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psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
October 05, 2022 - Book/Report
Improving Education—A Key to Better Diagnostic Outcomes.
Citation Text:
Improving Education—A Key to Better Diagnostic Outcomes. Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF
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psnet.ahrq.gov/issue/negligence-and-ais-human-users
November 16, 2022 - Commentary
Negligence and AI's human users.
Citation Text:
Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
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psnet.ahrq.gov/issue/lessons-work-life-wellness-academic-medicine-parts-1-3
May 18, 2017 - Special or Theme Issue
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.
Citation Text:
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. Kans J Med. 2023;16:153-171.
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psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
April 06, 2022 - Newspaper/Magazine Article
Bias in mental health diagnosis gets in the way of treatment.
Citation Text:
Bias in mental health diagnosis gets in the way of treatment. Garb HN. Psyche. March 22, 2022.
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psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
August 08, 2007 - Book/Report
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.
Citation Text:
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - Understanding SOPS Surveys: A Primer for New Users (Webcast) - Gray (Overview)
Overview of the SOPS Surveys
Laura Gray, MPH
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
12
What is Patient Safety Culture?
13
AHRQ Surveys on Patient Safety Culture
• Surveys …
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psnet.ahrq.gov/issue/focusing-health-care-safety
January 16, 2008 - Special or Theme Issue
Focusing on Health Care Safety.
Citation Text:
Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778.
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psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study
March 28, 2012 - Newspaper/Magazine Article
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.
Citation Text:
The cost of errors: Medicare's new policy could cost the average hospital $23,772: study. Wilson L.
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psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
August 01, 2012 - Toolkit
Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events.
Citation Text:
Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022. AHRQ Publication …
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psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
September 11, 2019 - Newspaper/Magazine Article
National patient safety goal to improve health care equity.
Citation Text:
National patient safety goal to improve health care equity. R3 Report. December 20, 2022;38:1-8.
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psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
August 31, 2016 - Study
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.
Citation Text:
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…
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psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
August 17, 2022 - Book/Report
Improving Patient Safety in Long-Term Care Facilities: Training Modules.
Citation Text:
Improving Patient Safety in Long-Term Care Facilities: Training Modules. Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication N…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0094_04-09-2009.pdf
January 01, 2009 - treatment, including reduction in autism spectrum disorder (ASD) core
symptoms; improved language, cognitive … Psychologist) versus
parents for reducing autism symptoms and improving language, cognitive, and
social … What is the comparative effectiveness of cognitive behavioral treatment
versus cognitive behavioral … Programs for promoting social, language, and cognitive skills for school age
children
c.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/phenylketonuria_executive.pdf
February 01, 2012 - Outcomes
Our outcomes of interest for Key Question 1 included
Phe levels and cognitive impairment, … What is the evidence that any specific
Phe levels are optimal for minimizing or avoiding
cognitive … outcomes
was not linear, that a threshold of 360 µmol/L is the
level at which cognitive impairment … period, and thus concurrent measurements are poor
predictors of a cognitive effect. … Effects of dietary
management of phenylketonuria on long-term cognitive outcome.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/B_Ae7DdLL7DNauBLXC-ptu
June 01, 2003 - Screening for cognitive
impairment and dementia in the elderly. … Effects of adjustment on the case-finding
potential of cognitive tests. … Clock-drawing: is it the ideal cognitive
screening test? … Characteristics
of two telephone screens for cognitive impairment. … Mild cognitive
impairment represents early-stage Alzheimer disease.
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - level of arousal and prior performance to the cognitive exercise. … Delirium as a predictor of long-term cognitive
impairment in survivors of critical illness. … A combined early cognitive and physical rehabilitation
program for people who are critically ill: the … activity and cognitive therapy in the intensive care unit (ACT-
ICU) trial. … Association between acute care and critical illness
hospitalization and cognitive function in older
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
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/web-mm/misleading-complaint
December 01, 2009 - The cognitive demands of triage are substantial. … It must be acknowledged, however, that a counterforcing function is designed to override a 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.
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psnet.ahrq.gov/node/44040/psn-pdf
August 02, 2015 - why-physicians-err-diagnosis
https://psnet.ahrq.gov/primer/diagnostic-errors
https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review … https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
https:
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psnet.ahrq.gov/node/49435/psn-pdf
February 01, 2004 - 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 … 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.