international patient safety, what were the major differences you confronted in thinking … How do you even begin thinking about that issue of scale and spread given the size and variation in your … Then in the transitional countries and in the developed world thinking about: What does our national … These separate disease-by-disease approaches and thinking about a whole people-centered approach. … We collated global thinking on the benefits that can flow from health systems in so-called developing
-
psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - RW: Did the unintended consequences literature influence your thinking about it? … Who would have thought 10 years ago that the iPad
would be available to help with electronic health … I was thinking that you might go on
to ask, why would the patient actually need to go in and see the … I figured that IT was
a pretty benign, white hat kind of thing, but not everyone thought that way.
-
psnet.ahrq.gov/node/33622/psn-pdf
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.
-
psnet.ahrq.gov/node/46676/psn-pdf
December 13, 2017 - diagnostic-errors-medical-students-results-prospective-qualitative-study
This clinical vignette study examined the breakdowns in diagnostic thinking
-
psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Common themes included cognitive bias, dual process thinking, diagnostic error, and patient harm.
-
psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-
primary-care
Systems thinking
-
psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's a tendency to build … In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … TN: I'll give you my personal thoughts about them, because I hesitate to speak for an organization as … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - Was that a choice on your part because that was what you thought had the
best chance to be successful … I learned that if
you understand structural thinking—if you understand feedback loops and the cultural … There are many
times when I want to smack someone on the side of the head and say, "What are you thinking
-
psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - For
example, we thought putting medications at the bedside would lower medication errors, and it would … batch these rounding processes, go back to a nursing station, and download all of what they've been
thinking … People talk about smart thinking, which is more aimed at how to create habits that will
http://www.ahrq.gov … subconscious activities and the circumstances are the same, these habits become
more accurate than thinking … RW: Thinking 10 to 20 years from now, what does the hospital room of the future look like?
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/major-depressive-disorder_consumer.pdf
September 01, 2016 - You may also:
�Have trouble thinking and paying attention
�Have trouble sleeping or sleep too much … little or too much
� Feel hopeless, helpless, worthless, or guilty
�Avoid being with people
�Have thoughts … They should look for symptoms that
get worse, suicidal thoughts or behaviors, or other unusual changes … first
treatment for depression:
Cognitive
behavioral
therapy
You learn to notice your negative
thoughts … Be sure to share your
thoughts with your health care professional.
-
effectivehealthcare.ahrq.gov/sites/default/files/hibbard-presentation.pdf
May 29, 2025 - then the other
surprising thing was many of them didn’t really understand
what their role was.They thought … So this was all sort of empirical, looking at the data and
thinking about what does this mean? … And I thought about that and I said,
“Oh, I bet that’s right.” … And
I thought, “Oh, yeah.
-
psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - I can't tell you the vast array of design issues that you wouldn’t have even thought about that they … I thought that access to mental healthcare was the primary issue, not access to primary care. … So now, we’ve been thinking about the four Cs and how they relate to quality. … I’d like to transition into discussing patient safety and thinking a little bit more about avoidance … We are always thinking about how to ensure that anything we do for patients may help them and decrease
-
effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-webinar-transcript.pdf
June 01, 2014 - So I think having a very
diverse team
and also thinking about how you would like to deliver the … Jeanette, feel free to chat something in to us. -‐-‐-‐ Trio team, any
thoughts on
that
question … And so thinking about that, I’ll just read
what
Janette sent
in
which is at this point,
they … Any thoughts on that question?
Paul.
Yes, this
is Paul.
… But as
you’re thinking about putting them
in place, have you given any thought to how you would
evaluate
-
psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - I always thought the physical exam was quite fascinating. … I thought it
was the fun part of medicine and easy pickings. … Most important to me is the issue of safety and basically the disappointing
thought that we might actually … AV: Actually one of the big surprises is that I thought I would get a lot of pushback from people saying … Can you describe your thinking about that and how that dovetails with the physical exam?