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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Strategies to prevent falls and fractures in hospitals and care
homes and effect of cognitive impairment
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - utilization, comorbidities,
insurance, and a variable to capture language barrier, poor health literacy, or cognitive
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - Handbook of Cognitive Task Design. Boca Raton, FL: CRC Press; 2003; 193-220. ISBN:
9780805840032.
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - important and employ evidence-based treatment approaches such as motivational enhancement therapy, cognitive-behavioral
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - elements.( 14 ) Designing for users means both physical performance (e.g., programming a technology) and cognitive
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - November 14, 2018
Cognitive error in an academic emergency department.
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Critically Ill Child
August 31, 2022
WebM&M Cases
Cognitive
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - This cognitive failure inappropriately limited further investigation.
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - initial presentation, they are often transported to alternate locations to obtain additional technical, cognitive
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Topic
Operating Room
Facility and Group Administrators
Anesthesiology
Anticoagulants
Cognitive
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - This case highlights multiple potential diagnostic errors and cognitive biases which may have contributed
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - cultural or communication
barriers, or implicit bias related to the patient's age or post-anesthesia cognitive
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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - to expect busy clinicians to mechanistically review all their medication orders, and then to change cognitive
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psnet.ahrq.gov/node/33668/psn-pdf
May 01, 2008 - RW: Ten or twenty years from now, how much of the work that we presently think of as cognitive and the
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - ‘Heads-Up-Displays (HUDs)
and their Impact on Cognitive Load during Task Performance: A Protocol for
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - the Code
February 1, 2006
View More
Related Resources
Cognitive
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - who enjoy doing procedures and enjoy working with their hands, separate and apart
from all of the cognitive
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - Mistaken Identity
Citation Text:
Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - One Dose, Fifty Pills
Citation Text:
Smith L. One Dose, Fifty Pills
. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Chemotherapy Extravasation
January 1, 2008
Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and
her oncologist decided to begin sys…