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psnet.ahrq.gov/issue/outcomes-medication-misadventure-among-people-cognitive-impairment-or-dementia-systematic
March 08, 2023 - Review
Outcomes of medication misadventure among people with cognitive impairment … Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic … inappropriate medications (PIM) was not associated with either mortality or hospitalization for patients with cognitive … Outcomes of medication misadventure among people with cognitive impairment or dementia: a systematic … January 12, 2022
Medication use and cognitive impairment among residents of aged care
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psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
March 17, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … examined medication safety incidents at one VA hospital and found that health care providers rely on cognitive … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … March 9, 2022
Adapting cognitive task analysis to investigate clinical decision making
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - Study
Improving handoff by deliberate cognitive processing: results from a randomized … Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental … Results indicate that engaging in deliberate cognitive processing during handoffs resulted in better … Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental … Quality and Safety Professionals
Pediatrics
Discontinuities, Gaps, and Hand-Off Problems
Cognitive
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psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
October 19, 2022 - Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees … Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees … Interruptions and distractions increase cognitive load , raising the risk of errors. … medicine and psychiatry residents and fellows responded to four questions designed to assess their cognitive … Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees
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psnet.ahrq.gov/issue/cognitive-bias-during-clinical-decision-making-and-its-influence-patient-outcomes-emergency
September 21, 2022 - Review
Cognitive bias during clinical decision-making and its influence on patient … Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency … Cognitive biases can impact the type of care a patient receives and their subsequent outcomes, particularly … This review identified 18 studies on cognitive biases in emergency physicians and nurses. … Cognitive bias during clinical decision‐making and its influence on patient outcomes in the emergency
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psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
February 16, 2022 - Study
Detection rates of mild cognitive impairment in primary care for the United … Detection rates of mild cognitive impairment in primary care for the United States Medicare population … approximately 20% of primary care patients aged 65 and older are expected to have a diagnosis of mild cognitive … prevents patients from receiving appropriate care, including newly FDA-approved medications to slow cognitive … Detection rates of mild cognitive impairment in primary care for the United States Medicare population
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
May 18, 2022 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: cognitive … Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics-challenges … The reduction of cognitive bias is generating increased interest as a diagnostic error reduction strategy … This statement introduces the concept of cognitive bias and discusses methods to manage the presence … Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics-challenges
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. … cognitive failure to recognize the importance of the exam finding. … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet].
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psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
November 23, 2016 - Commentary
From mindless to mindful practice—cognitive bias and clinical decision … From mindless to mindful practice--cognitive bias and clinical decision making. … From mindless to mindful practice--cognitive bias and clinical decision making. … February 6, 2014
Teaching about how doctors think: a longitudinal curriculum in cognitive … October 16, 2013
Cognitive debiasing; part 1 and part 2.
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psnet.ahrq.gov/issue/immersive-high-fidelity-simulation-critically-ill-patients-study-cognitive-errors-pilot-study
August 15, 2018 - Study
Immersive high fidelity simulation of critically ill patients to study cognitive … Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study … Cognitive bias can lead to diagnostic error . … Researchers found a high prevalence of cognitive error , which did not change over time and adversely … Immersive high fidelity simulation of critically ill patients to study cognitive errors: a pilot study
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psnet.ahrq.gov/issue/effects-cpoe-provider-cognitive-workload-randomized-crossover-trial
March 14, 2022 - Study
Effects of CPOE on provider cognitive workload: a randomized crossover trial … Effects of CPOE on provider cognitive workload: a randomized crossover trial. … interventions, findings from this study suggest that systematically designed order sets can reduce cognitive … Effects of CPOE on provider cognitive workload: a randomized crossover trial.
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psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
July 02, 2014 - Study
Teaching about how doctors think: a longitudinal curriculum in cognitive bias … Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for … medicine residents, using simulated patient scenarios, resulted in improved ability to recognize the cognitive … Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for … Resources From the Same Author(s)
Seen through their eyes: residents' reflections on the cognitive
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psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
May 16, 2012 - Study
Cognitive performance-altering effects of electronic medical records: an application … Cognitive performance-altering effects of electronic medical records: An application of the human factors … This study describes the impact of electronic health records on cognitive performance, illustrating both … Cognitive performance-altering effects of electronic medical records: An application of the human factors … April 1, 2010
Description of inpatient medication management using cognitive work analysis
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psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
January 23, 2017 - Commentary
Cognitive engineering to improve patient safety and outcomes in cardiothoracic … Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. … Cognitive engineering (CE) in healthcare explores the environmental complexities and physical demands … This article discusses cognitive engineering strategies that can be applied to cardiothoracic surgery … Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery.
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psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
November 18, 2013 - Study
Seen through their eyes: residents' reflections on the cognitive and contextual … Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic … Cognitive biases are common causes for these errors but have remained an elusive target for medical … Participating residents identified at least one cognitive bias and one contextual factor that may have … Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic
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psnet.ahrq.gov/node/848084/psn-pdf
April 26, 2023 - Cognitive bias and dissonance in surgical practice: a
narrative review. … Cognitive bias and dissonance in surgical practice: a narrative
review. … https://psnet.ahrq.gov/issue/cognitive-bias-and-dissonance-surgical-practice-narrative-review
Cognitive … The authors
also discuss cognitive debiasing strategies to mitigate the impact of cognitive biases. … https://psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
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psnet.ahrq.gov/issue/training-induces-cognitive-bias-case-simulation-based-emergency-airway-curriculum
May 18, 2022 - Study
Training induces cognitive bias: the case of a simulation-based emergency airway … Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. … This finding demonstrates how training may inadvertently introduce cognitive bias . … Training induces cognitive bias: the case of a simulation-based emergency airway curriculum.
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psnet.ahrq.gov/issue/confidential-reporting-patient-safety-events-primary-care-results-multilevel-classification
April 07, 2021 - Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive … Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive … study analyzed nearly 80 reported events, many of which were near misses, and found that failures in cognitive … Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive
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psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - Demonstrating the value of a standardized cognitive
assessment tool through the use of interprofessional … Demonstrating the value of a standardized cognitive assessment
tool through the use of interprofessional … https://psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through- … Researchers developed a cognitive assessment tool – the Cognitive Pyramid – to screen, track, and
monitor … The Cognitive Pyramid includes six levels of varying cognitive function and environmental considerations
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psnet.ahrq.gov/node/845276/psn-pdf
March 01, 2023 - Cognitive biases in surgery: systematic review. … Cognitive biases in surgery: systematic review. … https://psnet.ahrq.gov/issue/cognitive-biases-surgery-systematic-review
Cognitive biases are a known … Through thematic
analysis of 39 studies, the authors identified 31 types of cognitive bias across six … cognitive-bias-clinical-medicine
https://psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care