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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - Cognitive Errors
Trying to perform a cognitive autopsy to understand why the resident committed the … Armed with this understanding, they can apply cognitive forcing strategies to reduce the occurrence of … In doing so, hospitals should strive to implement a universal cognitive forcing strategy to always verify … Cognitive forcing strategies in clinical decisionmaking. … The importance of cognitive errors in diagnosis and strategies to minimize them.
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Sleep deprivation has long been known to impair various cognitive functions, including mood,
motivation … Most healthy adults1
need between 7.5–8.5 hours of sleep per night and will experience deficits in cognitive … Given the importance of sleep and its known effect on cognitive performance, the link between sleep and … These cognitive activities place significant
loads on prefrontal cortex functions, such as memory and … In contrast to dynamic, naturalistic decision-making, certain types of cognitive performance are less
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psnet.ahrq.gov/node/837708/psn-pdf
July 20, 2022 - This commentary encourages clinicians
to be aware of their cognitive biases during the diagnosis process … premature-closure-was-it-just-syncope
https://psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
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psnet.ahrq.gov/node/60345/psn-pdf
May 20, 2020 - reminder-reason
This article discusses the challenges of clinical decision-making and the influence of cognitive … https://psnet.ahrq.gov/issue/covid-19-reminder-reason
https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - From mindless to mindful practice--cognitive bias and clinical decision making. … Believing in overcoming cognitive biases . … The impact of cognitive and implicit bias on patient safety and quality. … Six cognitive challenges of evidence-based approaches. … Cognitive forcing strategies in clinical decisionmaking.
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psnet.ahrq.gov/node/841198/psn-pdf
December 07, 2022 - of databases to monitor safety,
expansion of safety improvement efforts to perioperative care, and cognitive … psnet.ahrq.gov/issue/technology-education-and-safety-0
https://psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - Studies may refer to cognitive, individual, system, or organizational factors that contribute to misdiagnosis … The extent to which cognitive shortcuts and unconscious thinking impact medical decisions has not been … Few studies examining cognitive checklists found improved diagnosis; task-based checklists were more … Cognitive biases and heuristics in medical decision making: a critical review using a systematic search … A cognitive forcing tool to mitigate cognitive bias-a randomised control trial.
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psnet.ahrq.gov/issue/hospital-system-barriers-rapid-response-team-activation-cognitive-work-analysis
September 09, 2015 - Study
Hospital system barriers to rapid response team activation: a cognitive work … CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis … CE: Original research: hospital system barriers to rapid response team activation: a cognitive work analysis
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psnet.ahrq.gov/issue/unintended-consequences-electronic-health-record-and-cognitive-load-emergency-department
June 22, 2011 - Study
Unintended consequences of the electronic health record and cognitive load … Unintended consequences of the electronic health record and cognitive load in emergency department nurses … Unintended consequences of the electronic health record and cognitive load in emergency department nurses
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - for cognitive ills." … The importance of cognitive errors in diagnosis and strategies to minimize them. … Cognitive forcing strategies in clinical decisionmaking. … The cognitive psychology of missed diagnoses. … What types of cognitive processes are used to make the decision?
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psnet.ahrq.gov/node/42503/psn-pdf
September 18, 2013 - These approaches
aim to enhance clinician–patient communication and to help physicians avoid their own cognitive … Mark Graber discussed
diagnostic errors along with strategies for clinicians to avert cognitive pitfalls … diagnostic-errors
https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
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psnet.ahrq.gov/node/41045/psn-pdf
July 02, 2014 - relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
A substantial proportion of diagnostic errors can be attributed to cognitive … Pat Croskerry discusses the
issue of cognitive biases in diagnosis. … relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - The Commentary by Stephen Bacak, DO, MPH, and Loralei Thornburg, MD Cognitive errors or biases are … The cognitive error of premature closure (rush to diagnosis without consideration of alternatives) … The fast-paced nature of the clinical environment undeniably contributed to these cognitive errors. … Cognitive errors in clinical decision-making are a major contributor to patient safety events. … Quick Safety 28: Cognitive biases in health care.
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psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - The Commentary
by Stephen Bacak, DO, MPH, and Loralei Thornburg, MD
Cognitive errors or biases are … Factors that increase the risk of cognitive error may be personal (e.g., fatigue), patient-
related … Cognitive errors in clinical decision-making are a major contributor to patient safety events. … Use of checklists may prevent cognitive errors and lead to more rapid evaluation and treatment. … Quick Safety 28: Cognitive biases in health care.
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psnet.ahrq.gov/node/73226/psn-pdf
May 05, 2021 - psnet.ahrq.gov/issue/doctors-were-sure-they-had-covid-19-reality-was-worse
Diagnosis can be challenged by cognitive … psnet.ahrq.gov/issue/doctors-were-sure-they-had-covid-19-reality-was-worse
https://psnet.ahrq.gov/issue/cognitive-autopsy-root-cause-analysis-medical-decision-making
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psnet.ahrq.gov/issue/fdas-promised-guidance-pulse-oximeters-unlikely-end-decades-racial-bias
November 06, 2024 - March 1, 2023
Cognitive biases in surgery: systematic review. … March 1, 2023
Adapting cognitive task analysis to investigate clinical decision making … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Health care providers may benefit from cognitive awareness training—which may include training in the … biases.( 15 ) Medical errors due to cognitive biases may also be reduced by increasing the frequency … Cognitive biases such as anchoring can result in medical errors. … to reduce medical errors that may result from cognitive biases. … Cognitive biases associated with medical decisions: a systematic review.
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - those with more experience assimilated the algorithms
more readily, but they also continue to need cognitive … Pat Croskerry discusses the need to enhance cognitive skills for diagnosis in
medical training. … american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program
https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Perhaps more importantly, physicians who find
diagnostic errors interesting tend to focus on the cognitive … House) or studying cognitive biases
that can lead one astray. … The two reviewers identified cognitive factors as the cause of most
diagnostic errors. … This restoration of performance represents a simple example of cognitive debiasing. … Addressing the Problem
As intellectually appealing as cognitive debiasing may be, addressing systems
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - The cognitive demands of triage are substantial. … , counterforcing strategies (4) must be engineered to trigger caution
when hard-wired and familiar cognitive … Diagnostic tools do move the physician's cognitive challenges upstream to detect, identify, and frame … Cognitive forcing strategies in clinical decisionmaking. Ann Emerg Med. 2003;41:110-120. … The effectiveness of cognitive forcing strategies to
decrease diagnostic error: an exploratory study