-
psnet.ahrq.gov/issue/inpatient-notes-just-what-doctor-ordered-checklists-improve-diagnosis
April 12, 2023 - The authors describe process checklists, which can can help manage cognitive challenges, and content … June 1, 2022
Mind the overlap: how system problems contribute to cognitive failure and … March 5, 2014
Cognitive interventions to reduce diagnostic error: a narrative review. … April 19, 2023
Cognitive aids in the management of clinical emergencies: a systematic … October 24, 2018
Cognitive error in an academic emergency department.
-
psnet.ahrq.gov/issue/impact-interruptions-distractions-and-cognitive-load-procedure-failures-and-medication
January 11, 2012 - Study
Impact of interruptions, distractions, and cognitive load on procedure failures … Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration … interruptions and distractions are frequent during nursing medication administration, which increased cognitive … Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration
-
psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society
September 27, 2017 - Commentary
The development and implementation of cognitive aids for critical events … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The … Checklists have been highlighted as a cognitive aid to avoid omissions in both routine care and critical … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The
-
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 17, 2019
Mind the overlap: how system problems contribute to cognitive failure
-
psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities
July 28, 2021 - Study
Medication use and cognitive impairment among residents of aged care facilities … Medication use and cognitive impairment among residents of aged care facilities. … Medication use and cognitive impairment among residents of aged care facilities. … October 14, 2020
Outcomes of medication misadventure among people with cognitive impairment … February 16, 2022
Countering cognitive biases in minimising low value care.
-
psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
September 25, 2013 - Study
Cognitive error as the most frequent contributory factor in cases of medical … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's … This closed claims analysis found that cognitive factors, including errors in judgment and failure … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's … Providers
Health Care Executives and Administrators
Epidemiology of Errors and Adverse Events
Cognitive
-
psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
September 18, 2019 - 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 … Download Citation
Related Resources From the Same Author(s)
Adapting cognitive
-
psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-cognitive-bias-and-medical-error-obstetrics
February 01, 2023 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: cognitive … 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 … February 15, 2023
Diagnosing fast and slow: cognitive bias in obstetrics. … October 4, 2023
Diagnosing fast and slow: cognitive bias in obstetrics.
-
psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
November 16, 2022 - Study
Peer training using cognitive rehearsal to promote a culture of safety in health … Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. … Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. … November 29, 2023
A perfect storm averted: flawed systems, a dropped ball, and cognitive
-
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 … January 11, 2017
Dual-process cognitive interventions to enhance diagnostic reasoning … June 27, 2012
Cognitive errors and logistical breakdowns contributing to missed and delayed
-
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
-
psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
March 01, 2023 - This narrative review identifies common causes of diagnostic error (e.g., cognitive bias) and suggests … Cognitive de-biasing strategies and increasing time spent with the patient are recommended as strategies … March 1, 2023
Cognitive aids in the management of clinical emergencies: a systematic … December 9, 2020
Investigating the impact of cognitive bias in nursing documentation … November 10, 2021
Error and cognitive bias in diagnostic radiology.
-
psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
July 07, 2021 - Study
Work-related factors, cognitive skills, unsafe behavior and safety incident … Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency … Reducing stress and fatigue and improving cognitive skills, including situation awareness, can improve … Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency … March 15, 2023
How to mitigate the effects of cognitive biases during patient safety
-
psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
May 08, 2019 - Study
How common are cognitive errors in cases presented at emergency medicine resident … How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality … mortality (M&M) conferences found that more than half involved a diagnostic error , most of which were a cognitive … When present, cognitive errors were more frequently ascribed to faulty data synthesis rather than a knowledge … How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality
-
psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
August 26, 2015 - Special or Theme Issue
Situativity: A Family of Social Cognitive Theories for Clinical
-
psnet.ahrq.gov/issue/decision-making-and-safety-anesthesiology
December 02, 2020 - December 14, 2005
Simulation-based assessment identifies longitudinal changes in cognitive … December 7, 2022
Cognitive and implicit biases in nurses' judgment and decision-making … March 17, 2021
Investigating the impact of cognitive bias in nursing documentation on … August 24, 2022
Cognitive errors detected in anaesthesiology: a literature review and … March 8, 2023
Cognitive biases in surgery: systematic review.
-
psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
May 09, 2012 - November 11, 2020
Cognitive bias impact on management of postoperative complications, … June 12, 2019
Systematic error and cognitive bias in obstetric ultrasound. … March 27, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … February 13, 2019
System-related and cognitive errors in laboratory medicine. … December 5, 2018
Cognitive bias in clinical medicine.
-
psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - This commentary analyzes how cognitive errors occur and shares strategies to minimize their incidence … April 1, 2015
Countering cognitive biases in minimising low value care. … October 16, 2019
The development and implementation of cognitive aids for critical events … February 8, 2023
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid … September 2, 2020
The role of cognitive bias in breast radiology diagnostic and judgment
-
psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification
July 29, 2020 - Study
Description of the role of pharmacist independent double checks during cognitive … Description of the role of pharmacist independent double checks during cognitive order verification of … Description of the role of pharmacist independent double checks during cognitive order verification of … November 17, 2021
A perfect storm averted: flawed systems, a dropped ball, and cognitive … April 21, 2021
How to mitigate the effects of cognitive biases during patient safety
-
psnet.ahrq.gov/issue/bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical-case-workups
February 18, 2015 - A vignette study to assess recognition of cognitive biases in clinical case workups. … A vignette study to assess recognition of cognitive biases in clinical case workups. … A vignette study to assess recognition of cognitive biases in clinical case workups. … February 18, 2015
The causes of errors in clinical reasoning: cognitive biases, knowledge … September 23, 2020
Improving handoff by deliberate cognitive processing: results from