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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
April 27, 2005 - Prologue—Volume 2—Systems Thinking and Patient Safety
1
Prologue
Systems Thinking and Patient Safety … However, systems thinking does not come naturally—especially to health care
professionals. … As a result, while systems thinking enables new and productive approaches to
improving patient safety … What are the human vulnerabilities with
respect to our thinking, emotions, and actions? … We hope these new pathways of thought
will enable us to meet our obligation in health care to “first
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
February 24, 2022 - Statistics Say Large Pandemics Are More Likely Than We Thought. … available at: https://globalhealth.duke.edu/news/statistics-say-large-pandemics-are-more-likely-we-
thought
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/ts2-0ltc_overview.pdf
April 24, 2017 - Few Notes About the Long-Term Care Version
• In nursing homes, the term “resident safety” can evoke thoughts
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
May 31, 2023 - Refusing to take this telephone order and indicating that she can’t be sure of the
physician’s thought … Getting his thoughts and
information together, he plans to structure the phone call using a proven structured
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ce.effectivehealthcare.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - The family thought he had eaten a bad hamburger at a new fast food restaurant that day. … interview, the ER doctor said, "If I had a Mom who said, 'My son would NEVER use drugs,' I may have thought … Neither the doctor nor the family asked for a professional medical interpreter because they thought they
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/15-engaging-stakeholders-facilitator.docx
June 01, 2023 - Reflecting on this in the present day, he states, “It was a bold idea and a lot of people thought we
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
February 28, 2014 - Refusing to take this telephone order and indicating that she can’t be sure of the physician’s
thought … Getting his thoughts and information together,
he plans to structure the phone call using a proven structured
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module1-presenters-notes.pdf
January 12, 2022 - reflective process into diagnostic reasoning provides a pause to ask a series of
questions to clarify thinking … Clinical inquiry and reflective thinking push us to
look beyond the first impression and question whether … Reflection can occur in short spurts or in longer thought, depending on the situation. … did mention that some tests were
done in pulmonary clinic that he never heard back about, which I thought
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module1-introduction.pptx
January 12, 2022 - reflective process into diagnostic reasoning provides a pause to ask a series of questions to clarify thinking … Clinical inquiry and reflective thinking push us to look beyond the first impression and question whether … Reflection can occur in short spurts or in longer thought, depending on the situation. … He did mention that some tests were done in pulmonary clinic that he never heard back about, which I thought
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/CG/administering_cg_narrative_items.pdf
June 01, 2021 - About the CAHPS Patient Narratives Elicitation Protocol
June 2021
Administering the CAHPS® Clinician &
Group Narrative Item Set
Introduction ......................................................................................................... 1
Placing the Narrative Items in the Survey ......................…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/slmeasure.pptx
February 03, 2006 - evaluation questions for all available course modules
Customizable
Provides information about what trainees thought
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - After you’ve given this some thought, press play to resume viewing the presentation. … Understand that historically, care providers thought that just being in the ICU meant a patient needed … Remember that with some careful thought and attention, you can make a difference. … What were you thinking? … Slide 6
When thinking about ways to break the catheter life cycle, consider these ABCDE prevention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/49-multimodal-analgesia.pptx
June 01, 2023 - Multimodal Analgesia Tips 8
AHRQ Safety Program for Improving Surgical Care and Recovery
8
Final Thoughts
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions_finalreport.docx
November 01, 2017 - If you’re not going to go with your dad to his next appointment, make sure you put your thoughts on this … I thought would have benefited from it, and they were just like, ‘Nah.’” … “Of the 12 that I spoke to, 94% of them thought it was a great thing. … that this appears right in front of them in the electronic medical record so they can put in their thoughts … Do you have any additional thoughts about the toolkit? These were all the questions for today.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_toolkit.pdf
December 01, 2017 - If you’re not going to go with your dad
to his next appointment, make sure you put
your thoughts on … who I thought would have benefited from it, and they were just like, ‘Nah.’” … “Of
the 12 that I spoke to, 94% of them thought it was a great thing. … that this appears right in front of them in the electronic medical
record so they can put in their thoughts … Do you have any additional thoughts about the toolkit?
These were all the questions for today.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
January 01, 2012 - last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought … last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought … When you talked about starting or stopping a prescription medicine, did this provider ask you what you thought … last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought … last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
January 01, 2012 - last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought … last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought … When you talked about starting or stopping a prescription medicine, did this provider ask you what you thought … last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought … last 12 months, how often were clerks and receptionists at this provider’s office as helpful as you thought
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool2.html
March 01, 2014 - Please review the following questions ahead of time and come prepared to share your thoughts.
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/engagement.html
April 01, 2013 - And I heard that, and I thought about how we implement electronic health records, CUSP programs, BSI … I would have thought that the clinician should know enough to say, “No, this isn’t good enough,” but … It might be, “Well, I thought this was an infectious disease thing. … And she had this doc who she thought totally wasn’t on board, and their infection rates are high, and … I thought it was a nursing thing or a hospital administration thing.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - There were some areas where we thought a little bit more intensive focus and activity and a little bit … of those events, we also did learn a lot about what is going on in these hospitals in ways that we thought … I wanted to share it with out to elicit your feedback and thoughts because this is another approach that … Slow where he talks about two systems of thought. … Any final thoughts from our guest presenters today?
Sanjay Singh:
This Sanjay.