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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Citation Text:
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
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psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
March 21, 2012 - Review
Reducing medical errors and adverse events.
Citation Text:
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
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psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
April 23, 2014 - Book/Report
Improving the Emergency Department Discharge Process.
Citation Text:
Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…
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psnet.ahrq.gov/issue/intimidation-concept-analysis
May 20, 2020 - Review
Intimidation: a concept analysis.
Citation Text:
Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-6198.2009.00162.x.
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psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
December 16, 2020 - Special or Theme Issue
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.
Citation Text:
Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit. Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(s…
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psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
May 25, 2016 - Commentary
Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety.
Citation Text:
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…
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psnet.ahrq.gov/issue/simulation-based-training-patient-safety-10-principles-matter
January 02, 2017 - Review
Simulation-based training for patient safety: 10 principles that matter.
Citation Text:
Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6.
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psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
March 21, 2017 - Commentary
Building high reliability teams: progress and some reflections on teamwork training.
Citation Text:
Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015.
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psnet.ahrq.gov/issue/towards-model-surgeons-leadership-operating-room
July 01, 2020 - Review
Towards a model of surgeons' leadership in the operating room.
Citation Text:
Parker SH, Yule S, Flin R, et al. Towards a model of surgeons' leadership in the operating room. BMJ Qual Saf. 2011;20(7):570-9. doi:10.1136/bmjqs.2010.040295.
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psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
July 09, 2012 - Book/Report
Silence Kills: The Seven Crucial Conversations for Healthcare.
Citation Text:
Silence Kills: The Seven Crucial Conversations for Healthcare. Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. Provo, UT: VitalSmarts, L.C; 2005.
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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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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/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - August 24, 2022
Adapting cognitive task analysis to investigate clinical decision making … September 18, 2019
Cognitive Informatics: Reengineering Clinical Workflow for Safer and … October 26, 2011
Why patient summaries in electronic health records do not provide the cognitive … October 19, 2011
Cognitive performance-altering effects of electronic medical records
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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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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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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/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.
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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/42620/psn-pdf
April 04, 2018 - in this special issue cover efforts to reduce diagnostic errors, including patient engagement and
cognitive … issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
https://psnet.ahrq.gov/issue/cognitive-debiasing-part