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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - During handoffs , nurses are exposed to a variety of interruptions and distractions which may lead to cognitive … language processing, researchers analyzed ten audio-recorded change of shift handoffs to estimate the cognitive … Nurses’ use of concise language has the potential to decrease cognitive overload and improve patient … September 24, 2016
Interruptions and geographic challenges to nurses' cognitive workload
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psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving
March 03, 2021 - April 5, 2023
Development and usability testing of the Agency for Healthcare Research … December 16, 2020
Education initiatives in cognitive debiasing to improve diagnostic
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - several prevention strategies to mitigate diagnostic error that address systems causes and individual cognitive … have not been fully elucidated, research in the field suggests that both the individual clinician’s cognitive … processes and system-related factors are responsible for most errors. 18 The most common cognitive … Most notably, many diagnostic errors studied were the result of both system and cognitive problems occurring … All in all, both system and cognitive causes of diagnostic error led to the tragic outcome presented.
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - Perhaps more importantly, physicians who find diagnostic errors interesting tend to focus on the cognitive … House) or studying cognitive biases that can lead one astray. … The two reviewers identified cognitive factors as the cause of most diagnostic errors. … This restoration of performance represents a simple example of cognitive debiasing . … Addressing the Problem
As intellectually appealing as cognitive debiasing may be, addressing systems
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psnet.ahrq.gov/primer/simulation-training
September 15, 2024 - successfully applied as formative experiences to develop foundational clinical skills as well as more advanced cognitive … Usability testing, which refers to testing new equipment and technology under real-world conditions, … and clinical systems testing can be thought of as a form of simulation designed to identify latent … successful simulation education are those of successful curricula in general: individualized feedback, cognitive
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psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
August 20, 2018 - patients experienced a major diagnostic error.( 11,12 ) Diagnostic errors are commonly attributable to cognitive … withhold antibiotics for this patient with an atypical presentation of pneumonia, an example of the cognitive … Example Cognitive Biases. … Cognitive Bias Definition Potential Examples Availability bias Diagnosis of current patient biased by … Measuring the rate of manual transcription error in outpatient point-of-care testing
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - This case highlights how breaches in professionalism are often associated with cognitive or emotional … However, his dressing down of the RN suggests emotional impairment leading to cognitive dysfunction. … Most of us have experienced brief cognitive impairment when sleep is suddenly interrupted. … The RN mitigated the attending physician's cognitive error. … telephone operators, and other team members; for example, the National Board of Medical Examiners is testing
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Discussing treatment plans before taking action permitted control for potential cognitive bias or any … a second clinician to improve clinical decisions: Pat Croskerry’s dual process model of reasoning, cognitive … fast-thinking) and analytical (slow-thinking) processes to make better decisions. 1 Many experts believe that cognitive … these biases. 1 The red team/blue team method comes from the fields of military and cybersecurity testing
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
March 02, 2011 - failure to order diagnostic tests or interpret them correctly; factors contributing to error included cognitive … February 17, 2011
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin … You had a high-stakes exam at the end of medical school and it didn't matter how well you did on the cognitive … If you view medicine as largely a cognitive exercise of getting certain numbers, figures, and facts and … RW : The demise of the physical exam—the embrace of more testing to get at some of the same information … Not to mention all of the vested monetary interests that drive all the kinds of testing we do.
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psnet.ahrq.gov/issue/diagnostic-error-medicine
October 22, 2013 - June 29, 2016
Situativity: A Family of Social Cognitive Theories for Clinical Reasoning … Diagnostic Safety and Quality
April 26, 2023
Effect on diagnostic accuracy of cognitive … See More About The Topic
Educators
Diagnostic Errors
Missed or Critical Lab Results
Cognitive
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - Sleep deprivation has long been known to impair various cognitive functions, including mood, motivation … Given the importance of sleep and its known effect on cognitive performance, the link between sleep and … These cognitive activities place significant loads on prefrontal cortex functions, such as memory and … In contrast to dynamic, naturalistic decision-making, certain types of cognitive performance are less … Thus in the context of acute sleep deprivation, individuals may be better able to compensate for cognitive
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - effect. 2 Distinguishing between the contributions to diagnostic errors of systems problems versus cognitive … Cognitive errors were made by the intern and the sonographer, who both lacked sufficient knowledge and … Several types of cognitive biases are known to influence clinical decision-making, especially in the … Take-Home Points
Patient-related factors, cognitive errors, and systems factors are common categories … in early labor
Communication among members of work teams is critical for avoiding perpetuation of cognitive
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - evaluation comprised of history, review of systems, physical examination (including neurological and cognitive … Second, routine laboratory testing, including urine toxicology, is not indicated in a patient presenting … Policies of routine testing for such patients—sometimes required by psychiatric units as a condition … and increased health care costs without improved medical outcomes.( 16 ) Third, targeted laboratory testing … March 25, 2017
Advancing the next generation of handover research and practice with cognitive
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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - January 12, 2022
Detection rates of mild cognitive impairment in primary care for the … November 28, 2018
Cognitive tests predict real-world errors: the relationship between
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psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
July 12, 2023 - This commentary advocates for studying behavioral, cognitive, linguistic , environmental , and technological … October 19, 2022
How to mitigate the effects of cognitive biases during patient safety
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psnet.ahrq.gov/issue/lost-art-history-and-physical
May 08, 2013 - May 29, 2019
A cognitive forcing tool to mitigate cognitive bias—a randomised control … See More About The Topic
Physicians
Educators
Medicine
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Sleep deprivation has long been known to impair various cognitive functions, including mood,
motivation … Most healthy adults1
need between 7.5–8.5 hours of sleep per night and will experience deficits in cognitive … Given the importance of sleep and its known effect on cognitive performance, the link between sleep and … These cognitive activities place significant
loads on prefrontal cortex functions, such as memory and … In contrast to dynamic, naturalistic decision-making, certain types of cognitive performance are less
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - List some of the cognitive biases that contribute to anchoring. … Describe steps to improve cognitive awareness of diagnostic errors. … overarching cognitive components are: (i) the tendency to seek only as much information as necessary … Multiple cognitive biases contribute to anchoring. … Cognitive awareness Many have proposed that awareness of cognitive biases and their contribution
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psnet.ahrq.gov/issue/biggest-mistake-doctors-make
October 09, 2013 - Diagnostic Safety and Quality
April 26, 2023
Effect on diagnostic accuracy of cognitive … July 3, 2016
Cognitive interventions to reduce diagnostic error: a narrative review.