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psnet.ahrq.gov/node/60851/psn-pdf
August 26, 2020 - Situativity: A Family of Social Cognitive Theories for
Clinical Reasoning and Error. … https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error … https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
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psnet.ahrq.gov/node/43881/psn-pdf
February 11, 2015 - Cognitive Systems Engineering in Health Care. … https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
This publication provides information … The book discusses how
to apply cognitive systems engineering principles to team interactions with specific … https://psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
https://psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case … industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
https://psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
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psnet.ahrq.gov/node/39823/psn-pdf
April 04, 2011 - Cognitive error as the most frequent contributory factor in
cases of medical injury: a study on verdict's … Cognitive error as the most frequent contributory factor in cases of
medical injury: a study on verdict's … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study … -
verdicts
This closed claims analysis found that cognitive factors, including errors in judgment and … https://psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
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psnet.ahrq.gov/issue/you-make-big-decision
March 05, 2025 - This commentary, whose first author won a Nobel prize for his seminal work on cognitive shortcuts that … underlie many errors, discusses cognitive biases and provides a checklist to help prevent biases in … About The Topic
Health Care Executives and Administrators
Organizational Behaviorists
Cognitive
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psnet.ahrq.gov/node/47525/psn-pdf
October 31, 2018 - Peer training using cognitive rehearsal to promote a
culture of safety in health care. … Peer Training Using Cognitive Rehearsal to Promote a Culture of
Safety in Health Care. … https://psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care … https://psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
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psnet.ahrq.gov/node/34935/psn-pdf
June 23, 2009 - The cognitive psychology of
missed diagnoses.
June 23, 2009
Redelmeier DA. … The cognitive psychology of missed diagnoses. Ann Intern Med.
2005;142(2):115-120. … https://psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
This case … the case, the author explores the pitfalls leading to missed diagnoses, including several types of
"cognitive … https://psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
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psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse
practitioners.
April 25, 2018
Lawson TN. … Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. … https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
This review … Common themes included cognitive bias, dual process thinking, diagnostic error, and patient harm. … https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41454/psn-pdf
October 23, 2012 - Cognitive errors and logistical breakdowns contributing
to missed and delayed diagnoses of breast and … Cognitive errors and logistical breakdowns contributing to missed
and delayed diagnoses of breast and … https://psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed … This study analyzed 56 missed or delayed cancer diagnoses and found that virtually all cases involved
cognitive … https://psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
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psnet.ahrq.gov/node/44836/psn-pdf
January 27, 2016 - Advancing the next generation of handover research and
practice with cognitive load theory. … Advancing the next generation of handover research and practice
with cognitive load theory. … https://psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load- … In this commentary, the authors apply cognitive load theory to handoff tasks to demonstrate how to
improve … https://psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory
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psnet.ahrq.gov/node/46139/psn-pdf
September 23, 2017 - Impact of interruptions, distractions, and cognitive load
on procedure failures and medication administration … Impact of Interruptions, Distractions, and Cognitive Load on
Procedure Failures and Medication Administration … https://psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and … interruptions and distractions are frequent during nursing medication administration, which
increased cognitive … https://psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
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psnet.ahrq.gov/node/47353/psn-pdf
October 03, 2018 - https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition
Cognitive bias is increasingly receiving … lack of evidence regarding the effect of biases on decision making
and advocates for learning how cognitive … https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition
https://psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review … https://psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
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psnet.ahrq.gov/node/838018/psn-pdf
September 07, 2022 - psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
Challenging working conditions and increased cognitive … This
article describes a conceptual framework in which working conditions and cognitive workload impact
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psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
February 17, 2016 - Cognitive errors and system factors (e.g., inefficient processes and high workload) were prevalent. … These results demonstrate the need to address diagnostic safety with both cognitive training interventions … July 15, 2015
Cognitive interventions to reduce diagnostic error: a narrative review. … January 9, 2019
Cognitive error in an academic emergency department. … October 10, 2018
How common are cognitive errors in cases presented at emergency medicine
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psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
February 10, 2016 - Diagnostic errors frequently occur because of cognitive errors on the part of physicians. … This study used case vignettes to vividly illustrate one specific cognitive error, the "framing effect … An AHRQ WebM&M perspective explores issues related to cognitive errors in diagnosis. … Perception of the usability and implementation of a metacognitive mnemonic to check cognitive … The Topic
General Hospitals
Physicians
Quality and Safety Professionals
Educators
Cognitive
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psnet.ahrq.gov/node/47910/psn-pdf
August 21, 2019 - Cognitive Informatics: Reengineering Clinical Workflow
for Safer and More Efficient Care. … https://psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient … https://psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient-care … https://psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient-care
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psnet.ahrq.gov/issue/diagnostic-error-medicine-0
November 28, 2018 - in this special issue cover efforts to reduce diagnostic errors, including patient engagement and cognitive … Diagnostic Safety and Quality
April 26, 2023
Effect on diagnostic accuracy of cognitive … November 27, 2013
The evolution of error: error management, cognitive constraints, and
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psnet.ahrq.gov/node/42716/psn-pdf
November 06, 2013 - Reducing cognitive errors in dermatology: can anything
be done? … Reducing cognitive errors in dermatology: can anything be done? … https://psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
This commentary … outlines types of cognitive biases and describes strategies to prevent them in
dermatology. … https://psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology-can-anything-be-done
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - This work has been informed by the field of cognitive psychology , which studies how individuals process … While heuristics are ubiquitous and useful, researchers have used categories developed in cognitive psychology … several types of errors that clinicians commonly make due to incorrect applications of heuristics: Cognitive … While cognitive biases on the part of individual clinicians play a role in many diagnostic errors, underlying … Recent systematic reviews have assessed the evidence base of interventions to prevent cognitive errors
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psnet.ahrq.gov/node/37194/psn-pdf
January 02, 2017 - Awareness and use of a cognitive aid for anesthesiology. … Awareness and use of a cognitive aid for anesthesiology. … https://psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
A cognitive aid was developed … https://psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
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psnet.ahrq.gov/node/42461/psn-pdf
July 31, 2013 - From mindless to mindful practice—cognitive bias and
clinical decision making. … From mindless to mindful practice--cognitive bias and clinical decision making. … https://psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
Discussing … contribute to flawed decision making, this commentary includes
recommendations to help clinicians prevent cognitive … https://psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
https