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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - The CAQ is a two-part instrument that uses two measures (cognitive complexity and message design logic … Part I: Role Impression Tasks
The cognitive complexity assessment is the first task, and it requires … The result is a cognitive complexity score for each participant. 7 , 8
To assess a cognitive complexity … number of unique adjectives used, summed across the liked and the disliked impressions, will yield the cognitive … overall Approach to Scoring the Group Project and Harm Disclosure Situations is very similar to scoring Cognitive
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Cognitive Bias Cognitive bias can contribute to errors in judgment or thinking leading to an incorrect … If the extrinsic environment creates high cognitive load, then expertise may not lower the cognitive … Cognitive load and its implications for health care. NEJM Catalyst . … Clinician cognitive overload and its implications for nurse leaders. … Cognitive and implicit biases in nurses’ judgment and decision-making: a scoping review.
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digital.ahrq.gov/ahrq-funded-projects/finding-safer-way-novel-interaction-design-approaches-health-it-safety
January 01, 2023 - Giving clinicians the ability to customize the patient electronic health record display reduces cognitive … This current practice is burdensome for users in terms of time and cognitive effort, and is impractical … The study methodology included think-aloud protocols, cognitive walkthroughs, simulation studies in a … Clinical Decision Support Efforts that Assist Clinical Cognitive Processes AHRQ hosted a Web conference … Customizing displays of information to reduce cognitive burden
The research team studied clinicians
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psnet.ahrq.gov/node/45855/psn-pdf
March 15, 2017 - The development and implementation of cognitive aids
for critical events in pediatric anesthesia: the … The Development and Implementation of Cognitive Aids for
Critical Events in Pediatric Anesthesia: The … https://psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric- … anesthesia-society
Checklists have been highlighted as a cognitive aid to avoid omissions in both … https://psnet.ahrq.gov/primer/checklists
https://psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
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psnet.ahrq.gov/node/42603/psn-pdf
March 04, 2015 - Cognitive and system factors contributing to diagnostic
errors in radiology. … Cognitive and system factors contributing to diagnostic errors in
radiology. … https://psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
This … review examines diagnostic errors and cognitive biases in radiology practice and includes strategies … https://psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
https
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psnet.ahrq.gov/node/39180/psn-pdf
December 16, 2009 - Description of inpatient medication management using
cognitive work analysis. … Description of inpatient medication management using
cognitive work analysis. … https://psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis … This study used cognitive engineering techniques to analyze the process of medication prescribing, … https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
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psnet.ahrq.gov/node/42228/psn-pdf
October 08, 2013 - Cognitive diagnostic error in internal medicine.
October 8, 2013
Van den Berge K, Mamede S. … Cognitive diagnostic error in internal medicine. … https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
This review discusses how … diagnostic error and
highlights the need for more research into medical decision-making to prevent cognitive … https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/41321/psn-pdf
April 25, 2012 - Cognitive balanced model: a conceptual scheme of
diagnostic decision making. … Cognitive balanced model: a conceptual scheme of diagnostic decision making. … errors are often attributed to clinicians' cognitive biases. … This study develops a balanced model
of the diagnostic process, one that incorporates both cognitive … https://psnet.ahrq.gov/issue/cognitive-balanced-model-conceptual-scheme-diagnostic-decision-making
https
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psnet.ahrq.gov/node/73423/psn-pdf
June 23, 2021 - Medication use and cognitive impairment among
residents of aged care facilities. … Medication use and cognitive impairment among
residents of aged care facilities. … https://psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities … https://psnet.ahrq.gov/issue/medication-use-and-cognitive-impairment-among-residents-aged-care-facilities
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Contributing Factors
There are likely three processes that contributed to this “near miss”: cognitive … Cognitive factors may have been particularly important in this case. … Graber listed four categories of
cognitive errors5 including: faulty knowledge, faulty data gathering … Cognitive biases are commonly identified in patients who experience post-operative complications. … Knowledge deficits and cognitive biases are both associated with diagnostic errors.
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psnet.ahrq.gov/node/40293/psn-pdf
April 17, 2011 - Cognitive performance-altering effects of electronic
medical records: an application of the human factors … Cognitive performance-altering effects of electronic medical records: An application of the
human factors … https://psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application … -
human-factors
This study describes the impact of electronic health records on cognitive performance … https://psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors
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psnet.ahrq.gov/node/36862/psn-pdf
August 30, 2011 - Cognitive processes involved in blame and blame-like
judgments and in forgiveness and forgiveness-like … Cognitive processes involved in blame and blame-like judgments and in
forgiveness and forgiveness-like … https://psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness- … https://psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness … https://psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
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www.ahrq.gov/cahps/surveys-guidance/item-sets/PCMH/Development-PCMH-Survey.html
November 01, 2020 - Cognitive testing (English and Spanish). … In August 2010, the CAHPS team conducted cognitive testing of draft questionnaires that incorporated … A second round of cognitive testing was completed in the spring of 2011. … The team revised the draft questionnaires based on the findings from the cognitive interviews.
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psnet.ahrq.gov/node/41647/psn-pdf
July 02, 2014 - Seen through their eyes: residents' reflections on the
cognitive and contextual components of diagnostic … Seen through their eyes: residents' reflections on the cognitive and
contextual components of diagnostic … https://psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual- … 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
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digital.ahrq.gov/technology/bar-coding
January 01, 2023 - Bar Coding
Improving Patient Safety and Clinician Cognitive Support … Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. … Hettinger, Aaron Zachary
Project Name
Improving Patient Safety and Clinician Cognitive Support … Project Name
Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign … Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign
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psnet.ahrq.gov/node/47311/psn-pdf
October 10, 2018 - Cognitive error in an academic emergency department. … Cognitive error in an academic emergency department. … https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
In 2015, the National Academy … after discharge home from the emergency department, researchers
found that 19% of cases involved a cognitive … https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/45209/psn-pdf
June 29, 2016 - Raising awareness of cognitive biases during diagnostic
reasoning. … Raising awareness of cognitive biases during diagnostic
reasoning. … https://psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
This educational … feature was present, and this experience of missed diagnosis made them
more accepting of the concept of cognitive … https://psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - This commentary discusses the role of physician mindfulness in recognizing cognitive biases that contribute … December 5, 2018
Mind the overlap: how system problems contribute to cognitive failure … October 24, 2018
Cognitive error in an academic emergency department. … Physicians
Quality and Safety Professionals
Organizational Behaviorists
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/issue/immunising-physicians-against-availability-bias-diagnostic-reasoning-randomised-controlled
April 28, 2021 - There is uncertainty about the effectiveness of cognitive debiasing in reducing bias that can contribute … Related Resources From the Same Author(s)
Improving handoff by deliberate cognitive … August 18, 2021
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … October 19, 2022
Society for Maternal-Fetal Medicine Special Statement: cognitive bias
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www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - Cognitive analyses and case-based reasoning were also applied. … Cognitive
studies revealed complex causation for errors and flawed decision-making processes. … A
cognitive team used direct observation and review of documents to collect data and cognitive analysis … Cognitive studies
We (led by Vimla Patel) addressed the cognitive issues surrounding the reporting … To appear in the Proceedings of Cognitive Science Society, August, 2002.
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