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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - I’m a human factors engineer, and I received my doctoral degree in applied cognitive psychology. … engineer, I realized that what I was learning in the classroom about human factors engineering and cognitive … Nicole and I, who come from an industrial engineering background, and the discipline of psychology, cognitive
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - and
outpatient care.10-11 Certain medications may predispose an individual to delirium or reduced cognitive
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Cognitive and usability engineering methods for the evaluation of clinical
information systems.
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - And I started thinking that transient cognitive dysfunction was part of this syndrome. … Krumholz—include derangement of physiological systems like sleep, nourishment, physical conditioning, and cognitive
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Krumholz—include derangement of physiological systems like sleep, nourishment, physical conditioning, and cognitive … And I started thinking that transient cognitive dysfunction was part of this syndrome.
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - About The Topic
Ambulatory Care
Health Care Providers
Dermatology
Dispensing Errors
Cognitive
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - Practitioners should remember that cognitive biases, such as anchoring bias, can prevent full consideration
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - And I started thinking that transient cognitive dysfunction was part of this syndrome.
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - the course of clinical care.( 10 ) Diagnostic performance examines both the individual performance (cognitive … diagnostic performance will not only require a closer look at clinical processes, but also providers' cognitive
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psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - healthcare
system
System-related errors, which include technological or organizational barriers
Cognitive … Because of the cognitive error made in this case, the PCP involved would benefit from feedback and further
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - surgical plan in the face of a difficult procedure is a common variant of perioperative fixation error, a cognitive … No simple fix for fixation errors: cognitive processes and their clinical applications.
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - making sure that competing hypotheses can be
reasonably excluded.1
13
Diagnostic Failure (2)
• Cognitive … hyponatremia, and hypotension.
16
Diagnostic Failure: The Missing Bedside Examination (3)
• Beyond the cognitive
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - A vignette study to assess recognition of cognitive biases in clinical case workups.
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - difficult to assess; because misunderstanding is so frequent
and can stem from a host of emotional, cognitive
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psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
January 01, 2020 - event
9
9
Suicide Risk Factors (2)
Suicide exposure (peer or celebrity)
Access to lethal means
Cognitive
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - 20,000 participants) confirmed theory-based predictions that
feedback, repetition, range of difficulty, cognitive
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - Does this patient lack the cognitive ability to make relevant decisions?
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Climate as a social-cognitive construction of supervisory safety practices: scripts as
proxy of behavior
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Pharmacy
(4)
Error Types
Active Errors
(7)
Cognitive
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psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - environments for nurses, which may augment patient outcomes by enhancing teamwork and reducing time pressure, cognitive