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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/39030/psn-pdf
October 21, 2009 - misleading-one-detail-preventable-mode-diagnostic-error
Diagnostic errors frequently occur because of cognitive … 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. … misleading-one-detail-preventable-mode-diagnostic-error
https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
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psnet.ahrq.gov/issue/how-doctors-think
January 14, 2011 - Borrowing from the field of cognitive psychology , a number of errors stemming from clinicians’ use … A prior AHRQ WebM&M perspective discussed diagnostic errors and provided advice for reducing cognitive … See More About The Topic
Health Care Providers
Patients
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Cognitive failures were identified in about half the events. … These results
demonstrate the need to develop individual cognitive training interventions as well as … primer/never-events
https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/cognitive-debiasing-part … https://psnet.ahrq.gov/primer/communication-between-clinicians
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
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psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
November 16, 2022 - Study
Peer training using cognitive rehearsal to promote a culture of safety in health … 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.
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psnet.ahrq.gov/node/42291/psn-pdf
September 12, 2016 - commentary reviews the death of a patient to identify factors that contributed to the incident, including
cognitive … /issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
https://psnet.ahrq.gov/issue/cognitive-factors-health-care
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psnet.ahrq.gov/node/44558/psn-pdf
April 25, 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 … reporting-patient-safety-events
https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences … https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
https
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psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review … https://psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Solutions
There are two promising approaches to reducing the risk of cognitive error. … to quote Croskerry, use
"cognitive pills for cognitive ills."
Focus on the final common pathway. … The importance of cognitive errors in diagnosis and strategies to minimize them. … The cognitive psychology of missed diagnoses. Ann Intern
Med. 2005;142:115-120. … What types of
cognitive processes
are used to make the
decision?
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - preventing diagnostic errors and
improving diagnostic timeliness.
30
https://psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial … From mindless to mindful practice--cognitive bias and clinical decision making. … The Impact of Cognitive and Implicit Bias on Patient Safety and Quality. … Six Cognitive Challenges of Evidence-Based Approaches. … Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review.
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psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
June 17, 2020 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive … March 20, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … November 7, 2018
Cognitive bias in clinical practice—nurturing healthy skepticism among
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psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
August 12, 2020 - July 2, 2014
Teaching about how doctors think: a longitudinal curriculum in cognitive … October 1, 2013
Cognitive debiasing; part 1 and part 2. … September 18, 2013
From mindless to mindful practice—cognitive bias and clinical decision … See More About The Topic
Hospitals
Ambulatory Care
Educators
Medicine
Cognitive
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psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
March 02, 2022 - 6, 2022
View More
Related Resources
Education initiatives in cognitive … February 27, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … View More
See More About The Topic
Educators
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - assembled volume collectively helped to establish an understanding of the mechanisms by which humans commit cognitive … July 17, 2019
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making … June 3, 2014
The evolution of error: error management, cognitive constraints, and adaptive
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psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
February 10, 2012 - Study
No simple fix for fixation errors: cognitive processes and their clinical applications … No simple fix for fixation errors: cognitive processes and their clinical applications. … No simple fix for fixation errors: cognitive processes and their clinical applications.
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Recognize common cognitive biases that may contribute to diagnostic errors in missing sepsis. … psnet.ahrq.gov//#31
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov//#32
https://psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial … From mindless to mindful practice--cognitive bias and clinical decision making. … Believing in overcoming cognitive biases. AMA J Ethics. 2020;22(9):e773-
e778. … The impact of cognitive and implicit bias on patient safety and quality.
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psnet.ahrq.gov/node/40838/psn-pdf
September 27, 2016 - Cognitive Factors in Health Care.
September 27, 2016
Rogers WA, ed. … https://psnet.ahrq.gov/issue/cognitive-factors-health-care
Articles in this special issue explore the … https://psnet.ahrq.gov/issue/cognitive-factors-health-care
https://psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
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psnet.ahrq.gov/node/41158/psn-pdf
February 22, 2012 - This commentary discusses types of errors associated with specific nursing tasks to illustrate how cognitive … issue/strategies-improving-patient-safety-linking-task-type-error-type
https://psnet.ahrq.gov/issue/cognitive-factors-health-care … https://psnet.ahrq.gov/issue/cognitive-factors-health-care
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psnet.ahrq.gov/node/40593/psn-pdf
July 20, 2011 - you-make-big-decision
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 … https://psnet.ahrq.gov/issue/you-make-big-decision
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
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psnet.ahrq.gov/issue/diagnostic-errors-and-reflective-practice-medicine
March 12, 2014 - May 22, 2024
Improving handoff by deliberate cognitive processing: results from a randomized … Improving Diagnostic Safety and Quality
April 26, 2023
Cognitive … April 26, 2023
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … April 17, 2019
Dual-process cognitive interventions to enhance diagnostic reasoning: … Singh, MD, MPH
December 1, 2013
The evolution of error: error management, cognitive