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Showing results for "thinking".

321. Simulation based adverse event reporting system: development and feasibility. | PSNet
     psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
     July 08, 2020 - Citation Related Resources From the Same Author(s) Participation in a system-thinking … May 18, 2022 Participation in a system-thinking simulation experience changes adverse

322. State of science: evolving perspectives on ‘human error’. | PSNet
     psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
     February 22, 2023 - June 1, 2022 Toward the translation of systems thinking methods in patient safety practice … Related Resources Thematic reviews of patient safety incidents as a tool for systems thinking

323. How do simulated error experiences impact attitudes related to error prevention? | PSNet
     psnet.ahrq.gov/issue/how-do-simulated-error-experiences-impact-attitudes-related-error-prevention
     October 19, 2022 - December 21, 2014 View More Related Resources Assessing system thinking … July 29, 2020 Participation in a system-thinking simulation experience changes adverse

324. Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet
     psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
     February 01, 2023 - Related Resources From the Same Author(s) Toward the translation of systems thinking … Towards a unified model of accident causation: refining and validating the systems thinking

325. Drawing boundaries: the difficulty in defining clinical reasoning. | PSNet
     psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning
     June 26, 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!

326. When missing a 'zebra' can land you in court. | PSNet
     psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
     August 12, 2015 - December 21, 2014 Thinking about our thinking as physicians.

327. Psn-Pdf (pdf file)
     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

328. Lessons from America's safest hospitals. | PSNet
     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.

329. How Professionals Make Decisions. | PSNet
     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

330. Treating Binge-Eating Disorder. A Review of Evidence for Adults (pdf file)
     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.

331. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     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.

332. The Evolution of Root Cause Analysis | PSNet
     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.

333. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
     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

334. Spotlight (pdf file)
     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

335. Rafael Borja (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
     September 09, 2014 - 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

336. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
     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

337. The impact of power on health care team performance and patient safety: a review of the literature. | PSNet
     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

338. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet
     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

339. Psn-Pdf (pdf file)
     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

340. In Conversation With… David Blumenthal, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
     March 27, 2024 - My recollection is that a memo you wrote got people to begin thinking about federal engagement and trying … We were thinking, for example, about what innovative future NIH [National Institutes of Health] grants … never have happened without Meaningful Use requirements because doctors and hospitals just haven't been thinking … I'm going to call out things that did not exist 10 years ago and do now, and I'd love to hear your thoughts … I thought if you could do this around the United States, can you imagine how much unnecessary imaging