-
psnet.ahrq.gov/node/47288/psn-pdf
December 21, 2018 - reframing-and-addressing-horizontal-violence-workplace-quality-improvement-concern
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
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psnet.ahrq.gov/node/43967/psn-pdf
November 16, 2015 - the complexity around introducing change in health care and suggests that
change management, systems thinking
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - RW: As you thought about what certification, and I guess by extension, what training would look like … How have you thought about teaching that and how have you thought about testing that as part of the … RW: When you and the other leaders began thinking about patient safety, the American health care system … How does that change the thinking about the content
and the methods of both training and certification … Some of our early approaches we thought, "This is a good idea.
-
effectivehealthcare.ahrq.gov/sites/default/files/hibbard-presentation.pdf
May 29, 2025 - then the other
surprising thing was many of them didn’t really understand
what their role was.They thought … So this was all sort of empirical, looking at the data and
thinking about what does this mean? … And I thought about that and I said,
“Oh, I bet that’s right.” … And
I thought, “Oh, yeah.
-
psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … TN: I'll give you my personal thoughts about them, because I hesitate to speak for an organization as … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - I imagine as we're thinking more about patient safety and how to ensure it, there's a tendency to build … In the past, we have thought about the concept of graded responsibility based on position of the resident … At least not in our current thinking. … Can you comment on those from your own personal thoughts or the organization's thoughts? … extensive evolving body of literature indicates that it is even more complicated than we had originally thought
-
psnet.ahrq.gov/node/44424/psn-pdf
August 19, 2015 - elective-surgical-patients-narratives-hospitalization-co-construction-safety
https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
-
psnet.ahrq.gov/node/34772/psn-pdf
November 18, 2015 - Weick's thinking encompasses the notion that both individuals and teams often
overlook important problems
-
psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - in a
series of quality improvement articles, this commentary suggests that a commitment to systems thinking
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
April 01, 2013 - Differences between people and conflicting thoughts or needs within an individual can lead them to behave … There’s been more thought given to a given course of action or attack. … You’ve thought about, usually the person that’s assertive, you’ve thought about what you’re going to … thinking what I was going to say, especially when I had to deal with a difficult resident or fellow … So I thought about what I was going to say. And that’s a really good thing to think about.
-
psnet.ahrq.gov/node/46676/psn-pdf
December 13, 2017 - diagnostic-errors-medical-students-results-prospective-qualitative-study
This clinical vignette study examined the breakdowns in diagnostic thinking
-
psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Common themes included cognitive bias, dual process thinking, diagnostic error, and patient harm.
-
psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-
primary-care
Systems thinking
-
psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - The difference is, in that setting, if a patient was thinking "my foot's hurting a lot, somebody
ordered … are so commonplace that we don't
even reflect on them and we don't bring them to the attention of thought … Thinking again about my clinic yesterday, there were about a dozen issues that came up that
represented … We often jump to thinking about how are we going to speak more clearly
and more nicely to the patient … The other systems intervention is for us to be thinking about the period of time between visits as an
-
psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - RW: As you thought through the business case, did you factor in issues of nurse retention? … When thinking about improving
care or implementing evidence-based practice, the tendency is to look … Thinking about the
way the physician side of care is delivered and organized has probably been understudied … I think that it is easy to let the bad apple theory dominate your thinking
when you're in a small practice … cost containment
agenda, the efficiency agenda, and the quality agenda need to be integrated into the thinking
-
psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - 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 make you become … 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/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - I can't tell you the vast array of design issues that you wouldn’t have even thought about that they … I thought that access to mental healthcare was the primary issue, not access to primary care. … 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
-
effectivehealthcare.ahrq.gov/sites/default/files/ebc-challenge-webinar-transcript.pdf
June 01, 2014 - So I think having a very
diverse team
and also thinking about how you would like to deliver the … Jeanette, feel free to chat something in to us. -‐-‐-‐ Trio team, any
thoughts on
that
question … And so thinking about that, I’ll just read
what
Janette sent
in
which is at this point,
they … Any thoughts on that question?
Paul.
Yes, this
is Paul.
… But as
you’re thinking about putting them
in place, have you given any thought to how you would
evaluate
-
psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - I always thought the physical exam was quite fascinating. … I thought it
was the fun part of medicine and easy pickings. … Most important to me is the issue of safety and basically the disappointing
thought that we might actually … AV: Actually one of the big surprises is that I thought I would get a lot of pushback from people saying … Can you describe your thinking about that and how that dovetails with the physical exam?
-
psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - We asked him to speak with us about checklists and
other thoughts about the science of improving patient … I
actually thought we were on the same team, that it was the patient's team."