-
psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
June 21, 2016 - Cognitive errors in diagnosis: instantiation, classification, and consequences. … as well as context for development of cognitive biases. … The authors conclude that cognitive errors lead to serious morbidity. … Cognitive errors in diagnosis: instantiation, classification, and consequences. … November 30, 2012
View More
Related Resources
Testing and improving
-
psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - How to Address Cognitive Errors
Although the cognitive biases that lead to misdiagnosis take many … forms, many experts agree that effective diagnosticians are good at “iterative hypothesis testing”: periodic … Gathering accurate information, forming thoughtful differential diagnoses, and iteratively testing hypothetical … Teaching clinical medicine by iterative hypothesis testing. Let's preach what we practice. … From mindless to mindful practice--cognitive bias and clinical decision making.
-
psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society
September 27, 2017 - Commentary
The development and implementation of cognitive aids for critical events … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The … Checklists have been highlighted as a cognitive aid to avoid omissions in both routine care and critical … This commentary describes the development and testing of three critical event checklists in children's … The Development and Implementation of Cognitive Aids for Critical Events in Pediatric Anesthesia: The
-
psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-optimal-care
June 23, 2021 - Sound critical thinking skills can help clinicians avoid cognitive biases and diagnostic errors. … June 22, 2022
Countering cognitive biases in minimising low value care. … April 6, 2022
Cognitive biases in surgery: systematic review. … 2022
Accuracy of practitioner estimates of probability of diagnosis before and after testing … April 1, 2020
Teaching about how doctors think: a longitudinal curriculum in cognitive
-
psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
March 27, 2024 - Study
Cognitive biases and artificial intelligence. … Cognitive biases and artificial intelligence. … Previous studies have raised concerns about cognitive biases in healthcare recommendations provided … Cognitive biases and artificial intelligence. … The cognitive psychology of missed diagnoses.
-
psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - case presented provides a sobering reminder of the limitations of our available tools and our own
cognitive … Reasonable options would have
been either immediate stress testing, expedited outpatient stress testing … Borrowing from cognitive psychology, it appears that the management of this patient is a demonstration … , serial tracings and biomarker testing followed by either immediate or expedited stress testing
should … The importance of cognitive errors in diagnosis and strategies to minimize them.
-
psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
June 21, 2017 - This commentary describes cognitive errors contributing to a patient’s death and provides an overview … of the modes of decision making and cognitive shortcuts . … January 12, 2022
Pilot testing of a model for insurer-driven, large-scale multicenter … Health Care Executives and Administrators
Safety Scientists
Medicine
Nurse Care
Cognitive
-
psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - Biases in the Diagnostic Process Clinician decision-making often relies on cognitive thought processes—called … This process has been described as “cognitive debiasing” or “meta-cognition.” … In current circumstances, this cognitive (anchoring) bias may lead clinicians to miss the diagnosis of … May 11, 2022
Clinical reasoning in dire times- analysis of cognitive biases in clinical cases during … , 2020
Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive
-
psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - Testing Flexor and Extensor Tendons
Source : Courtesy … Cooperation with range of motion testing is a key component of functional testing. … Indirect evidence of injury based on functional testing is sufficient to suggest a tendon injury, and … of cognitive forcing strategies. 16 One example of a cognitive forcing strategy is found in our electronic … Additional training, cognitive forcing, checklists and visual aids, and awareness of cognitive biases
-
psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
June 08, 2022 - Errors were more frequently made during the assessment and testing phases of the diagnostic process. … April 6, 2022
Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … September 14, 2022
Development and usability testing of the Agency for Healthcare Research … providers' reported emotions and implications for patient safety
February 26, 2020
Cognitive
-
psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - If they remained negative, he should have undergone further testing. … Reasonable options would have been either immediate stress testing, expedited outpatient stress testing … Borrowing from cognitive psychology, it appears that the management of this patient is a demonstration … , serial tracings and biomarker testing followed by either immediate or expedited stress testing should … The importance of cognitive errors in diagnosis and strategies to minimize them.
-
psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - SPOTLIGHT CASE
Cognitive Overload in the ICU
Citation Text:
Patel VL, Buchman … Cognitive Overload in the ICU. PSNet [internet]. … Cognitive Overload in the ICU. PSNet [internet]. … Case Objectives Identify the role of cognitive overload—especially interruptions—in compromising … Cognitive Overload in the ICU. PSNet [internet].
-
psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Nevertheless, after laboratory testing and a right upper quadrant ultrasound showed gallbladder sludge … results comport with the history, physical examination, and any abnormal labs, and consider additional testing—including … of 16.8% and 9.5%, respectively, in one surgical series.19
When clinical information and diagnostic testing … Based on certain clinical and testing parameters, the use of lactate levels can be considered in the … The importance of cognitive errors in diagnosis and strategies to minimize them.
-
psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
April 15, 2019 - Mass spectrometry testing revealed discrepancies between medications listed as prescribed in the electronic … The authors suggest that the use of such testing may be helpful in improving both the accuracy of medication … August 10, 2022
Cognitive bias and public health policy during the COVID-19 pandemic. … May 31, 2023
When no news is bad news: improving diagnostic testing communication through
-
psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - Nevertheless, after laboratory testing and a right upper quadrant ultrasound showed gallbladder sludge … results comport with the history, physical examination, and any abnormal labs, and consider additional testing—including … 16.8% and 9.5%, respectively, in one surgical series. 19 When clinical information and diagnostic testing … Based on certain clinical and testing parameters, the use of lactate levels can be considered in the … The importance of cognitive errors in diagnosis and strategies to minimize them.
-
psnet.ahrq.gov/issue/managing-interruptions-improve-diagnostic-decision-making-strategies-and-recommended-research
February 24, 2021 - This article reviews empirically-tested strategies from healthcare and cognitive psychology that can … February 24, 2021
Development and usability testing of the Agency for Healthcare Research … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive
-
psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
February 17, 2021 - This conceptual paper examines how systems approaches and cognitive science can inform the diagnosis … Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing … January 21, 2015
Cognitive errors and logistical breakdowns contributing to missed and
-
psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
May 29, 2015 - identified five domains: provider–patient interaction (e.g., missing important symptoms ); diagnostic testing … RIS
Download Citation
Related Resources From the Same Author(s)
Cognitive … December 3, 2014
Cognitive diagnostic error in internal medicine.
-
psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
October 16, 2012 - Review
Classic
Cognitive interventions to reduce diagnostic … Cognitive interventions to reduce diagnostic error: a narrative review. … Cognitive errors by individual physicians are at the root of most diagnostic errors , combining with … This review identified 141 articles containing 3 approaches to prevent cognitive errors: improving knowledge … Cognitive interventions to reduce diagnostic error: a narrative review.
-
psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. … A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. … cognitive failure to recognize the importance of the exam finding. … variable levels of antithrombin during the post-injury systemic inflammatory response. 16 Adjunctive testing