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Showing results for "thinking".

341. ChristianaCare Used AHRQ Resources to Reduce Blood Infections, Expedite Stroke Care | Agency for Healthcare Research and Quality
     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.

342. In Conversation With... Jack Westfall, MD, MPH | PSNet
     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

343. Lesson from the VA's Team Training Program | PSNet
     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.

344. How a series of errors led to recurrent hypoglycemia. | PSNet
     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

345. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
     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

346. In Conversation with…Pat Croskerry, MD, PhD | PSNet
     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.

347. Psn-Pdf (pdf file)
     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

348. In Conversation With… Sigall K. Bell, MD | PSNet
     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.

349. Psn-Pdf (pdf file)
     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

350. Evaluating situation awareness: an integrative review. | PSNet
     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

351. Flaws in clinical reasoning: a common cause of diagnostic error. | PSNet
     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.

352. Human factors engineering: its place and potential in OR safety. | PSNet
     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.

353. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
     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.

354. Psn-Pdf (pdf file)
     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.

355. Transcript Deliberativemethodswebinar (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/transcript_deliberativemethodswebinar.pdf
     April 19, 2012 - So careful thinking from the beginning about not only what specifically you want to deliberate on, … So the graphic here represents just one framework for thinking about the different kinds of goals. … I’m sure this kind of thinking is very familiar to many of you in creating logic models or planning … And if it’s clear that the organizers have thought through these questions and planned the engagement … she stops to breathe, you know, being able to jump in there and take a minute to connect people’s thoughts

356. In Conversation With… Lawrence Smith, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
     February 01, 2012 - Robert Wachter, Editor, AHRQ WebM&M : As you thought about the way residents were supervised when you … group of residents who do the work but intellectually don't feel on the line and responsible for the thinking … hospital creating a job description for the hospitalists that serves a set of needs that no one even thought … technology of residency training, because the residents are not necessarily in the right place to learn critical … thinking in their field.

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73906/psn-pdf
     October 06, 2021 - I'm an anthropologist by training, and to me that means really thinking about human needs and applying … In thinking about safety, that becomes really important. … KH: So, that's really interesting, and when thinking about redesigning care, where do you even start? … that this is important and that it's important to take care of women once the baby is out and really thinking … We thought implementing a standard set of postpartum pain orders would help, but it hasn’t changed at

358. Webinar Transcript - The National Quality Strategy: Best Practices to Improve Community Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/workingforquality/events/webinar-best-practices-to-improve-community-health.html
     November 01, 2016 - That means not only thinking of making the healthy choice the easy choice, but messaging where we make … many of our evidence-based campaigns: whether it be in executing them, or measuring their success, or thinking … Really, thinking about how our initiative has addressed that 90 percent of people's internal experience … Questions and Answers [Slide 29] Nancy Wilson:  So while people may be gathering their thoughts and … I do think in our current health care environment, where we're thinking about new delivery and reimbursement

359. Appendix C. Interview Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apc.html
     January 01, 2024 - As we present the findings, we will pause to ask about your thoughts on any major themes or gaps in knowledge … We’d love to hear your thoughts on this framework. Do you think anything is missing? … [Pause for feedback] To wrap up, we want to know your overall thoughts about our methodological approach

360. In Conversation With… Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-lucian-leape-md
     June 12, 2019 - When I first looked at it, I thought there must be something wrong with this study. … Because I'm sure in Canada they thought they were doing a good thing. LL : Exactly. … It will be more costly than we thought because of the kinds of changes that are needed. … And we were pretty naÏve in thinking that (a) they would believe us, and (b) that they could make those … If we'd have been a little smarter about thinking about what the culture changes would be and what would