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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
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.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - 2012 Podcast
May 2012 www.cahps.ahrq.gov | 3 of 7
at issues around waiting longer than you thought … But even without an EHR, thinking about how to establish those office systems
for facilitating care … And As soon as they brought patients into the mix in
thinking about some of these solutions, it was … with care coordinators, but really engage them from a
strategic and an operational perspective in thinking … the measurement side and not focus on other ways of
collecting data from patients and from staff in thinking
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www.ahrq.gov/hai/cusp/toolkit/content-calls/how-to-spread.html
April 01, 2013 - Jill Marsteller: Okay, so did anybody else have a thought or want to share a story about sustaining … I think that what you’re trying to do with it, as far as spreading and thinking about how CUSP can be … My one thought would be that I don’t think it will spoil it if you try to bring it up to a higher level … So I appreciate all of your thoughts, Wendell. … Jill Marsteller: So hopefully, those are some ideas, and keep thinking about that, everyone.
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - And then, based on that I thought, we have to see if we can prove this in practice. … RW: I imagine that it's hard for people to hold these thoughts in one brainthat it's mostly about systems … Do you worry about it, to some extent, undermining the message about systems thinking? … I just think it's another set of issues to which we must apply similar thinking. … The ideas of systems thinking and the importance of human factors are now more generally appreciated.
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - How much linkage was there in your thinking about this concept of the second
victim and the main theme … AW: I had been thinking about this issue for a few years. … In fact, I began thinking about it when you and I
were RWJ Fellows in San Francisco and I did a study … She meant that she had an incident that she thought she
should tell me about but couldn't bring herself … RW: You mentioned that you thought the no blame approach was somewhat helpful in terms of mitigating
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psnet.ahrq.gov/node/60691/psn-pdf
July 15, 2020 - mixed-methods-systematic-review-interventions-address-incivility-nursing
https://psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
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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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - concepts of human factors engineering, since these are an
antidote to the "expected complication" way of thinking … psnet.ahrq.gov//#ref3
https://psnet.ahrq.gov//#ref4
https://psnet.ahrq.gov//#ref5
What solutions were you thinking … In the central line case, perhaps you
thought that the nurse should have warned the physician before … Perhaps the
surprise would lead to all kinds of new thinking regarding how to match the design more
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
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/node/867696/psn-pdf
March 05, 2025 - importance of understanding failure to
rescue, the patient’s role in care escalation, and systems thinking
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - We'd spent a long time thinking about components of perioperative care—the use of antibiotics, the use … None of the surgeons that agreed to participate in this study went into this study thinking that they … code and realized that they were in some ways staggeringly associated with outcomes, what was your thought … I thought that somehow that there was some tautology or other error associated with how the analysis … I'm thinking about the military or aviation where they have done some aptitude testing before people
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - When I first started to think about reporting, like everyone else, I thought about how do you get the … But, if I was thinking about it now, with hindsight, I would start at the other end and I would think … Once you start thinking like that you think, "Well, how many reports do I need?"
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - Really thinking about how population management is going to be done,
how telehealth can be integrated … NS: We started thinking about how to ramp up our telehealth capabilities to improve safety early. … For example, thinking through how we could have a specialist do stroke
telemedicine in much the same … I think when we
come out of all this, you might see thinking evolve around which providers need to be … So it’s important to find ways to train providers to be thinking about that and to
be establishing a
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - My early thoughts were that the role of research would be to test some of these putative
interventions … RW: How has your thinking evolved in terms of this tension between the just-do-it camp and the we-need … It is possible to marry those two perspectives in
a way that I hadn't thought possible 15 years ago. … Our understanding of IT, thinking about rather than talking about errors so
much, talking about harms … RW: I have residents in our M&M say that "Here's what I thought was going on, but I was worried that
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - The ideas of systems thinking and the importance of human factors are now more generally appreciated. … And then, based on that I thought, we have to see if we can prove this in practice. … RW: I imagine that it's hard for people to hold these thoughts in one brainthat it's mostly about systems … Do you worry about it, to some extent, undermining the message about systems thinking? … I just think it's another set of issues to which we must apply similar thinking.
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - issue/error-medicine
https://psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/invitation-messages-transcript.pdf
September 01, 2019 - Our takeaways from the MHQP pilot studies really suggest the importance of thinking carefully about how … I thought that mode
was not yet allowed. Can you clarify please? … Jack, what are your thoughts? And then, Dale, welcome anything you'd care to add. … I welcome further thoughts and observations on this topic. … It's something they thought that their experiences and
having their voice heard could make a difference
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psnet.ahrq.gov/node/73450/psn-pdf
June 30, 2021 - clinical reasoning in the emergency
department and shares tactics that minimize their potential impact on thinking
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psnet.ahrq.gov/node/867021/psn-pdf
October 23, 2024 - blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
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psnet.ahrq.gov/node/866967/psn-pdf
October 16, 2024 - how-payers-can-help-hospitals-become-safer-through-value-based-programs
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health