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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - Basic assumptions and lessons distilled from the cognitive systems engineering literature ( 11-14 ) are
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - In theory, these strategies should represent “low-hanging fruit”
(compared to the many cognitive challenges
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - However, the time and cognitive effort
required to review a block of pasted text may exceed the time
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - 3,8,9), which supports the likelihood that a broader definition of
specialty care (i.e., access to cognitive
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psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - shaming rejection, humiliating event
Suicide exposure (peer or celebrity)
Access to lethal means
Cognitive
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - Information processing and human-machine interaction: an approach to cognitive
engineering.
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psnet.ahrq.gov/node/846915/psn-pdf
March 29, 2023 - Psychotherapies may include supportive, cognitive, and dialectical behavioral
therapies, but their availability
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Thomas received a Bachelor of Science in biopsychology and the cognitive sciences from the University
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - by Flynn et al. 4
In a geographically diverse sample that included 429 community pharmacies, cognitive
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Moreover, the majority of nursing home residents experience dementia or other cognitive impairments (
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - words, why are sound-alike drugs stored in close proximity and why haven't steps been taken to reduce cognitive
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - Round-Trip Service
Citation Text:
McGrath MH. Round-Trip Service. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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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/patient-identification-errors-systems-challenge
February 23, 2011 - Patient Identification Errors: A Systems Challenge
Citation Text:
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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Googl…
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - In Conversation With… Erik Hollnagel, PhD
June 1, 2019
Citation Text:
In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Forma…
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - Chemotherapy Extravasation
Citation Text:
Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - The Missing Abscess: Radiology Reads in the Digital Era
January 1, 2017
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
Case Objectives
Identify the most common complication of hysterectomy.
Descr…
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - physicians that
are not seen or acted on, mainly as a result of system problems including time pressure and cognitive
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - introduction of advanced flight management systems in commercial aviation
in the 1990s increased the cognitive
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psnet.ahrq.gov/node/73336/psn-pdf
May 26, 2021 - This
scenario can be summarized as a compounding of cognitive errors, including faulty knowledge in