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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-facilitator-fundamentals.pdf
June 02, 2025 - Ask questions that require reflection on:
New ideas about the issue
Flexible thinking about the … (discovery)
I wonder if there could be other ways of thinking about this. What if....
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Understanding the Importance of Language
Clear language reflects organized 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 … Quantitative evaluation of the diagnostic thinking
process in medical students. … Not thinking clearly? Play a game, seriously!
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - It struck me that we should be applying some of the same thinking and approaches to
diagnosis as we … There has been a lot of discussion about thinking about how doctors think and
learning and teaching … That will be a lot more meaningful than checking a bunch of
boxes and not thinking. … But I need to correct your thinking and diagnosis here. … RW: Was there a diagnostic error that you made that influenced your thinking about this work?
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-transcript.doc
June 03, 2014 - 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
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psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
April 24, 2018 - simulation is underutilized in health care training to help nurses to develop deliberate, or system 2 , thinking … skills.
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - So, it gets me thinking about the things we are doing together. … It also gets me thinking about the things that might be nuisances in my everyday work. … But sometimes when I describe it that way, I realize that people are not necessarily thinking about “ … , a set of questions you ask whenever you’re thinking about something you might change or improve. … Are we making sure we are thinking preemptively about what could go wrong?
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - So, it gets me thinking about the things we are doing together. … It also gets me thinking about the things that might be nuisances in my everyday work. … But sometimes when I describe it that way, I realize that people are not necessarily thinking about “ … , a set of questions you ask whenever you’re thinking about something you might change or improve. … Are we making sure we are thinking preemptively about what could go wrong?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2a.html
October 01, 2014 - Critical thinking skills.
Patient safety.
Slide 15
Using the SBAR Tool
Speak clearly.
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psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
September 11, 2019 - October 16, 2023
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy
January 20, 2021 - October 16, 2023
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
December 15, 2021 - July 10, 2019
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
July 10, 2019 - From the Same Author(s)
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - October 12, 2022
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
June 01, 2011 - Copy Citation
Related Resources From the Same Author(s)
Critical Thinking
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www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - 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 … Contents
Slide 24: Summary
Say:
To review the main components of this module, consider these thoughts
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psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
August 28, 2019 - The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking … March 8, 2017
Not thinking clearly? Play a game, seriously!
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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - January 8, 2020
Thinking about our thinking as physicians.
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www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - 09/30/2014 - 03/29/2019
1
mailto:galen.gregor@ahrq.hhs.gov
Project 1: Concepts and Requirements Thinking … Design thinking days yielded nine concepts
for further exploration, which were scored in priority order … This Navy program capitalizes on design thinking and an open business model in a
constrained budget … Call for Innovation
Design Thinking Results - We conducted a design thinking event with stakeholder … Design Thinking for Educators, 2nd edition. IDEO.
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psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
February 10, 2016 - The process of meta-cognition, or "thinking about thinking," is often used to attempt to overcome this