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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/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/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/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
18
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/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/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/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/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
September 11, 2013 - Commentary
Reducing the disruptive effects of interruption: a cognitive framework … Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits … Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits
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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/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/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/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/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
September 09, 2015 - Study
Hospital system barriers to rapid response team activation: a cognitive work … CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis … CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis
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psnet.ahrq.gov/node/35655/psn-pdf
February 03, 2011 - effects-sleep-inertia-cognition
This research letter reports on sleep inertia and how it can affect cognitive
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psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
August 28, 2019 - July 20, 2022
Cognitive debiasing; part 1 and part 2. … September 18, 2013
The importance of cognitive errors in diagnosis and strategies to … August 5, 2009
From mindless to mindful practice—cognitive bias and clinical decision
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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/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/reduced-verification-medication-alerts-increases-prescribing-errors
January 09, 2019 - Download Citation
Related Resources From the Same Author(s)
The effect of cognitive … May 29, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … February 20, 2019
The effect of cognitive load and task complexity on automation bias
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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 16, 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/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load … Unintended consequences of the electronic health record and cognitive load in emergency department nurses … Unintended consequences of the electronic health record and cognitive load in emergency department nurses