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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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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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psnet.ahrq.gov/periodic-issue/periodic-issue-293
May 26, 2021 - implicit bias can negatively impact patient care when emergency department providers are under increased cognitive
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psnet.ahrq.gov/periodic-issue/periodic-issue-284
March 15, 2021 - Study
Description of the role of pharmacist independent double checks during cognitive
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psnet.ahrq.gov/periodic-issue/periodic-issue-325
January 07, 2022 - This article reviews the cognitive psychology of diagnostic reasoning in cardiology.
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psnet.ahrq.gov/periodic-issue/periodic-issue-336
April 27, 2022 - authors identify several factors that can contribute to patient overtreatment (fear of uncertainty, cognitive
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psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
November 16, 2022 - The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive
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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/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/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/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/web-mm/may-i-have-another-medication-error
March 01, 2009 - to safely use prescribed medications, as they are disproportionately affected by limited literacy, cognitive
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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/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/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/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/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/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/node/848108/psn-pdf
April 26, 2023 - Although cognitive function and coordination might be impaired, ventilatory and
cardiovascular functions … .21 While it may seem intuitive that checklists designed to prevent patient safety lapses and
reduce cognitive