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psnet.ahrq.gov/node/39483/psn-pdf
May 25, 2010 - Teaching internal medicine residents quality improvement
and patient safety: a lean thinking approach … Teaching internal medicine residents quality improvement and patient
safety: a lean thinking approach … psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-
lean-thinking … The authors describe how students applied lean thinking to an in-house project to
improve response to … https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
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psnet.ahrq.gov/issue/understanding-heterogeneity-labor-and-delivery-units-using-design-thinking-methodology-assess
August 15, 2018 - Study
Understanding the heterogeneity of labor and delivery units: using design thinking … Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess … They conclude that applying design thinking to physical space could improve maternal and neonatal … Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - If not, have you communicated your thoughts/questions to them? … What tools do you have to help you organize your thoughts/findings (e.g., SBAR)? … Use reflection, surveillance, and critical thinking to improve diagnostic performance and mitigate detrimental
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psnet.ahrq.gov/node/50901/psn-pdf
February 12, 2020 - Thinking fast and slow in medicine.
February 12, 2020
Michel JB. … Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. … https://psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
This commentary describes cognitive errors … https://psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
https://psnet.ahrq.gov/issue/relationship-between-response-time-and-diagnostic-accuracy
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.pptx
June 02, 2025 - (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change is different from … in severity)
□ Inattention (difficulty focusing and cannot maintain attention)
□ Disorganized thinking … (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change is different from … (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change is different from … (thinking is incoherent or hard to follow) OR
Altered level of consciousness (change is different from
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Team members need to alternate between convergent and divergent thinking. … Divergent thinking
Divergent thinking includes brainstorming and possibility thinking to explore questions … Convergent thinking
Convergent thinking asks the team to confer about all the potential problems that … Slide 17: Summary
Say:
To review the main components of this module, consider these thoughts:
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effectivehealthcare.ahrq.gov/sites/default/files/hawley-presentation.pdf
May 29, 2025 -
When I thought … I just went online and found this one which I thought was
useful for us to have today because … we want to be thinking broadly and this is broad
definition of the things that make up a group … Pointing us to the thoughts that if
providers don't know these things before going into the … So if we're thinking about interventions to
improve engagement and share decision making, I
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psnet.ahrq.gov/node/38927/psn-pdf
June 28, 2011 - Application of lean thinking to health care: issues and
observations. … Application of lean thinking to health care: issues and observations. … https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
This commentary … explores operational and sociotechnical aspects of applying lean thinking as a
management approach … https://psnet.ahrq.gov/issue/application-lean-thinking-health-care-issues-and-observations
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45808/psn-pdf
December 19, 2017 - A concept analysis of systems thinking. … A Concept Analysis of Systems Thinking. Nurs Forum.
2017;52(4):323-330. doi:10.1111/nuf.12196. … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
Systems thinking focuses on enabling … https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
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psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - Patient safety in palliative care at the end of life from the
perspective of complex thinking. … Patient safety in palliative care at the end of life
from the perspective of complex thinking. … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
Adverse … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking
https
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2sess2.html
October 01, 2014 - Critical thinking skills.
Patient safety. … It makes for familiar expectations for everyone, and it encourages critical thinking skills.
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psnet.ahrq.gov/node/41979/psn-pdf
January 16, 2013 - Thinking in three's: changing surgical patient safety
practices in the complex modern operating room … Thinking in three's: changing surgical patient safety practices in the complex modern operating
room … https://psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern … https://psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room … https://psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
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psnet.ahrq.gov/node/45918/psn-pdf
May 24, 2017 - Applying human-centered design thinking to enhance
safety in the OR. … Applying Human-Centered Design Thinking to Enhance Safety in the OR. … https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
Human-centered … This commentary
reviews how hospitals have applied design thinking to develop new processes to enhance … https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45316/psn-pdf
August 31, 2016 - The thinking doctor: clinical decision making in
contemporary medicine. … The thinking doctor: clinical decision making in contemporary medicine. … https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
Effective … https://psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
https://psnet.ahrq.gov … psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
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psnet.ahrq.gov/node/43297/psn-pdf
June 25, 2014 - The limits of checklists: handoff and narrative thinking. … The limits of checklists: handoff and narrative thinking. … https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
Communication failures … transfers in health care, this commentary advocates for more
research into strategies to improve narrative thinking … https://psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
https://psnet.ahrq.gov/
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - The thought process or "critical thinking" involved with performing medication reconciliation. … Table 3 helps everyone performing medication reconciliation walk through the "critical thinking process … The critical thinking required for identifying intended (i.e., purposeful) vs. unintended medication
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www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-5.html
July 01, 2022 - The thought process or "critical thinking" involved with performing medication reconciliation. … Table 3 helps everyone performing medication reconciliation walk through the "critical thinking process … The critical thinking required for identifying intended (i.e., purposeful) vs. unintended medication
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psnet.ahrq.gov/node/46862/psn-pdf
February 21, 2018 - Considering human factors and developing systems-
thinking behaviours to ensure patient safety. … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-
ensure-patient-safety … This article reviews the use of systems thinking models to address failure and discusses how
small problems … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
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psnet.ahrq.gov/node/42536/psn-pdf
August 13, 2014 - Levels of reflective thinking and patient safety: an
investigation of the mechanisms that impact on … Levels of reflective thinking and patient safety: an investigation of the mechanisms that
impact on … https://psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact … https://psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact-student … https://psnet.ahrq.gov/issue/levels-reflective-thinking-and-patient-safety-investigation-mechanisms-impact-student
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www.ahrq.gov/talkingquality/resources/cognitive/index.html
September 01, 2019 - Cognitive testing is an interview method for investigating the thought processes and reactions that people … As the respondents look through the report, the interviewer prompts them to share their thoughts and … Listening as Respondent "Thinks Out Loud:" The interviewer asks respondents to share every thought and … opinion as they go through the document, a process known as "thinking out loud." … ask "Tell me what you are thinking" or "What are you thinking right now?"