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psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
January 21, 2019 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Biases in the Diagnostic Process
Unconscious thinking in clinical decision making may contribute to … (type 1 thinking); and one that is analytical and deliberative (type 2 thinking). 1 Cognitive biases … Further, telling clinicians to slow down, ostensibly to switch from type 1 to type 2 thinking, may not … The extent to which cognitive shortcuts and unconscious thinking impact medical decisions has not been … human action with system-level factors that influence diagnostic safety, misdiagnosis is still often thought
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effectivehealthcare.ahrq.gov/sites/default/files/whitepaper3-lijmer02262010-2.pdf
January 01, 2009 - Common phases are evaluations of
technical efficacy, diagnostic accuracy, diagnostic thinking efficacy … We present below
a few critical thoughts on their use as phases in the assessment of tests. … classification in disease for which there is no clinical reference standard or when the
new test is thought … But studies of diagnostic-thinking efficacy or therapeutic efficacy are difficult to
mount. … outcomes.46
Houn and colleagues recognized that the four-phased model for drug development is
often thought
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medical-tests-proposals_research.pdf
January 01, 2009 - Common phases are evaluations of
technical efficacy, diagnostic accuracy, diagnostic thinking efficacy … We present below
a few critical thoughts on their use as phases in the assessment of tests. … classification in disease for which there is no clinical reference standard or when the
new test is thought … But studies of diagnostic-thinking efficacy or therapeutic efficacy are difficult to
mount. … outcomes.46
Houn and colleagues recognized that the four-phased model for drug development is
often thought
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psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
April 24, 2019 - Patient Safety Foundation has called for medical educators to emphasize quality, safety, and systems thinking … describe a novel, well-liked, and effective medical school curriculum where learners employ systems thinking
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psnet.ahrq.gov/issue/womans-laborious-search-uncovered-probable-cause-her-searing-abdominal-pain-getting-doctor
March 07, 2007 - Difficult diagnostic journeys are compounded by lack of clinician empathy, bias awareness, and critical … thinking.
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psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency
December 18, 2017 - Related Resources From the Same Author(s)
A concept analysis of systems thinking … December 18, 2017
Systems thinking for managing COVID-19 in health care systems: seven … September 23, 2020
Systems thinking and incivility in nursing practice: an integrative
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Patient Safety Foundation has called for medical educators to emphasize quality, safety, and
systems thinking … describe a novel, well-liked, and effective
medical school curriculum where learners employ systems thinking
-
psnet.ahrq.gov/node/39030/psn-pdf
October 21, 2009 - The process of meta-
cognition, or "thinking about thinking," is often used to attempt to overcome this
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Biases in the Diagnostic Process
Unconscious thinking in clinical decision making may contribute to … (type 1 thinking); and one
that is analytical and deliberative (type 2 thinking).1 Cognitive biases … Further, telling clinicians to slow down,
ostensibly to switch from type 1 to type 2 thinking, may not … The extent to which
cognitive shortcuts and unconscious thinking impact medical decisions has not been … human action with system-level factors that influence diagnostic safety,
misdiagnosis is still often thought
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meps.ahrq.gov/survey_comp/hc_survey/2011/MEPS_Cancer_SAQ_R1_Results.shtml
January 01, 2011 - The technique of asking
respondents to describe their thought processes immediately after answering … Another respondent thought the
questionnaire covered "great topics". … One
of these respondents was also thinking about radiation. … A third respondent was thinking of her chemotherapy. … job" things such
as memory, composing emails, making calls to customers, maintaining
"straight thoughts
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - almost nothing specifically on health care, clinical psychologist James Reason has influenced modern thinking … less theoretical and may be more appropriate for the reader interested in an introduction to Reason’s thinking
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psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
January 16, 2010 - increased safety knowledge and incident reporting , similar to prior studies , and simulation enhanced critical … thinking.
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psnet.ahrq.gov/issue/systems-analysis-work-related-violence-hospitals-stakeholders-contributory-factors-and
February 01, 2023 - Researchers used three systems thinking methods (ActorMap, AcciMap , and PreventiMap) and stakeholder … Related Resources From the Same Author(s)
Toward the translation of systems thinking
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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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psnet.ahrq.gov/issue/opioid-wisely
April 06, 2022 - Related Resources From the Same Author(s)
Choosing wisely in clinical practice: embracing critical … thinking, striving for safer care.
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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/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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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/benchmarking
January 01, 2023 - The lean-thinking revolution. … Mastering patient flow: using lean thinking to improve your practice operations. 3rd ed.
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psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial-validation-case
September 20, 2011 - Reflection, or thinking about thinking, is often used as a technique to encourage learning from adverse