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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - testing Verifying the diagnosis by making sure that competing hypotheses can be reasonably excluded. 1 Cognitive … Beyond the cognitive biases outlined above, systems-level factors may also have played a role.
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - stars long before it found its place in health care [ 10 ]) and the application of heuristics and other cognitive … The cognitive psychology of missed diagnoses.
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - healthcare system
System-related errors, which include technological or organizational barriers
Cognitive … Because of the cognitive error made in this case, the PCP involved would benefit from feedback and further
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digital.ahrq.gov/sites/default/files/docs/patient-clinician-communication-slides-121812.pdf
January 01, 2020 - 1 month of starting infusion chemotherapy
– < 2 weeks of starting radiation therapy
– sensory & cognitive … Modalities
Effective Counseling
3 Minutes or Less
Implementation Intention (Dress
Rehearsal)
– Cognitive
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/Appendix-E-Evidence-Tables-E1-E4_0.xlsx
October 08, 2025 - N Analyzed for Psychosis (Denominator) Intervention B, % With Psychosis Assessment Time (Days) for Cognitive … Deficits Intervention A, N of Cognitive Deficits
(Numerator) Intervention A, N Analyzed for Cognitive … Deficits
(Denominator) Intervention A, % With Cognitive Deficits Intervention B, N of Cognitive Deficits … (Numerator) Intervention B, N Analyzed for Cognitive Deficits
(Denominator) Intervention B, % With … Cognitive Deficits Other Adverse Events Outcomes of Importance Reported Notes
Blake, 2006 None Moderate
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - There has been a lot of work in human factors and cognitive science to understand and explore issues … They have formed a cognitive model of what’s happening there based on their experience and knowledge, … And it keeps a balance between alarming too much and avoiding the cognitive issues that George was just
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - Often it's difficult to separate systems and cognitive factors that lead to errors; the
latter tend
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - medication to a patient), breaking it down to its component tasks, and
then assessing the physical and cognitive
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integrationacademy.ahrq.gov/sites/default/files/2025-04/AHRQ_Integration_Academy_Overview-508.pdf
January 01, 2025 - Delivery of brief cognitive behavioral
therapy for medically ill patients in primary care: a pragmatic
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/co-occurring-behavioral-health-conditions
January 01, 2012 - Treatment of co-occurring disorders often incorporates cognitive behavioral therapy (CBT), which helps
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www.ahrq.gov/research/findings/final-reports/ptmgmt/references.html
September 01, 2018 - Promotion from the perspective of social cognitive theory. Psych Health 1998;13:623-49.
30.
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Medical Adult Day Care is an ambulatory setting for adults with chronic physical conditions or cognitive
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-6.html
September 01, 2021 - ‘More than words’ - interpersonal communication, cognitive bias and diagnostic errors.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave-references.html
July 01, 2025 - Diagnostic Failure: A Cognitive and Affective Approach.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - to patient harm
Barriers to effective management of laboratory test results are time pressures and cognitive
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
March 01, 2011 - medical history including congenital heart disease, poor feeding requiring a gastric tube, and delayed cognitive
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan15/depression-in-children-and-adolescents-screening
September 15, 2013 - fluvoxamine, sertraline, citalopram, and escitalopram
Psychotherapy interventions:
Cognitive-behavioral
-
psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - medication nonadherence into patient-related
factors (i.e. disease-state knowledge, health literacy, cognitive
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-behavior-programs_clinician-2016.pdf
January 01, 2016 - (including goal setting, problem-solving,
motivational interviewing, coping skills training, and
cognitive
-
psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - commercial CPOE system found that the system required clinicians to
perform many new tasks, increasing cognitive