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psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
August 02, 2023 - April 3, 2018
When diagnostic testing leads to harm: a new outcomes-based approach for … November 21, 2018
Cognitive interventions to reduce diagnostic error: a narrative review … July 2, 2019
Testing and improving the acceptability of a web-based platform for collective
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - This work has been informed by the field of cognitive psychology, which studies how individuals process … While heuristics are ubiquitous and useful, researchers
have used categories developed in cognitive … /web-mm/crushing-chest-pain-missed-opportunity
Cognitive Bias Definition Example
Anchoring
heuristic … Recent systematic reviews have assessed the evidence base of interventions to
prevent cognitive errors … https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
https:
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psnet.ahrq.gov/issue/new-index-obstetrics-safety-and-quality-care-integrating-cesarean-delivery-rates-maternal-and
March 16, 2022 - This article describes the development and testing of a new obstetrical quality measure that integrates … February 15, 2023
Society for Maternal-Fetal Medicine Special Statement: cognitive bias … experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing
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psnet.ahrq.gov/node/49823/psn-pdf
March 01, 2018 - The Commentary
by Stephen Bacak, DO, MPH, and Loralei Thornburg, MD
Cognitive errors or biases are … Factors that increase the risk of cognitive error may be personal (e.g., fatigue), patient-
related … Falsely low levels can be seen when testing is conducted too early in
https://psnet.ahrq.gov//#references … Cognitive errors in clinical decision-making are a major contributor to patient safety events. … Quick Safety 28: Cognitive biases in health care.
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - recommendations involved some changes in her anti-epileptic medications, but on hospital day 7, they
recommended testing … In an academic health system, the ordering provider is often a trainee, who may be at
high risk for cognitive … This phrase serves the same notational purpose as “continue to
monitor”; it provides the author cognitive … patient, changing our internal narrative and giving the patient a new diagnosis can be a
significant cognitive … Systems 1 and 2 thinking processes and cognitive reflection testing in
medical students.
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psnet.ahrq.gov/issue/simulation-based-event-analysis-improves-error-discovery-and-generates-improved-strategies
July 07, 2021 - September 1, 2021
User-testing guidelines to improve the safety of intravenous medicines … October 1, 2013
Cognitive errors detected in anaesthesiology: a literature review and … Topic
Hospitals
Quality and Safety Professionals
Educators
Administration Errors
Cognitive
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psnet.ahrq.gov/node/41369/psn-pdf
May 29, 2015 - Cognitive interventions to reduce diagnostic error: a
narrative review. … Cognitive interventions to reduce diagnostic error: a narrative
review. … https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
Cognitive … This
review identified 141 articles containing 3 approaches to prevent cognitive errors: improving knowledge … https://psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
https:/
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - Laboratory testing showed only abnormal transaminases. … This case is demonstrative of cognitive errors
associated with lack of knowledge of the features of, … Many of these errors are best categorized as cognitive and relate to a clinician’s
decision-making, … testing
those with risk factors or symptoms that suggest SEA. … Cognitive errors in diagnosis: Instantiation, classification, and
consequences.
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - 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 … 19-gl-ag-testing-v1.0.0-.pdf
33. … Self Testing.
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psnet.ahrq.gov/issue/effect-cognitive-debiasing-training-among-family-medicine-residents
August 04, 2021 - Study
The effect of cognitive debiasing training among family medicine residents. … The effect of cognitive debiasing training among family medicine residents. … risk, or attendings' perception of unrecognized cognitive bias. … Participants were better able to form a plan to mitigate a cognitive bias. … The effect of cognitive debiasing training among family medicine residents.
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 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 … 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.
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Laboratory testing showed only abnormal
transaminases. … – This case is demonstrative of cognitive errors associated with lack of
knowledge of the features … – Returning patients predispose clinicians to cognitive errors such as premature closure
caused by … for testing those with risk factors or symptoms
that suggest SEA … Cognitive errors in diagnosis: Instantiation, classification, and consequences.
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psnet.ahrq.gov/issue/impact-digitally-acquired-peer-diagnostic-input-diagnostic-confidence-outpatient-cases
June 15, 2022 - May 18, 2022
Testing and improving the acceptability of a web-based platform for collective … August 28, 2019
Testing and improving the acceptability of a web-based platform for collective … Ambulatory Clinic or Office
Information Professionals
Primary Care
Diagnostic Errors
Cognitive
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psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
April 24, 2018 - history, incomplete physical examination performance or documentation, and lack of needed laboratory testing … Consistent with prior studies , failure to order laboratory testing and plan follow-up were associated … December 12, 2012
Cognitive errors and logistical breakdowns contributing to missed and
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psnet.ahrq.gov/issue/communicating-critical-test-results
May 24, 2006 - September 6, 2023
A perfect storm averted: flawed systems, a dropped ball, and cognitive … February 15, 2010
Finding blunders in thyroid testing: experience in newborns.
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - The Commentary by Stephen Bacak, DO, MPH, and Loralei Thornburg, MD Cognitive errors or biases are … The cognitive error of premature closure (rush to diagnosis without consideration of alternatives) … Falsely low levels can be seen when testing is conducted too early in ingestion (less than 4 hours after … Cognitive errors in clinical decision-making are a major contributor to patient safety events. … Quick Safety 28: Cognitive biases in health care.
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - patient histories, observational skill in physical examination, and data interpretation in diagnostic testing … The extent to which cognitive shortcuts and unconscious thinking impact medical decisions has not been … Few studies examining cognitive checklists found improved diagnosis; task-based checklists were more … incorporating a human factors approach through work system analysis, iterative design, and usability testing … A cognitive forcing tool to mitigate cognitive bias-a randomised control trial.
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - This work has been informed by the field of cognitive psychology , which studies how individuals process … While heuristics are ubiquitous and useful, researchers have used categories developed in cognitive psychology … several types of errors that clinicians commonly make due to incorrect applications of heuristics: Cognitive … While cognitive biases on the part of individual clinicians play a role in many diagnostic errors, underlying … Recent systematic reviews have assessed the evidence base of interventions to prevent cognitive errors
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - First, preexisting cognitive deficits are the strongest risk factor for delirium.( 4-6 ) Patients with … Feature 2, inattention , is assessed through brief cognitive assessment such as serial 7s (take the … The acute onset of confusion and hyperactivity in this case should have prompted cognitive assessment … The history and physical examination should guide further laboratory testing. … WebM&M Cases
Agitated Delirium Contributes to Missed Testing
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - patient histories, observational skill in physical examination, and data interpretation in diagnostic
testing … The extent to which
cognitive shortcuts and unconscious thinking impact medical decisions has not been … Few studies examining cognitive
checklists found improved diagnosis; task-based checklists were more … incorporating a human factors approach through work system analysis, iterative design, and usability
testing … A cognitive forcing tool to mitigate cognitive bias-a randomised control trial.