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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
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psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
September 11, 2019 - September 11, 2019
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/issue/using-simulation-improve-systems-0
July 22, 2020 - Safety-II Frameworks
December 14, 2022
An IDEA: safety training to improve critical … thinking by individuals and teams.
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psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
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/patient-safety-case-based-innovative-playbook-safer-care-second-edition
September 11, 2019 - April 15, 2020
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - I started seeing these repeated thinking errors that very hard-working people were making. … I want to emphasize that I don't think anybody was being casual or sloppy in their thinking. … In the end, I decided to spend my time thinking about how doctors think. … brain of Pat Croskerry when a patient with chest pain comes to see you, versus a physician who hasn't thought … Say what you were thinking; say what you think you were doing wrong.
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - We spent a lot of time thinking about the four Cs of primary care: contact, continuity, comprehensiveness … You spoke about some examples of high-quality care, and I’m wondering if you have any thoughts on ways … 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
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - RW : As you thought about the gaps in patient communication and patient engagement, a big part of that … Did you have a sense of which of those you thought were going to be the most important things to tackle … About 20% to 30% of clinicians said they have given more thought or changed the way that they document … That is a bigger concern for us to be thinking about from the safety standpoint. … More Wikipedia kind of models or different ways of thinking about this.
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psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
September 30, 2012 - Patient safety in palliative care at the end of life from the perspective of complex thinking … November 4, 2014
The ethical imperative to think about thinking.
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psnet.ahrq.gov/issue/evaluating-situation-awareness-integrative-review
January 01, 2016 - Patient safety in palliative care at the end of life from the perspective of complex thinking … August 21, 2019
Systems thinking and incivility in nursing practice: an integrative review
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psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
May 24, 2017 - Related Resources From the Same Author(s)
Applying human-centered design thinking … June 12, 2019
Applying human-centered design thinking to enhance safety in the OR.
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psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
February 26, 2025 - community about the kinds of contextual issues that might be important, there also was not a lot of thinking … analogy to age, gender, New York Heart Association classification, presence of diabetes, etc., when thinking … whether you do it or not might be publicly reported, but it would never be (at least in the present thinking … It's not clear exactly how independent these three are, but all of them in some form or another are thought … So measuring something in those four domains and reporting on it was thought to be an important factor
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psnet.ahrq.gov/node/33845/psn-pdf
November 01, 2017 - WP: Thinking about it from a patient's perspective, the primary role of my work, a lot of systems that … Another perspective was thinking about
the hospital environment for caregivers, particularly parents … They have a whole life, so thinking about
how that connects to the rest of their life is also really … RW: When you talked about the needs of patients in the beginning, were you thinking about peer-to-peer … WP: When I first got started, I definitely wasn't thinking about peer-to-peer information exchange.
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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
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psnet.ahrq.gov/node/60173/psn-pdf
March 30, 2020 - The lens that I believe I brought to the panel was how the end-users are
thinking about patient safety … I thought that was very
helpful. … Thinking
back to “To Err is Human,” one of the big things it talked about was creating a patient safety … We thought that was going to be the answer, but later figured out it
was not the best approach. … For example, with regards to retained foreign
bodies and wrong site surgeries, I remember thinking when
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - David Bates: I'd have to say that things have gone slower than I thought they might. … That being said, I think physicians for the foreseeable future are going to continue to do the
thinking … RW: If a hospital was thinking about getting into IT and could buy only one thing or needed to figure … Some of the things that I
thought would be really straightforward and would work really well didn't … We're thinking of trying to
develop a single in-basket so that all the things that come in that you
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psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
August 28, 2019 - August 28, 2019
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
March 01, 2018 - This helps keep participants thinking and engaged. … You can keep a "parking lot" list of thoughts that may not be on point at the moment, but should be kept … You can then encourage critical thinking and communication with questions such as:
At what point … Get their thoughts on what worked and what could be done better. … Listen and thank them for their thoughts.
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psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
May 04, 2010 - May 3, 2023
Assessing system thinking in senior pharmacy students using the innovative … February 23, 2022
Participation in a system-thinking simulation experience changes adverse
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psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
May 04, 2010 - Resources
Towards a unified model of accident causation: refining and validating the systems thinking … February 22, 2023
Toward the translation of systems thinking methods in patient safety