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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - I thought the
electronic medical record would end that, and indeed it has. … The thought process has been squeezed out of electronic notes. … But I like that because my
fingers never get ahead of my thinking. … But you wonder how
deeply are they thinking about it. … Their thought is everything I need to know is
in the computer.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
September 01, 2015 - encouraging positive thinking. … Example of an inner dialogue or inner-voice table: What I thought and what
was said
What I Thought … Listening deeply shows respect for others’ ideas and thoughts. … According to
Isaacs, listening deeply requires being aware of our internal thoughts about what is being … What are your thoughts?
Rob: That all sounds good.
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psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
August 12, 2015 - December 21, 2014
Thinking about our thinking as physicians.
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psnet.ahrq.gov/node/837784/psn-pdf
August 05, 2022 - I wonder if we could shift the conversation to
thinking about safety implications. … I wonder if you have thoughts of
what other factors are potentially contributing to patient safety issues … Ultimately, if we were thinking of apps being as
powerful as medications, we need to support end-user … So, we thought, what would happen if we reengineered the process of being discharged from the hospital … So, we thought, what if we do this
for patients who just come into the hospital with a heart attack,
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - Characteristics of High Reliability Organizations
High reliability organizations use systems thinking … This mindset is supported by five
characteristic ways of thinking: preoccupation with failure; reluctance … Reliability1,2,3,4
Characteristic Description
Preoccupation
With Failure
Everyone is aware of and thinking
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psnet.ahrq.gov/issue/lessons-americas-safest-hospitals
November 16, 2016 - November 16, 2016
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/how-professionals-make-decisions
July 06, 2011 - Thinking About Learning for Improvement in Health Care. … May 13, 2015
Considering human factors and developing systems-thinking behaviours to
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - It became a passion for me – thinking about how we look at events and improving the way we handle them … Do we have a learning organization where we are thinking about improvement? … People are sometimes intimidated by the thought of changing their whole process, but you do not have … One is thinking about the emotional harm we are causing to patients as well as staff. … We also need to begin thinking about how it is being used in other care settings.
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - It became a passion for me – thinking about how we look at events and improving the way we handle them … Do we have a learning organization where we are thinking about improvement? … People are sometimes intimidated by the thought of changing their whole process, but you do not have … One is thinking about the emotional harm we are causing to patients as well as staff. … We also need to begin thinking about how it is being used in other care settings.
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - What were care team members thinking and feeling?
What were patients thinking and feeling? … Thinking about the “people side” of a defect is critical to understanding how to create lasting change
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - doses of naloxone may be necessary to provide
continued reversal.
27
IMPROVING PATIENT SAFETY:
THINKING … BEYOND OPIOIDS
28
Thinking Beyond Opioids (1)
• Not all discomfort and pain respond to opioids and … ice/heat,
elevation, and physical therapy can help ease the burden of post-operative
pain.
29
Thinking … Administration During Codes (1)
Naloxone Administration During Codes (2)
improving patient safety: �Thinking … Beyond Opioids
Thinking Beyond Opioids (1)
Thinking Beyond Opioids (2)
Take Home Points
Take-Home
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psnet.ahrq.gov/issue/impact-power-health-care-team-performance-and-patient-safety-review-literature
February 01, 2023 - Related Resources From the Same Author(s)
Toward the translation of systems thinking … Resources
Towards a unified model of accident causation: refining and validating the systems thinking
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psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review
January 26, 2022 - December 1, 2021
Participation in a system-thinking simulation experience changes adverse … February 27, 2019
Levels of reflective thinking and patient safety: an investigation
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Establishing a Safety Culture: Thinking Small
December 1, 2006
Hoff TJ. … Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006. … https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
Perspective
Safety cultures … concept as if it has universality in both
https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small … Self-reflection, empathy, inquiry,
feedback, forgiveness, systems thinking, communication, and creative
-
www.ahrq.gov/news/newsroom/case-studies/202004.html
July 01, 2020 - "The traditional thinking among staff had been that if you use catheter devices, then your patients are … CUSP helped us change that way of thinking by tremendously improving the culture of safety.
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psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking … July 2, 2019
Use of design thinking and human factors approach to improve situation awareness
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Eduardo Salas : Well, I thought I would find that health care and medicine in general understand the … Always thinking about what you're thinking. Again, in the military we did that with simulations. … RW : It sounds like it begins with thinking about your own thinking. … RW : I hadn't really thought about this notion that the signal for me to think carefully about this and … We have to start thinking about human–system integration.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_consumer.pdf
May 01, 2016 - behaviors can
lead to binge eating.
�� The therapist can help you learn how to change your negative thinking … Yes
Have fewer eating-related thoughts and urges? Yes
Have fewer symptoms of depression? … Yes Yes Yes
Have fewer eating-related
thoughts and urges? Yes Yes Yes
Lose weight? … Warning: The FDA warns that second-generation antidepressants may cause thoughts of suicide or
suicidal … If you ever have thoughts of harming yourself, call your
health care professional right away.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-patient-narrative-schlesinger.pdf
June 02, 2025 - Thinking about what's important to you, in what ways have your experiences with [Health
Plan Name] … The Child HCAHPS Narrative Item Set: Wording
Summary Item wording
Q1: Most important info First, thinking
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - When they explored that they found that the EDs really thought that they were helping. … With those barriers in mind, and then thinking about what some of the things were that these institutions … Ashley Hoffmann: While we wait for questions, eventually you guys are thinking of some good ones for … Ashley Hoffmann: Any last thoughts or words from our guest speakers today.
Dr. … It was something I learned from today, it's not just focusing on the NDROs, but thinking how we can use