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psnet.ahrq.gov/node/41647/psn-pdf
July 02, 2014 - Seen through their eyes: residents' reflections on the
cognitive and contextual components of diagnostic … Seen through their eyes: residents' reflections on the cognitive and
contextual components of diagnostic … https://psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual- … Cognitive biases are common
causes for these errors but have remained an elusive target for medical … Participating residents identified at
least one cognitive bias and one contextual factor that may have
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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department. … Cognitive error in an academic emergency department. … https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the National Academy … after discharge home from the emergency department, researchers
found that 19% of cases involved a cognitive … https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/45209/psn-pdf
June 29, 2016 - Raising awareness of cognitive biases during diagnostic
reasoning. … Raising awareness of cognitive biases during diagnostic
reasoning. … https://psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
This educational … feature was present, and this experience of missed diagnosis made them
more accepting of the concept of cognitive … https://psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
https://psnet.ahrq.gov
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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/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/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/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/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/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/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/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Cognitive Bias Cognitive bias can contribute to errors in judgment or thinking leading to an incorrect … If the extrinsic environment creates high cognitive load, then expertise may not lower the cognitive … Cognitive load and its implications for health care. NEJM Catalyst . … Clinician cognitive overload and its implications for nurse leaders. … Cognitive and implicit biases in nurses’ judgment and decision-making: a scoping review.
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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/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/node/47659/psn-pdf
January 27, 2019 - Medical overuse as a physician cognitive error: looking
under the hood. … Medical overuse as a physician cognitive error: looking under the hood. … https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
Medical overuse … This
commentary suggests that cognitive error is a key contributor to overuse. … https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - This commentary discusses the role of physician mindfulness in recognizing cognitive biases that contribute … December 5, 2018
Mind the overlap: how system problems contribute to cognitive failure … October 24, 2018
Cognitive error in an academic emergency department. … Physicians
Quality and Safety Professionals
Organizational Behaviorists
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Contributing Factors
There are likely three processes that contributed to this “near miss”: cognitive … Cognitive factors may have been particularly important in this case. … Graber listed four categories of
cognitive errors5 including: faulty knowledge, faulty data gathering … Cognitive biases are commonly identified in patients who experience post-operative complications. … Knowledge deficits and cognitive biases are both associated with diagnostic errors.
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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/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/node/36409/psn-pdf
September 28, 2016 - The multitasking clinician: decision-making and cognitive
demand during and after team handoffs in emergency … The multitasking clinician: decision-making and cognitive
demand during and after team handoffs in emergency … https://psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after … patterns in the ED and provide a summary of interview responses to illustrate the taxing nature of cognitive … https://psnet.ahrq.gov/issue/multitasking-clinician-decision-making-and-cognitive-demand-during-and-after-team-handoffs
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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