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psnet.ahrq.gov/node/34616/psn-pdf
March 28, 2005 - The tool is drawn from his thinking in Managing the Risks of Organizational Accidents.
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psnet.ahrq.gov/node/33624/psn-pdf
December 01, 2005 - RW: When did you begin thinking that no-fault might be a better way to deal with medical injury? … argument was that only by getting rid of the moral blameworthiness part of medical
malpractice and thinking … RW: In medical thinking about the issue of patient safety, we've sort of gone from it's all about the … and plaintiff's attorneys—are all now aware that there's a lot more injury in hospitals than they
thought … There's no executive in health care today who is thinking,
"I can really reduce my malpractice costs
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - In the story you mentioned from the book, the resident thought there was something wrong with this elderly … But in surgery, our dominant way of thinking still emphasizes individual conscientiousness. … My thought about it is that if you gave people a choice about whether they'd like to be learned upon, … AG: There is this palpable feel of a difference in results-oriented thinking. … The transition from clearly thought-out opinion to myth and folklore is easily detectable; the moderator
-
psnet.ahrq.gov/node/60817/psn-pdf
January 01, 2021 - influence-socioeconomic-bias-emergency-medicine-resident-decision-making-and-patient-care
https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
-
psnet.ahrq.gov/node/47679/psn-pdf
April 03, 2019 - so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
https://psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
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psnet.ahrq.gov/node/844777/psn-pdf
September 18, 2019 - medication-safety
Cognitive task analysis is a human factors engineering method used to evaluate individuals' thinking
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psnet.ahrq.gov/node/47632/psn-pdf
April 10, 2019 - perception-usability-and-implementation-metacognitive-mnemonic-check-
cognitive-errors
Metacognition is an approach to enhance diagnostic thinking
-
psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
https://psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
-
psnet.ahrq.gov/node/74753/psn-pdf
February 09, 2022 - improve MMC: encourage culture change; allocate ample time for open communication to foster innovative
thinking
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psnet.ahrq.gov/node/845656/psn-pdf
March 08, 2023 - improving-clinician-well-being-and-patient-safety-through-human-centered-design
https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
-
psnet.ahrq.gov/node/48050/psn-pdf
June 05, 2019 - patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
-
psnet.ahrq.gov/node/33704/psn-pdf
December 01, 2010 - There is also the shift to systems
thinking, and away from individual blame for everything. … The whole notion of systems thinking and safety
science are huge shifts. … Is that the way they thought and no one else did, or did risk
managers not think that way either? … GA: I think many of us thought that way but didn't have the same terminology. … What is your thought about this issue?
-
psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - 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
-
psnet.ahrq.gov/node/33774/psn-pdf
December 01, 2014 - to get involved in international patient
safety, what were the major differences you confronted in thinking … How do you even begin thinking about that issue of scale and spread given the size and variation in … Countries tend to jump to the top of the pinnacle before thinking about what basics
need to be invested … Then in the transitional countries and in the developed world thinking about: What does our national … These separate
disease-by-disease approaches and thinking about a whole people-centered approach.
-
psnet.ahrq.gov/node/37536/psn-pdf
February 01, 2011 - psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
The authors advocate that systems thinking
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - Thought the webinar, I was going to try to put in as many audience response questions as possible. … I wanted to get people thinking and communicating. First question. … If your implementation is not successful, you need to back up and try again before thinking about sustainment … I thought this was quite inspiring. … this point we're just going to open it up for discussion amongst the group to talk about what they're thinking
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - Thought the webinar, I was going to try to put in as many audience response questions as possible. … I wanted to get people thinking and communicating. First question. … If your implementation is not successful, you need to back up and try again before thinking about sustainment … I thought this was quite inspiring. … this point we're just going to open it up for discussion amongst the group to talk about what they're thinking
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/hip-fracture-pain_consumer.pdf
May 01, 2011 - If you are caring for someone who has difficulty thinking or
expressing thoughts (called “dementia”) … Nerve blocks
may help you avoid “delirium,” or confusion and cloudy thinking,
which can be caused by
-
psnet.ahrq.gov/node/35018/psn-pdf
November 28, 2018 - implementing
this approach, which calls for leaders to facilitate a group process and to encourage innovative thinking
-
psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
July 29, 2015 - June 17, 2020
Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Thinking in Medicine.