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psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Cognitive failures were identified in about half the events. … These results
demonstrate the need to develop individual cognitive training interventions as well as … primer/never-events
https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/cognitive-debiasing-part … https://psnet.ahrq.gov/primer/communication-between-clinicians
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - Objective: The proposed project aims to (1) examine individual and team cognitive work associated with … work of individual providers, but also the teamwork or
distributed cognitive work8-10 of providers … To examine individual and team cognitive work associated with obtaining a blood culture;
2. … Journal of Cognitive Engineering and Decision Making.
Xie, A, Koontz, D. … Using cognitive artifacts to understand
distributed cognition.
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psnet.ahrq.gov/issue/no-simple-fix-fixation-errors-cognitive-processes-and-their-clinical-applications
February 10, 2012 - Study
No simple fix for fixation errors: cognitive processes and their clinical applications … No simple fix for fixation errors: cognitive processes and their clinical applications. … No simple fix for fixation errors: cognitive processes and their clinical applications.
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Solutions
There are two promising approaches to reducing the risk of cognitive error. … to quote Croskerry, use
"cognitive pills for cognitive ills."
Focus on the final common pathway. … The importance of cognitive errors in diagnosis and strategies to minimize them. … The cognitive psychology of missed diagnoses. Ann Intern
Med. 2005;142:115-120. … What types of
cognitive processes
are used to make the
decision?
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psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
June 17, 2020 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive … March 20, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … November 7, 2018
Cognitive bias in clinical practice—nurturing healthy skepticism among
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psnet.ahrq.gov/issue/professional-development-course-improves-unprofessional-physician-behavior
August 12, 2020 - July 2, 2014
Teaching about how doctors think: a longitudinal curriculum in cognitive … October 1, 2013
Cognitive debiasing; part 1 and part 2. … September 18, 2013
From mindless to mindful practice—cognitive bias and clinical decision … See More About The Topic
Hospitals
Ambulatory Care
Educators
Medicine
Cognitive
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psnet.ahrq.gov/issue/clinical-reasoning-curriculum-medical-students-interim-analysis
March 02, 2022 - 6, 2022
View More
Related Resources
Education initiatives in cognitive … February 27, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … View More
See More About The Topic
Educators
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/42291/psn-pdf
September 12, 2016 - commentary reviews the death of a patient to identify factors that contributed to the incident, including
cognitive … /issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
https://psnet.ahrq.gov/issue/cognitive-factors-health-care
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psnet.ahrq.gov/node/44558/psn-pdf
April 25, 2016 - Cognitive errors and system factors (e.g., inefficient processes and high workload) were prevalent. … These results demonstrate the need to address diagnostic safety with both cognitive training interventions … reporting-patient-safety-events
https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences … https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
https
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - Recognize common cognitive biases that may contribute to diagnostic errors in missing sepsis. … psnet.ahrq.gov//#31
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov//#32
https://psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial … From mindless to mindful practice--cognitive bias and clinical decision making. … Believing in overcoming cognitive biases. AMA J Ethics. 2020;22(9):e773-
e778. … The impact of cognitive and implicit bias on patient safety and quality.
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psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review … https://psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
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psnet.ahrq.gov/node/50931/psn-pdf
February 26, 2020 - Misdiagnosis and Cognitive Error
A recent study of malpractice claims suggests that infections, and … We can only speculate on the variety of cognitive shortcuts that
may have contributed in this case: … Errors
Although the cognitive biases that lead to misdiagnosis take many forms, many experts agree … in which their thinking fails (meta-
cognition) may offer one of the best strategies for reducing cognitive … From mindless to mindful practice--cognitive bias and clinical decision making.
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digital.ahrq.gov/ahrq-funded-projects/improving-identification-and-coordination-mobility-interventions-icu-using
April 01, 2024 - record (EHR), which, when combined with the dynamic nature of critical illness, creates significant cognitive … Determine the usability, cognitive workload, acceptability, and effectiveness of ASSIST-ICU for activity … Determine the effectiveness, usability, cognitive workload, acceptability, and post-implementation feasibility … processing is eliminated, thus streamlining the identification of suitable patients and reducing the cognitive
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digital.ahrq.gov/national-webinars/reducing-provider-burden-through-better-health-it-design
January 01, 2023 - design can impact provider burden in several dimensions: workflow, physician-patient communication, cognitive … providing a comprehensive assessment of usability, clinical workflow, physician-patient communication, cognitive … Identify the cognitive and team work involved in venous thromboembolism (VTE) prophylaxis and the sociotechnical
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psnet.ahrq.gov/node/49787/psn-pdf
March 01, 2017 - It is
grounded in subconsciously applied heuristics (rules of thumb), a type of cognitive bias that … They frequently result
from cognitive biases that are well described in the medical literature. … The importance of cognitive errors in diagnosis and strategies to minimize them. … Educational approaches to common cognitive errors. In: Trowbridge RL, Rencic JJ, Durning
SJ, eds. … Dual-process cognitive interventions to enhance
diagnostic reasoning: a systematic review.
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-242-radiation-therapy-brain-metastases-evidence-summary.pdf
June 01, 2021 - is insufficient evidence for important outcomes including quality of life,
functional status, and cognitive … hippocampal sparing WBRT on overall survival, disease-free survival, or quality
of life, but time to cognitive … • There is insufficient evidence for important clinical outcomes including cognitive
effects and … Throughout,
data for quality of life, functional status, and cognitive function were often too limited … including disease-free
survival, intracranial progression, quality of life, functional status and cognitive
-
digital.ahrq.gov/technology/clinical-informatics
January 01, 2023 - Principal Investigator
Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for … Grant Number
R13 HS028541
Principal Investigator(s)
Agarwal, Ritu
Cognitive … Cognitive Engineering for Complex Decisionmaking & Problem Solving in Acute Care - Final Report. … Principal Investigator
Hettinger, Aaron Zachary
Project Name
Cognitive Engineering for
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive … February 27, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … More
See More About The Topic
Educators
Medicine
Clinical Misdiagnosis
Cognitive
-
psnet.ahrq.gov/issue/diagnostic-errors-and-reflective-practice-medicine
March 12, 2014 - May 22, 2024
Improving handoff by deliberate cognitive processing: results from a randomized … Improving Diagnostic Safety and Quality
April 26, 2023
Cognitive … April 26, 2023
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … April 17, 2019
Dual-process cognitive interventions to enhance diagnostic reasoning: … Singh, MD, MPH
December 1, 2013
The evolution of error: error management, cognitive
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psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
August 28, 2019 - July 20, 2022
Cognitive debiasing; part 1 and part 2. … September 18, 2013
The importance of cognitive errors in diagnosis and strategies to … August 5, 2009
From mindless to mindful practice—cognitive bias and clinical decision