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psnet.ahrq.gov/node/49494/psn-pdf
January 01, 2006 - One Dose, Fifty Pills
November 1, 2005
Smith L. One Dose, Fifty Pills . PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/one-dose-fifty-pills
The Case
A middle-aged man was admitted to the medical service of a teaching hospital with suspected vasculitis.
When the initial diagnostic studies failed to provide …
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Mistaken Identity
October 1, 2008
Hall LW. Mistaken Identity. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/mistaken-identity
The Case
An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status
and a reported fall. After finding tenderness in her left hip, the p…
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Cups of Error
Citation Text:
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - For example, performance on cognitive tests ( 1 ) and in laparoscopic surgery skills (measured via simulation … Young hospital doctors after night duty: their task-specific cognitive status and emotional condition
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - We are interested in using cognitive engineering methods to really get at what people are thinking when … interfaces, some VR simulators now have the capacity to promote the acquisition of a full range of cognitive
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Climate as a social-cognitive construction of supervisory safety practices: scripts as proxy of behavior … September 18, 2024
Factors associated with the use of cognitive aids in operating room
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psnet.ahrq.gov/Topics
February 26, 2021 - Hospital Pharmacy
Error Types
Active Errors Cognitive
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psnet.ahrq.gov/topics
March 17, 2021 - Hospital Pharmacy
Error Types
Active Errors Cognitive
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psnet.ahrq.gov/periodic-issue/periodic-issue-406
August 30, 2023 - Diagnostic accuracy requires both cognitive and team-focused skill development.
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psnet.ahrq.gov/periodic-issue/periodic-issue-389
April 26, 2023 - Critical care nurses reported cognitive overload with doing their routine duties plus orienting floating
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psnet.ahrq.gov/periodic-issue/periodic-issue-392
April 26, 2023 - This paper describes five types of cognitive biases, with accompanying case study and images, that result
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psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
December 06, 2017 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive
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psnet.ahrq.gov/issue/organizational-learning-and-patient-safety-hospital-pharmacy-settings
September 23, 2020 - August 11, 2021
Outcomes of medication misadventure among people with cognitive impairment
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - to clinicians' tendency to misattribute symptoms of individuals with learning disabilities to their cognitive
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - Cook, MD Associate Professor, Department of Anesthesia and Critical Care Director, Cognitive
Technologies
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - assessment.( 1 ) Such assessments should be conducted on a regular basis to evaluate and monitor patients' cognitive
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - The Topic
Hospitals
Physicians
Infectious Diseases
Indwelling Tubes and Catheters
Cognitive
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - November 8, 2013
Cognitive testing of older clinicians prior to recredentialing.
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - restrained, suggests no more than moderate agitation, no intent to harm herself or others, and enough cognitive
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - His cognitive capacity, long-term prognosis, and quality of life are not discussed.