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psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care
July 28, 2021 - authors identify several factors that can contribute to patient overtreatment (fear of uncertainty, cognitive … May 19, 2021
Clinical reasoning in dire times- analysis of cognitive biases in clinical … April 27, 2022
Effect of cognitive aids on adherence to best practice in the treatment … February 17, 2021
Countering cognitive biases in minimising low value care. … August 17, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias
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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
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Study
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.
Citation Text:
Wooldridge AR, Carayon P, Hoonakker P, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handof…
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psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
September 25, 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/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness … Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like … The researchers presented 32 scenarios involving medical error to participants and compared the cognitive … Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like … October 25, 2023
Unintended consequences of the electronic health record and cognitive
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psnet.ahrq.gov/issue/cognitive-errors-and-logistical-breakdowns-contributing-missed-and-delayed-diagnoses-breast
October 11, 2006 - Study
Cognitive errors and logistical breakdowns contributing to missed and delayed … Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and … study analyzed 56 missed or delayed cancer diagnoses and found that virtually all cases involved cognitive … Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and
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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
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psnet.ahrq.gov/issue/without-question
July 15, 2020 - This commentary encourages clinicians to be aware of their cognitive biases during the diagnosis process … September 30, 2015
From mindless to mindful practice—cognitive bias and clinical decision … September 22, 2021
Countering cognitive biases in minimising low value care. … July 15, 2020
Medical overuse as a physician cognitive error: looking under the hood. … February 22, 2023
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to
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psnet.ahrq.gov/issue/teaching-clinical-reasoning
September 13, 2017 - Diagnostic errors are often attributed to clinicians' cognitive biases . … September 19, 2018
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning … January 11, 2023
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid … September 28, 2022
Effect on diagnostic accuracy of cognitive reasoning tools for the … September 2, 2020
The role of cognitive bias in breast radiology diagnostic and judgment
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psnet.ahrq.gov/primer/diagnostic-errors
September 07, 2019 - This work has been informed by the field of cognitive psychology , which studies how individuals process … While heuristics are ubiquitous and useful, researchers have used categories developed in cognitive psychology … types of errors that clinicians commonly make due to incorrect applications of heuristics:
Cognitive … While cognitive biases on the part of individual clinicians play a role in many diagnostic errors, underlying … Recent systematic reviews have assessed the evidence base of interventions to prevent cognitive errors
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 07, 2019 - Sleep deprivation has long been known to impair various cognitive functions, including mood, motivation … Most healthy adults 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/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
June 01, 2015 - biases that contribute to anchoring
Describe steps to improve cognitive awareness of diagnostic errors … 75% of diagnostic errors have a cognitive component
Two overarching cognitive components are:
The tendency … Arch Intern Med. 2009;169:1881-1887. http://www.ncbi.nlm.nih.gov/pubmed/19901140
9
Cognitive Errors … name=availabilitybias
11
Cognitive Biases & Anchoring
Multiple cognitive biases contribute to anchoring … ClinicalReasoning
18
Cognitive Awareness (2)
Cognitive awareness may also be improved through teamwork
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psnet.ahrq.gov/issue/clinical-reasoning-toolkit
October 12, 2018 - This toolkit includes resources to help clinicians and educators improve their understanding of cognitive … June 8, 2022
Education initiatives in cognitive debiasing to improve diagnostic accuracy … February 22, 2023
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to … October 19, 2022
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … April 21, 2021
The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making
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psnet.ahrq.gov/issue/human-factors-and-medication-errors
October 07, 2020 - Quality and Safety Professionals
Risk Managers
Health Care Professionals
Error Types
Cognitive … This webinar will present design approaches to minimizing how bias and cognitive distractions reduce
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psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
October 07, 2009 - Commentary
Reducing the disruptive effects of interruption: a cognitive framework … Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits … Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits … January 8, 2020
Cognitive engineering to improve patient safety and outcomes in cardiothoracic
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psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
January 11, 2023 - into the diagnostic process and approaches to nurturing insight through existing strategies (e.g., cognitive … February 23, 2022
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to … February 8, 2023
Cognitive biases encountered by physicians in the emergency room. … September 14, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias … July 20, 2022
Diagnostic challenges in primary care: identifying and avoiding cognitive
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - A case describing how cognitive biases and anti-
coagulation use in high-risk scenarios contributed to … • Checklists are cognitive aids with demonstrated efficacy as tools to
prevent medical error
• … The importance of cognitive errors in diagnosis and strategies to minimize them. … The use of cognitive aids during emergencies in anesthesia: a review of the literature. … Cognitive forcing strategies in clinical decisionmaking.
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psnet.ahrq.gov/issue/large-scale-coordination-health-care
June 25, 2008 - This special issue features articles about human cognitive performance in different health care settings … September 23, 2009
Cognitive Factors in Health Care. … September 19, 2018
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning … December 21, 2011
Cognitive Factors in Health Care.
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psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
September 05, 2012 - 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 … September 28, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - In summary, multiple common cognitive errors may have contributed to the patient’s outcome. … The importance of cognitive errors in diagnosis and strategies to minimize them. … The use of cognitive aids during emergencies in anesthesia: a review of the literature. … Cognitive forcing strategies in clinical decisionmaking. … March 13, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control