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psnet.ahrq.gov/node/47196/psn-pdf
October 17, 2018 - adaptive-expertise-medical-decision-making
https://psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
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psnet.ahrq.gov/node/45478/psn-pdf
October 26, 2016 - core-principles-quality-improvement-and-patient-safety
This review discusses key patient safety concepts such as systems thinking
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - I spend a lot of time thinking about my notes, synthesizing the information, distilling it
down to the … after we gave out iPads, the percentage of residents who preferred pen and
paper to organize their thoughts … If it integrates into your day, you're
thinking about a teaching point and you tweet it out at the same … engage patients and providers, the real value is reaching
beyond the four walls of your institution—thinking
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M: Tell us how your thinking about duty hours and patient
safety has … In terms of how my thinking has changed, for one thing, we know a lot more now than we did 10 years ago … In my view,
this thinking is wrong. … CL: I have a couple of thoughts about that.
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - professionals, practicing quality improvement, employing evidence-based practice, and
utilizing systems thinking … of experiential learning, don't have the ability to pick up subtle changes; they engage in
concrete thinking … A crisis in critical thinking. Nurs Educ Perspect. 2005;26:278-282.
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psnet.ahrq.gov/node/45413/psn-pdf
September 21, 2016 - illustrate how assumptions can affect clinical
reasoning and provides lessons to broaden clinician thinking
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - 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/node/33732/psn-pdf
July 01, 2012 - RW: Did the unintended consequences literature influence your thinking about it? … Who would have thought 10 years ago that the iPad
would be available to help with electronic health … I was thinking that you might go on
to ask, why would the patient actually need to go in and see the … I figured that IT was
a pretty benign, white hat kind of thing, but not everyone thought that way.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/major-depressive-disorder_consumer.pdf
September 01, 2016 - You may also:
�Have trouble thinking and paying attention
�Have trouble sleeping or sleep too much … little or too much
� Feel hopeless, helpless, worthless, or guilty
�Avoid being with people
�Have thoughts … They should look for symptoms that
get worse, suicidal thoughts or behaviors, or other unusual changes … first
treatment for depression:
Cognitive
behavioral
therapy
You learn to notice your negative
thoughts … Be sure to share your
thoughts with your health care professional.
-
psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Once a plausible condition is identified, other possibilities are not fully
considered; we just stop thinking … on improving physicians' skills in metacognition, the
ability to monitor and understand one's own thought … Blink: The Power of Thinking Without Thinking. New York, NY: Little, Brown and Company;
2005.
9. … I
wonder if there is anything else I should be
thinking of?
-
psnet.ahrq.gov/node/34602/psn-pdf
February 17, 2009 - issue/disclosure-unanticipated-events-next-step-better-communication-patients-part-
1-3
The change in thinking
-
psnet.ahrq.gov/node/47412/psn-pdf
October 31, 2018 - The author explores the role
of clinical teams in applying systems thinking to reduce blame, improve
-
psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - had higher doses
https://psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
than you thought … people weren't paying much attention, and the doses therefore
were set haphazardly without a lot of thought … So as the doses went up, we
were thinking about this problem less, and when attention came to this issue … Her husband sued because he thought
that the cancer came from the radiation from the CT and that she … I thought that this was a great educational opportunity but he also set the stage.
-
psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - Was that a choice on your part because that was what you thought had the
best chance to be successful … I learned that if
you understand structural thinking—if you understand feedback loops and the cultural … There are many
times when I want to smack someone on the side of the head and say, "What are you thinking
-
psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - I remember debate as being a really intriguing entree into thinking hard
about public policy. … I
wondered whether you ever thought about going into either politics or the clergy. … I've not thought about the sources of that, but it does make me think about
three things. … DB: I guess a couple of thoughts.
-
psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - For
example, we thought putting medications at the bedside would lower medication errors, and it would … batch these rounding processes, go back to a nursing station, and download all of what they've been
thinking … People talk about smart thinking, which is more aimed at how to create habits that will
http://www.ahrq.gov … subconscious activities and the circumstances are the same, these habits become
more accurate than thinking … RW: Thinking 10 to 20 years from now, what does the hospital room of the future look like?
-
psnet.ahrq.gov/node/42101/psn-pdf
April 03, 2013 - applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
-
psnet.ahrq.gov/node/38659/psn-pdf
May 27, 2009 - henry-ford-production-system-reduction-surgical-pathology-process-
misidentification-defects
Lean thinking
-
psnet.ahrq.gov/node/43952/psn-pdf
March 04, 2015 - This workflow-
informed and technology-enabled approach reflects the growing influence of systems thinking
-
psnet.ahrq.gov/node/46268/psn-pdf
September 27, 2017 - This commentary discusses Safety-II thinking in health care and suggests that examining how an
organization