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psnet.ahrq.gov/periodic-issue/periodic-issue-351
July 08, 2022 - This commentary encourages clinicians to be aware of their cognitive biases during the diagnosis process
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - In cases where this is unclear, formal cognitive assessment may be needed, as cognitive disorders are
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Critical care physician cognitive task analysis: an exploratory study. Crit Care. 2009;13:R33.
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psnet.ahrq.gov/issue/practice-makes-perfect-planning-considerations-medical-simulation-centers
December 08, 2010 - Newspaper/Magazine Article
Practice makes perfect: planning considerations for medical simulation centers.
Citation Text:
Ross K. Practice makes perfect. Planning considerations for medical simulation centers. Health Facilities Management. 2012;25(11):23-28.
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psnet.ahrq.gov/periodic-issue/periodic-issue-282
March 15, 2021 - 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/periodic-issue/periodic-issue-276
January 29, 2021 - Book/Report
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. … This publication uses clinical cases to examine cognitive elements that contribute to problematic decision
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psnet.ahrq.gov/periodic-issue/periodic-issue-338
April 27, 2022 - Study
Investigating the impact of cognitive bias in nursing documentation on decision-making … Cognitive biases can compromise decision making and contribute to poor care.
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psnet.ahrq.gov/periodic-issue/periodic-issue-378
February 01, 2023 - Participants cited issues such as communication failures, diagnostic uncertainty, and cognitive load … Maternal safety is compromised by a range of social, cognitive, and clinical factors.
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - utilization, comorbidities, insurance, and a variable to capture language barrier, poor health literacy, or cognitive … utilization, comorbidities, insurance, and a variable to capture language barrier, poor health literacy, or cognitive
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - successfully applied as formative experiences to develop foundational clinical skills as well as more advanced cognitive … successful simulation education are those of successful curricula in general: individualized feedback, cognitive
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - stretches the human limit for effective data management and likely degrades work performance due to cognitive … Barriers to effective management of laboratory test results are time pressures and cognitive overload
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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - gaps in competencies and then provide guidance on how to best address and close
those gaps.(15,18) As cognitive … The aging physician: changes in cognitive processing and their impact on medical practice.
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Often it's difficult to separate systems and cognitive factors that lead to errors; the latter tend to … the National Board of Medical Examiners starting to ask how can they do a better job assessing the cognitive
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - At baseline he had some cognitive deficits and
received his nutrition through a percutaneous gastrostomy … decisions regarding insulin doses.(3) In the above case, given the
patient's comorbidities, including his cognitive
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - brain MRI had the
same initials as another patient on the same unit who also happened to have severe cognitive … Because the order for a "brain MRI to evaluate worsening cognitive function"
could apply to either patient
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psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - You
had a high-stakes exam at the end of medical school and it didn't matter how well you did on the cognitive … If you view medicine as largely a cognitive exercise of getting
certain numbers, figures, and facts
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Adverse Events, Near Misses, and Errors
December 15, 2024
Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current re…
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psnet.ahrq.gov/issue/complexity-team-training-what-we-have-learned-aviation-and-its-applications-medicine
December 09, 2009 - Commentary
The complexity of team training: what we have learned from aviation and its applications to medicine.
Citation Text:
Hamman WR. The complexity of team training: what we have learned from aviation and its applications to medicine. Qual Saf Health Care. 2004;13 Suppl 1:i72-9. …
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - Medical Devices in the "Wild"
Citation Text:
Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - 20,000 participants) confirmed theory-based predictions that feedback, repetition, range of difficulty, cognitive … DG : There are big organizational differences between the fields, so even though there are many cognitive … Pieces of it relate to improving cognitive skills or history taking.