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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - These approaches aim to enhance clinician–patient communication and to help physicians avoid their own cognitive … Mark Graber discussed diagnostic errors along with strategies for clinicians to avert cognitive pitfalls … April 4, 2018
Cognitive interventions to reduce diagnostic error: a narrative review. … 2014
The role of patient involvement in the diagnostic process in internal medicine: a cognitive
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psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
November 01, 2017 - Review
Developing team cognition: a role for simulation.
Citation Text:
Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96-103. doi:10.1097/sih.0000000000000200.
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psnet.ahrq.gov/node/72472/psn-pdf
November 18, 2020 - methods, this study explored the impact of ‘silent report’ (computer-mediated handover
) on nurses’ cognitive … lost-translation-silent-reporting-and-electronic-patient-records-nursing-handovers
https://psnet.ahrq.gov/issue/advancing-next-generation-handover-research-and-practice-cognitive-load-theory … https://psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
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psnet.ahrq.gov/node/45208/psn-pdf
April 22, 2017 - Cognitive tests predict real-world errors: the relationship
between drug name confusion rates in laboratory-based … Cognitive tests predict real-world errors: the relationship
between drug name confusion rates in laboratory-based … https://psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name … https://psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates … https://psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - biases that contribute to anchoring
Describe steps to improve cognitive awareness of diagnostic errors … 75% of diagnostic errors have a cognitive component
Two overarching cognitive components are:
The tendency … Arch Intern Med. 2009;169:1881-1887. http://www.ncbi.nlm.nih.gov/pubmed/19901140
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Cognitive Errors … name=availabilitybias
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Cognitive Biases & Anchoring
Multiple cognitive biases contribute to anchoring … ClinicalReasoning
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Cognitive Awareness (2)
Cognitive awareness may also be improved through teamwork
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psnet.ahrq.gov/node/42981/psn-pdf
March 19, 2014 - Recognizing and managing errors of cognitive
underspecification.
March 19, 2014
Duthie EA. … Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. … https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
Incomplete … https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/846465/psn-pdf
March 22, 2023 - This narrative review identifies common causes of diagnostic error (e.g., cognitive bias)
and suggests … Cognitive de-biasing strategies and increasing time spent with the
patient are recommended as strategies … diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/cognitive-debiasing-part
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psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study … Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study … https://psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional … https://psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us … https://psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Cognitive Overload in the ICU
August 21, 2016
Patel VL, Buchman TG. … Cognitive Overload in the ICU. PSNet [internet]. 2016. … https://psnet.ahrq.gov/web-mm/cognitive-overload-icu
Case Objectives
Identify the role of cognitive … Offer insights based on cognitive science principles that allow readers to understand the inevitable … environments such as ICUs and emergency departments.(3,4) In this
case, a major source of cognitive
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psnet.ahrq.gov/node/851198/psn-pdf
July 05, 2023 - events, medication errors, and potentially
inappropriate prescribing) among patients with dementia or cognitive … 15 studies found that the prevalence of
medication-related problems among patients with dementia or cognitive … potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
https://psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
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psnet.ahrq.gov/node/72823/psn-pdf
March 10, 2021 - Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive … Care coordination strategies and barriers during
medication safety incidents: a qualitative, cognitive … examined medication safety incidents at one VA hospital and found that health care providers rely on
cognitive
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psnet.ahrq.gov/node/72529/psn-pdf
January 01, 2021 - https://psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey
Cognitive … Among a sample of US physicians, the authors of this
study found that all dimensions of cognitive task … physician-task-load-and-risk-burnout-among-us-physicians-national-survey
https://psnet.ahrq.gov/issue/effect-cognitive-load-and-task-complexity-automation-bias-electronic-prescribing
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psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis
August 28, 2019 - System 1 and System 2 thinking, human factors, and cognitive biases are discussed. … September 17, 2010
Cognitive versus technical debriefing after simulation training. … 2013
The role of patient involvement in the diagnostic process in internal medicine: a cognitive
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - Spotlight
Spotlight
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis … principles of effective communication between health care providers
Explain some of the reasons that cognitive … against administering prophylactic anticoagulation to patients with acute traumatic injuries
3
3
A Cognitive … Processes
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EHRs and Cognitive Processes (1)
Lack of communication was probably compounded by a cognitive … This classic cognitive pitfall of failing to recognize what one is not looking for, a form of “anchoring
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - RW: You ended up focusing on cognitive errors and diagnostic errors. … Not a cognitive psychologist, but an experimental psychologist. … Why not relieve some of the cognitive load? … The importance of cognitive errors in diagnosis and strategies to minimize them. … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120.
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - A case describing how cognitive biases and anti-
coagulation use in high-risk scenarios contributed to … • Checklists are cognitive aids with demonstrated efficacy as tools to
prevent medical error
• … The importance of cognitive errors in diagnosis and strategies to minimize them. … The use of cognitive aids during emergencies in anesthesia: a review of the literature. … Cognitive forcing strategies in clinical decisionmaking.
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psnet.ahrq.gov/node/46710/psn-pdf
January 30, 2018 - psnet.ahrq.gov/issue/bias-radiology-how-and-why-misses-and-misinterpretations
Fatigue, production pressure, and cognitive … This
commentary reviews cognitive factors that can contribute to radiologic misinterpretations. … psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals
https://psnet.ahrq.gov/issue/cognitive-debiasing-part … -1-and-part-2
https://psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
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psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-
and
Cognitive … This study used a brief, electronic cognitive
assessment tool to determine the effect of shift work … testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
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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/44143/psn-pdf
April 15, 2016 - This review explores
cognitive psychology as a method to understand diagnostic error, particularly clinicians … //psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review